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Updated: May 24, 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
Advanced HCC: emerging molecular therapies
1Department of Medicine, Geffen School of Medicine at UCLA, Los Angeles, USA. rfinn@mednet.ucla.edu
Insights
Hepatocellular carcinoma (HCC) treatments are limited, but new targeted therapies are in development. This review focuses on agents in Phase III studies for liver cancer, offering hope for improved survival.
Area of Science:
- Hepatology and Oncology
- Molecular Biology and Pharmacology
Background:
- Hepatocellular carcinoma (HCC) is a major cause of cancer death globally, with rising incidence in Western countries.
- Chronic liver disease, Hepatitis C, and non-alcoholic steatohepatitis contribute to HCC development.
- Current HCC treatments, including surgery, ablation, and sorafenib, have limitations, especially for advanced stages.
Purpose of the Study:
- To review novel therapeutic agents for hepatocellular carcinoma (HCC) currently in Phase III clinical trials.
- To highlight emerging treatments targeting specific molecular alterations in liver cancer.
- To provide an overview of front-line, second-line, and other indications for investigational HCC therapies.
Main Methods:
- Literature review of ongoing Phase III clinical trials for HCC.
- Analysis of targeted therapies focusing on specific molecular pathways in liver cancer.
- Synthesis of data on agents for front-line, second-line, and other HCC treatment settings.
Main Results:
- Several novel molecularly targeted agents are progressing through Phase III studies for HCC.
- These agents aim to improve survival and treatment outcomes for various stages of liver cancer.
- The research landscape for HCC is dynamic, with a focus on personalized medicine approaches.
Conclusions:
- The development of targeted therapies represents a significant advancement in HCC treatment.
- Ongoing Phase III studies are crucial for evaluating the efficacy and safety of new HCC agents.
- Future HCC management will likely involve a combination of existing treatments and novel targeted therapies.
Abstract:
Hepatocellular carcinoma (HCC) is a common complication of chronic liver disease and represents the third-leading cause of death world-wide. While the majority of cases occur in Asia, the incidence has been rising in the West for some time. This is driven not only by the Hepatitis C epidemic but also the rising incidence of non-alcoholic steatohepatitis and resulting liver disease. Despite its frequency, treatments for HCC have generally been limited. Curative treatments are limited to surgical resection or liver transplant for a subset of patients and locally ablative techniques such as radiofrequency ablation (RFA) and trans-arterial chemoembolization (TACE) have been shown to extend survival for patients with unresectable and intermediate stage liver cancer. For patients with advanced HCC, sorafenib, a small molecule multitargeted kinase inhibitor is the only agent that has been shown to improve survival. At this time there is an abundance of research activity in HCC with an emphasis on developing new agents that target specific molecular alterations in HCC. In this review, we will focus on those agents currently in Phase III studies for front-line, second-line and other indications.
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