Clinical Edge Journal Scan

Unresectable HCC: Differential efficacy of atezolizumab plus bevacizumab according to hepatic function grade


 

Key clinical point: Atezolizumab plus bevacizumab (Atez/Bev) shows potent therapeutic efficacy against unresectable hepatocellular carcinoma (uHCC) in patients with a good hepatic function, classified as Child-Pugh A (CP-A), but has decreased efficacy in those with CP-B.

Major finding: Patients with CP-A vs. CP-B showed better 6-, 12-, and 18-month progression-free (58.2%, 36.1%, and 27.8% vs. 49.6%, 8.7%, and non-estimable, respectively; P < .001) and overall (89.9%, 71.7%, and 51.4% vs. 63.6%, 18.4%, and non-estimable, respectively; P < .001) survival rates.

Study details: This retrospective study included 457 patients with uHCC and CP-A (n = 427) or CP-B (n = 30) who received Atez/Bev.

Disclosures: This study received no financial support. Some authors declared serving as advisors for and receiving lecture fees or research funds from various sources. Two authors declared serving as editors/editorial board members of Liver Cancer .

Source: Tanaka T et al. Therapeutic efficacy of atezolizumab plus bevacizumab treatment for unresectable hepatocellular carcinoma in patients with Child-Pugh class A or B liver function in real-world clinical practice. Hepatol Res. 2022 (May 28). Doi: 10.1111/hepr.13797

Recommended Reading

TIPS plus sequential systemic therapy shows promise in advanced HCC with tumor thrombus-related SPH
Federal Practitioner
Commentary: Immunotherapy Improves Outcomes in Hepatocellular Cancer, June 2022
Federal Practitioner
Radiation segmentectomy: A promising treatment option for well-selected patients with HCC
Federal Practitioner
Pediatric HCC: Histologic subtypes demonstrate distinct clinical patterns
Federal Practitioner
Microwave ablation bridges patients with HCC to liver transplant
Federal Practitioner
NAFLD significantly increases the risk for HCC
Federal Practitioner
C reactive protein to albumin ratio predicts survival outcomes in lenvatinib-treated patients with unresectable HCC
Federal Practitioner
Preoperative ratio of creatinine and cystatin C estimated glomerular filtration rates predicts survival outcomes after hepatic resection for HCC
Federal Practitioner
HCC with Child-Pugh B cirrhosis: Nivolumab a promising first-line systemic treatment option
Federal Practitioner
Atezolizumab plus bevacizumab offers a better prognosis than lenvatinib in unresectable HCC
Federal Practitioner