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Updated: May 26, 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
Sorafenib (BAY 43-9006) in hepatocellular carcinoma patients: from discovery to clinical development
G Ranieri1, G Gadaleta-Caldarola, V Goffredo
1Interventional Radiology Unit with Integrated Section of Translational Medical Oncology, National Cancer Centre "Giovanni Paolo II" Bari, Bari, Italy. giroran@tiscalinet.it
Abstract:
Angiogenesis and signaling through the RAS/RAF/mitogen-activated protein/extracellular signal-regulated kinase (ERK) kinase (MEK)/ERK cascade have been reported to play important roles in the development of hepatocellular carcinoma (HCC). Sorafenib (Nexavar), a novel bi-aryl urea BAY 43-9006, is an orally administered multikinase inhibitor with activity against RAS/RAF kinases multikinase inhibitor with activity against RAF kinases and several receptor tyrosine kinases, including vascular endothelial growth factor receptor (VEGFR), platelet-derived growth factor receptor (PDGFR), FLT3, Ret, and c-Kit. It is involved in angiogenic pathway and cell proliferation. Sorafenib has demonstrated potent anti-tumor activity in in vitro studies, preclinical xenograft models of different tumor types and human clinical trials. This review summarizes the history of sorafenib from its discovery by the medicinal chemistry approach through to clinical development and ongoing trials on the combination between sorafenib and trans-arterial chemoembolization (TACE) in HCC patients.
Insights
Sorafenib, a multikinase inhibitor targeting angiogenesis and cell proliferation, shows potent anti-tumor activity in hepatocellular carcinoma (HCC). Ongoing trials explore its combination with trans-arterial chemoembolization (TACE) for improved HCC treatment.
Area of Science:
- Oncology
- Pharmacology
- Molecular Biology
Background:
- Hepatocellular carcinoma (HCC) development involves angiogenesis and RAS/RAF/MEK/ERK signaling.
- Sorafenib is a multikinase inhibitor targeting RAF kinases and receptor tyrosine kinases like VEGFR and PDGFR.
Purpose of the Study:
- To review the discovery, clinical development, and ongoing trials of sorafenib in HCC.
- To summarize the role of sorafenib in targeting angiogenic and proliferative pathways in HCC.
Main Methods:
- Review of medicinal chemistry, preclinical studies, and clinical trials of sorafenib.
- Summary of sorafenib's mechanism of action against key signaling pathways in HCC.
- Overview of combination therapy trials, specifically sorafenib with trans-arterial chemoembolization (TACE).
Main Results:
- Sorafenib exhibits potent anti-tumor activity across in vitro, preclinical, and clinical settings.
- The drug targets critical pathways including angiogenesis (VEGFR, PDGFR) and cell proliferation (RAS/RAF/MEK/ERK).
- Clinical development has progressed, with ongoing investigations into combination therapies.
Conclusions:
- Sorafenib is a significant therapeutic agent for HCC, targeting key oncogenic pathways.
- Combination therapy, such as with TACE, represents a promising future direction for HCC treatment.
- Further research and clinical trials are essential to optimize sorafenib-based treatment strategies for HCC.
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