Advances in drug development for hepatocellular carcinoma: clinical trials and potential therapeutic targets

Xiang-Yuan Luo1,2, Kong-Ming Wu3,4, Xing-Xing He5,6

  • 1Institute of Liver and Gastrointestinal Diseases, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China.

Insights

Recent breakthroughs offer new hope for hepatocellular carcinoma (HCC) treatment. This review covers FDA-approved drugs, ongoing trials, and emerging therapies for liver cancer.

Area of Science:

  • Hepatobiliary Cancers
  • Pharmacology
  • Drug Development

Background:

  • Hepatocellular carcinoma (HCC) presents a significant global health challenge with limited treatment options.
  • Recent years have seen substantial progress in HCC drug development, driven by research and clinical trials.
  • Both traditional systemic therapies and novel immunotherapies for HCC have advanced.

Purpose of the Study:

  • To review drugs approved by the United States Food and Drug Administration (FDA) for HCC treatment.
  • To highlight promising agents in clinical trials and identify new therapeutic targets for HCC.
  • To discuss the development of HCC drugs in China and future directions.

Main Methods:

  • Literature review of FDA-approved HCC agents.
  • Analysis of ongoing clinical trials (Phase I-III) for HCC therapies.
  • Examination of emerging targets and traditional Chinese medicine approaches in HCC treatment.

Main Results:

  • Between 2017-2020, the FDA approved several drugs for HCC, including multikinase inhibitors, immune checkpoint inhibitors, and combination therapies.
  • Over 1000 clinical trials are underway, indicating active research in HCC drug development.
  • Emerging targets and optimized traditional Chinese medicine offer new avenues for HCC therapy.

Conclusions:

  • Significant advancements have been made in HCC drug therapy, with multiple new agents available and under investigation.
  • The field of HCC drug development is dynamic, with ongoing research exploring novel targets and therapeutic strategies.
  • Addressing challenges in HCC drug therapy and exploring future solutions are crucial for improving patient outcomes.

Related Concept Videos

Targeted Cancer Therapies02:57

Targeted Cancer Therapies

The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against...
8.0K
Clinical Trials: Overview01:11

Clinical Trials: Overview

Clinical development focuses on how the drug will interact with the human body and encompasses four key phases of clinical trials, each serving a specific purpose in assessing the safety and effectiveness of new drugs. These phases overlap and build upon one another. Phase I involves a small group of healthy volunteers (typically 20-80 individuals) or, in cases where significant toxicity is expected, patients with the targeted disease, such as cancer or AIDS. The volunteers are tested for...
4.0K
Effect of Hepatic Disease on Pharmacokinetics: Drug Dosing and Hepatic Blood Flow01:26

Effect of Hepatic Disease on Pharmacokinetics: Drug Dosing and Hepatic Blood Flow

Chronic liver disease significantly impacts drug metabolism due to alterations in hepatic blood flow and enzyme accessibility. This disruption affects the body's pharmacokinetics—the movement and processing of drugs within the system. Key enzymes crucial for metabolizing medications become less accessible, changing how drugs are processed and utilized. Furthermore, liver disease influences the synthesis of plasma proteins, such as albumin and globulins, which play critical roles in drug...
55
Effect of Hepatic Disease on Pharmacokinetics: Pathophysiologic Assessment and Liver Function Test01:22

Effect of Hepatic Disease on Pharmacokinetics: Pathophysiologic Assessment and Liver Function Test

In clinical practice, the direct measurement of hepatic blood flow to evaluate liver function presents significant challenges due to the intricate and specialized nature of the necessary techniques. Consequently, healthcare professionals often rely on empirical estimates derived from thorough patient examinations and liver function tests to gauge liver health. Among the tools at their disposal, the Child–Pugh and MELD scoring systems stand out for their ability to categorize and assess...
46
Effect of Hepatic Disease on Pharmacokinetics: Active Drug, Metabolite and Fraction of Metabolized Drug01:14

Effect of Hepatic Disease on Pharmacokinetics: Active Drug, Metabolite and Fraction of Metabolized Drug

In pharmacotherapy, monitoring drug concentrations is paramount, especially for drugs whose therapeutic effects hinge on both the active compound and its metabolite. Hepatic impairment profoundly influences drug potency by altering liver function. If the drug is more potent than its metabolite, impaired liver function amplifies drug activity due to elevated drug concentration levels. Conversely, if the metabolite holds greater potency, diminished liver function diminishes drug activity by...
55
Clinical Trials01:16

Clinical Trials

Clinical trials are prospective experimental studies conducted on humans to determine the safety and efficacy of treatments, drugs, diet methods, and medical devices. Using statistics in clinical trials enables researchers to derive reasonable and accurate conclusions from the collected data, allowing them to make wise decisions in uncertain situations. In medical research, statistical methods are crucial for preventing errors and bias.
There are four phases in a clinical trial. A phase one...
9.9K