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Updated: Mar 25, 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
Clinical trials of antiangiogenic therapy for hepatocellular carcinoma
1Department of Gastroenterological Surgery I, Graduate School of Medicine, Hokkaido University, North 15 West 7, Kita-ku, Sapporo, 060-8638, Japan. taketomi@med.hokudai.ac.jp.
Abstract:
Angiogenesis is a promising therapeutic target to inhibit tumor growth. This review summarizes data from clinical trials of antiangiogenic agents in hepatocellular carcinoma. A systematic search of PubMed was performed to identify clinical trials of specific antiangiogenic agents in hepatocellular carcinoma treatment, particularly phase III trials involving treatment guidelines for advanced hepatocellular carcinoma. Sorafenib is the only systemic drug approved for the treatment of advanced hepatocellular carcinoma. Two large-scale, randomized phase III trials using sorafenib involving patients with unresectable HCC showed a significant survival benefit compared with placebo control groups. However, subsequent phase III trials of antiangiogenic agents in hepatocellular carcinoma have failed to improve survival compared with standard treatment protocols using sorafenib. The efficacy of antiangiogenic agents in combination with other drugs, transarterial chemoembolization, and surgical resection is currently being investigated. Future research is expected to optimize antiangiogenic therapies in combination with standard treatment with sorafenib.
Insights
Antiangiogenic agents show promise for liver cancer, but only sorafenib is approved. Further research is needed to combine these therapies with sorafenib for better outcomes in advanced hepatocellular carcinoma.
Area of Science:
- Oncology
- Hepatology
- Medical Pharmacology
Background:
- Angiogenesis, the formation of new blood vessels, is a critical process in tumor growth and a key therapeutic target.
- Hepatocellular carcinoma (HCC) treatment has been advanced by targeting angiogenesis, yet challenges remain in optimizing therapeutic strategies.
Purpose of the Study:
- To review clinical trial data on antiangiogenic agents for hepatocellular carcinoma (HCC).
- To evaluate the efficacy of antiangiogenic therapies in advanced HCC and identify future research directions.
Main Methods:
- Systematic literature search of PubMed for clinical trials, focusing on phase III trials in advanced HCC.
- Analysis of data from randomized controlled trials investigating antiangiogenic agents, including sorafenib.
Main Results:
- Sorafenib is the only approved systemic drug for advanced HCC, demonstrating survival benefits in two large phase III trials.
- Subsequent phase III trials of other antiangiogenic agents have not shown improved survival compared to sorafenib-based protocols.
- Ongoing trials explore combinations of antiangiogenic agents with chemotherapy, transarterial chemoembolization, and surgical resection.
Conclusions:
- While sorafenib offers a survival advantage in advanced HCC, further research is crucial.
- Optimizing combination therapies involving antiangiogenic agents and sorafenib is a key area for future investigation to improve patient outcomes.
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