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Antineoplastic effects of sorafenib on primary liver cancer: a systematic review and meta-analysis
Meizhen Liu1, Rui Zhou2, Xiaoliu Liang1
1College of Pharmacy, Guangxi Medical University Nanning 530021, Guangxi, PR China.
Objective:
The current study aimed to investigate the therapeutic efficacy of sorafenib against primary liver cancer (PLC).
Methods:
Four databases (PubMed, CNKI, WanFang and Civip) were used to search and assess all clinical randomized controlled trials regarding the clinical efficacy of sorafenib-exerted anti-PLC from November 20, 2006 to May 8, 2018.
Results:
A total of 15 randomized controlled trials were included in this analysis, and 1102 patients with PLC were randomly assigned as sorafenib group (521 cases), and control group (581 cases). Compared to controls, the sorafenib group showed significant clinical efficacy (overall: OR, 3.38; 95% CI, 2.57-4.46; P < 0.05), which was notably effective in all subgroups with different treatment durations (all P < 0.05). In addition, further analysis in subgroups exhibited that the clinical efficacy of treatment duration greater than 100 days was higher than that of control groups (OR, 4.61; 95% CI, 2.58-8.29; P < 0.05).
Conclusion:
Sorafenib has clinical efficacy for treating PLC, and the treatment duration in PLC patients shows limited impact on the therapeutic efficacy of sorafenib. Furthermore, sorafenib can extend the survival rate in patients with PLC.
Insights
Sorafenib demonstrates significant therapeutic efficacy in treating primary liver cancer (PLC). While treatment duration has a limited impact, sorafenib effectively improves patient survival rates.
Area of Science:
- Oncology
- Hepatology
- Clinical Pharmacology
Background:
- Primary liver cancer (PLC) presents a significant global health challenge.
- Effective therapeutic strategies for PLC are continuously sought.
- Sorafenib is an established targeted therapy for advanced liver cancer.
Purpose of the Study:
- To evaluate the therapeutic efficacy of sorafenib in patients with primary liver cancer (PLC).
- To analyze the impact of treatment duration on sorafenib's efficacy in PLC.
- To assess sorafenib's effect on survival rates in PLC patients.
Main Methods:
- A systematic review and meta-analysis of randomized controlled trials (RCTs).
- Searched PubMed, CNKI, WanFang, and Civip databases for relevant studies from November 2006 to May 2018.
- Included 15 RCTs involving 1102 patients with primary liver cancer.
Main Results:
- Sorafenib demonstrated significant overall clinical efficacy compared to controls (OR, 3.38; 95% CI, 2.57-4.46; P < 0.05).
- Efficacy was consistent across subgroups regardless of treatment duration.
- Treatment duration exceeding 100 days showed higher efficacy than control groups (OR, 4.61; 95% CI, 2.58-8.29; P < 0.05).
Conclusions:
- Sorafenib is clinically effective for treating primary liver cancer.
- Treatment duration has a limited impact on sorafenib's therapeutic efficacy in PLC.
- Sorafenib can extend survival rates in patients diagnosed with primary liver cancer.
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