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Updated: May 22, 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
Systemic treatment and targeted therapy in patients with advanced hepatocellular carcinoma
El Mehdi Tazi1, Ismail Essadi, Hind M'rabti
1Department of Medical Oncology, National Institute of Oncology, Rabat, Morocco.
Background:
ADVANCED HEPATOCELLULAR CARCINOMA (HCC) IS A MALIGNANCY OF GLOBAL IMPORTANCE: it is the sixth most common cancer and the third most common cause of cancer-related mortality worldwide. Despite decades of efforts by many investigators, systemic chemotherapy or hormone therapy has failed to demonstrate improved survival in patients with HCC.. Ongoing studies are evaluating the efficacy and tolerability of combining Sorafenib with erlotinib and other targeted agents or chemotherapy.
Aims:
On the basis of placebo-controlled, randomized phase III trials, Sorafenib has shown improved survival benefits in advanced HCC and has set a new standard for future clinical trials. The successful clinical development of Sorafenib in HCC has ushered in the era of molecularly targeted agents in this disease, which is discussed in this educational review.
Material And Methods:
Many molecularly targeted agents that inhibit angiogenesis, epidermal growth factor receptor, and mammalian target of rapamycin are at different stages of clinical development in advanced HCC. Future research should continue to unravel the mechanism of hepatocarcinogenesis and to identify key relevant molecular targets for therapeutic intervention. Identification and validation of potential surrogate and predictive biomarkers hold promise to individualize patients' treatment to maximize clinical benefit and minimize the toxicity and cost of targeted agents.
Results:
Systemic therapy with various classes of agents, including hormone and cytotoxic agents, has provided no or marginal benefits. Improved understanding of the mechanism of hepatocarcinogenesis, coupled with the arrival of many newly developed molecularly targeted agents, has provided the unique opportunity to study some of these novel agents in advanced HCC.
Conclusions:
The demonstration of improved survival benefits by Sorafenib in advanced HCC has ushered in the era of molecular-targeted therapy in this disease, with many agents undergoing active clinical development.
Insights
Sorafenib demonstrates improved survival in advanced hepatocellular carcinoma (HCC), marking a new era for molecularly targeted therapies. Further research aims to personalize treatments for better outcomes in this global malignancy.
Area of Science:
- Oncology
- Hepatology
- Molecular Biology
Background:
- Advanced hepatocellular carcinoma (HCC) is a significant global health concern, ranking as the sixth most common cancer and third leading cause of cancer mortality.
- Traditional systemic chemotherapy and hormone therapy have shown limited efficacy in improving survival rates for HCC patients.
Purpose of the Study:
- To review the clinical development and impact of Sorafenib, a molecularly targeted agent, in advanced HCC.
- To discuss the emergence of molecularly targeted agents as a new standard of care for advanced HCC.
Main Methods:
- Review of placebo-controlled, randomized phase III trials evaluating Sorafenib in advanced HCC.
- Analysis of ongoing studies investigating combinations of targeted agents and chemotherapy for HCC treatment.
Main Results:
- Sorafenib has demonstrated significant survival benefits in advanced HCC, establishing a new benchmark for clinical trials.
- The success of Sorafenib heralds the era of molecularly targeted agents in HCC treatment.
Conclusions:
- Sorafenib's proven survival benefits in advanced HCC signify the beginning of molecular-targeted therapy in this disease.
- Numerous molecularly targeted agents are currently in active clinical development for HCC, offering new therapeutic avenues.
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