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Updated: Mar 11, 2026

Y-90 Radioembolization and PD-1 Inhibitor as Neoadjuvant Treatment in Hepatocellular Carcinoma
Published on: May 24, 2024
Adjuvant therapies in advanced hepatocellular carcinoma: moving forward from the STORM
Mohamed Bouattour1, Olivier Soubrane2, Armand de Gramont3
1Department of Hepatology, Beaujon University Hospital, 100 boulevard du Général Leclerc, Clichy, 92110, France. mohamed.bouattour@aphp.fr.
Abstract:
Like other previous treatments and approaches, sorafenib, an antiangiogenic drug, failed to show any benefit in the adjuvant setting for hepatocellular carcinoma in a large clinical trial. We discuss reasons and implications of these negative results and the implications for clinical practice and future research.
Trial Registration:
ClinicalTrials.gov: NCT00692770 . Registered 5 June 2008. This study has been completed.
Insights
Sorafenib, an antiangiogenic drug, did not improve outcomes for hepatocellular carcinoma patients in adjuvant therapy. This large trial
Area of Science:
- Hepatobiliary cancers
- Clinical oncology
- Drug efficacy studies
Background:
- Sorafenib, a targeted therapy, was investigated for adjuvant treatment of hepatocellular carcinoma (HCC).
- Previous HCC treatments have shown limited success in the adjuvant setting.
- A large clinical trial evaluated sorafenib's efficacy after primary tumor treatment.
Discussion:
- The study found no significant benefit of sorafenib in the adjuvant setting for HCC.
- Negative results challenge the drug's role in preventing recurrence.
- Implications for clinical practice and future research directions are considered.
Key Insights:
- Adjuvant sorafenib failed to demonstrate efficacy in a large-scale hepatocellular carcinoma trial.
- The antiangiogenic approach may not be beneficial for early-stage HCC.
- Trial NCT00692770 provides critical data on sorafenib's limitations.
Outlook:
- Future research should explore alternative adjuvant strategies for HCC.
- Understanding resistance mechanisms to antiangiogenic drugs is crucial.
- Re-evaluation of targeted therapy in early-stage HCC is warranted.
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