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A Three-Dimensional Spheroid Model to Investigate the Tumor-Stromal Interaction in Hepatocellular Carcinoma
Published on: September 30, 2021
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.
Abstract:
Although hepatocellular carcinoma (HCC) is one of the deadliest health burdens worldwide, few drugs are available for its clinical treatment. However, in recent years, major breakthroughs have been made in the development of new drugs due to intensive fundamental research and numerous clinical trials in HCC. Traditional systemic therapy schemes and emerging immunotherapy strategies have both advanced. Between 2017 and 2020, the United States Food and Drug Administration (FDA) approved a variety of drugs for the treatment of HCC, including multikinase inhibitors (regorafenib, lenvatinib, cabozantinib, and ramucirumab), immune checkpoint inhibitors (nivolumab and pembrolizumab), and bevacizumab combined with atezolizumab. Currently, there are more than 1000 ongoing clinical trials involving HCC, which represents a vibrant atmosphere in the HCC drug research and development field. Additionally, traditional Chinese medicine approaches are being gradually optimized. This review summarizes FDA-approved agents for HCC, elucidates promising agents evaluated in clinical phase I/II/III trials and identifies emerging targets for HCC treatment. In addition, we introduce the development of HCC drugs in China. Finally, we discuss potential problems in HCC drug therapy and possible future solutions and indicate future directions for the development of drugs for HCC treatment.
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.
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