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Updated: Jun 25, 2026

An Oncogenic Hepatocyte-Induced Orthotopic Mouse Model of Hepatocellular Cancer Arising in the Setting of Hepatic Inflammation and Fibrosis
Published on: September 12, 2019
New drugs for the treatment of hepatocellular carcinoma
Eveline Boucher1, Alejandro Forner, Maria Reig
1BCLC Group, Liver Unit, Hospital Clinic, IDIBAPS, Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas, University of Barcelona, Barcelona, Spain.
Abstract:
Treatment of hepatocellular carcinoma has dramatically changed in the last years. The better knowledge of the molecular mechanisms responsible of tumor initiation and progression has allowed the development of molecular targeted therapies that specifically block the disrupted pathways. Among all these new agents, Sorafenib is the only one that has shown efficacy in terms of survival in advanced stage in two randomized, double-blind, controlled trials. The positive result of these two trials are the proof of the efficacy of molecular targeted therapies in hepatocellular carcinoma and opens the door to multipathway blockade and the use of these targeted therapies in the adjuvant setting. Other agents have shown promising results in phase 1-2 trials but further studies are needed to demonstrate their efficacy. In the next years, efforts should be directed to identifying genomic and proteomic profiling that will help us to assess the prognosis and to define what treatment benefits whom, ultimately giving way to personalized medicine.
Insights
Molecular targeted therapies, like Sorafenib, show survival benefits for advanced hepatocellular carcinoma. Future research will focus on personalized medicine through genomic and proteomic profiling.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Hepatocellular carcinoma (HCC) treatment has evolved significantly due to a deeper understanding of tumor biology.
- Molecular targeted therapies offer new avenues by inhibiting specific disrupted pathways in cancer progression.
Purpose of the Study:
- To review the efficacy of molecular targeted therapies in advanced hepatocellular carcinoma.
- To discuss the implications of Sorafenib's success and future directions in HCC treatment.
Main Methods:
- Review of randomized, double-blind, controlled trials for advanced hepatocellular carcinoma treatments.
- Analysis of molecular targeted therapies, including Sorafenib.
- Discussion of ongoing and future clinical trial data.
Main Results:
- Sorafenib is the only molecular targeted therapy demonstrating improved survival in advanced HCC across two major trials.
- Positive trial results validate the efficacy of molecular targeted therapies in HCC.
- Other agents show promise in early-phase trials, requiring further investigation.
Conclusions:
- Molecular targeted therapies are effective in advanced HCC, paving the way for combination therapies and adjuvant use.
- Future efforts should prioritize genomic and proteomic profiling for personalized HCC treatment strategies.
- Identifying patient-specific biomarkers will guide treatment selection and improve prognosis, advancing personalized medicine in HCC.
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