Novel therapeutic targets and predictive markers for hepatocellular carcinoma

Stephen L Chan1, Anthony W H Chan, Winnie Yeo

  • 1The Chinese University of Hong Kong, Hong Kong Cancer Institute and Prince of Wales Hospital, State Key Laboratory of Oncology in South China, Sir YK Pao Center for Cancer, Department of Clinical Oncology , Hong Kong , China +852 2632 2118 ; +852 2648 7097 ; chanlam_stephen@cuhk.edu.hk.

Abstract

Insights

Novel targeted treatments are being investigated for advanced hepatocellular carcinoma (HCC). Future clinical trials for HCC should focus on patient selection using predictive biomarkers and molecular targets for improved outcomes.

Area of Science:

  • Oncology
  • Hepatocellular Carcinoma Research
  • Drug Development

Background:

  • Sorafenib was the first systemic agent approved for advanced hepatocellular carcinoma (HCC).
  • Despite sorafenib's approval, many recent drug trials in HCC have yielded limited success.
  • There is an ongoing need for novel therapeutic targets and predictive biomarkers for HCC treatment.

Purpose of the Study:

  • To review potential novel targets for HCC drug development.
  • To examine the rationale behind therapeutic target development.
  • To explore the use of predictive biomarkers for patient selection in drug testing.

Main Methods:

  • Literature review of potential novel targets for HCC drug development.
  • Analysis of the scientific rationale for targeting specific pathways in HCC.
  • Evaluation of the role of predictive biomarkers in patient stratification for clinical trials.

Main Results:

  • Identification of several promising novel therapeutic targets for HCC.
  • Discussion of the potential for predictive biomarkers to guide treatment decisions.
  • Emphasis on the need for biomarker-driven approaches in HCC drug development.

Conclusions:

  • Future drug development for HCC should move beyond an 'all-comers' approach.
  • Clinical trials must prioritize selected populations based on viral etiology and molecular targets.
  • Development of targeted agents for HCC necessitates robust biomarker studies and sample acquisition.

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