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

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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