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Published on: September 12, 2019
Beyond sorafenib: novel targeted therapies for advanced hepatocellular carcinoma
1Massachusetts General Hospital Cancer Center, Harvard Medical School, Boston, MA 02114, USA. azhu@partners.org
Importance Of The Field:
The successful approval of sorafenib has greatly stimulated the development of other molecular targeted agents in advanced hepatocellular carcinoma (HCC).
Areas Covered In This Review:
The aim of this review was to summarize the key data of sorafenib Phase III studies and the lessons and unanswered questions with sorafenib in HCC. It extensively updated the current ongoing studies combining sorafenib with erlotinib and other targeted agents or chemotherapy, and many molecularly targeted agents under development that inhibit angiogenesis, EGFR, and mammalian target of rapamycin (mTOR).
What The Reader Will Gain:
A comprehensive understanding of the current status of drug development of targeted agents in advanced HCC and insights into the challenges of developing these agents in HCC.
Take Home Message:
Sorafenib is the first and only approved agent in advanced HCC. Several Phase III studies are ongoing with other drugs in advanced HCC. Many early clinical trials are conducted to assess other molecularly targeted agents that inhibit different pathways of hepatocarcinogenesis.
Insights
Sorafenib is the sole approved drug for advanced hepatocellular carcinoma (HCC). Ongoing trials explore new targeted agents and combinations to improve HCC treatment outcomes.
Area of Science:
- Oncology
- Hepatocellular Carcinoma Research
- Targeted Cancer Therapy
Background:
- Sorafenib's approval has accelerated the development of novel molecular targeted agents for advanced hepatocellular carcinoma (HCC).
- Understanding the landscape of targeted therapies is crucial for advancing HCC treatment.
Purpose of the Study:
- To review Phase III sorafenib studies in HCC.
- To update on ongoing trials combining sorafenib with other agents.
- To highlight emerging targeted agents and their pathways.
Main Methods:
- Comprehensive literature review of sorafenib Phase III studies.
- Analysis of ongoing clinical trials for targeted agents in HCC.
- Inclusion of data on agents targeting angiogenesis, EGFR, and mTOR.
Main Results:
- Sorafenib remains the only approved agent for advanced HCC.
- Numerous clinical trials are evaluating new targeted therapies and combinations.
- Early trials are investigating agents targeting key hepatocarcinogenesis pathways.
Conclusions:
- Sorafenib is the first-line therapy for advanced HCC.
- Further research and clinical trials are essential for developing new targeted agents.
- Identifying and targeting specific molecular pathways holds promise for future HCC treatments.
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