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Updated: May 11, 2026

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Published on: September 12, 2019
Sorafenib: from literature to clinical practice
V Di Marco1, F De Vita, J Koskinas
1Sezione di Gastroenterologia & Epatologia, Dipartimento Biomedico di Medicina Interna e Specialistica, University of Palermo, Palermo, Italy. vito.dimarco@unipa.it
Sorafenib is the standard treatment for advanced hepatocellular carcinoma (HCC) in patients with good liver function. Clinical trials and real-world data confirm its efficacy and safety in managing this challenging cancer.
Area of Science:
- Hepatology
- Medical Oncology
- Clinical Pharmacology
Background:
- Sorafenib is the established standard systemic therapy for advanced hepatocellular carcinoma (HCC) in patients with Child-Pugh A liver function.
- It is recommended for advanced HCC (BCLC-C) or progression after locoregional therapies.
Purpose of the Study:
- To review the clinical efficacy and safety data of sorafenib in HCC patients.
- To provide an overview of key clinical evidence supporting sorafenib's use.
Main Methods:
- Review of international randomized controlled trials (SHARP, Asia-Pacific studies).
- Analysis of real-world, field-practice data (GIDEON, SOFIA studies).
Main Results:
- Sorafenib demonstrated efficacy and safety in pivotal trials.
- Clinical practice data corroborate the findings from controlled studies.
Conclusions:
- Sorafenib is a well-established treatment for specific HCC patient populations.
- Ongoing research aims to further optimize sorafenib utilization in HCC management.
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