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An Oncogenic Hepatocyte-Induced Orthotopic Mouse Model of Hepatocellular Cancer Arising in the Setting of Hepatic Inflammation and Fibrosis
Published on: September 12, 2019
Developing targeted therapeutics for hepatocellular carcinoma: a critical assessment of promising phase II agents
Elisabeth Amadeo1, Silvia Foti1, Silvia Camera1
1Department of Oncology, Vita-Salute San Raffaele University, IRCCS San Raffaele Scientific Institute Hospital, Milan, Italy.
Introduction:
Hepatocellular carcinoma (HCC) is the sixth most common cancer worldwide and the first for primary liver tumors. In recent years greater therapeutic advancement was represented by employment of tyrosine kinase inhibitors (TKIs) either in monotherapy or in combination with immune checkpoint inhibitors (ICIs).
Areas Covered:
Major attention was given to target therapies in the last couple of years, especially in those currently under phase II trials. Priority was given either to combinations of novel ICI and TKIs or those targeting alternative mutations of major carcinogenic pathways.
Expert Opinion:
As TKIs are playing a more crucial role in HCC therapeutic strategies, it is fundamental to further expand molecular testing and monitoring of acquired resistances. Despite the recent advancement in both laboratory and clinical studies, further research is necessary to face the discrepancy in clinical practice.
Insights
Hepatocellular carcinoma (HCC) treatment advances with tyrosine kinase inhibitors (TKIs) and immune checkpoint inhibitors (ICIs). Further research is needed to optimize molecular testing and resistance monitoring for improved clinical practice.
Area of Science:
- Oncology
- Hepatology
- Pharmacology
Background:
- Hepatocellular carcinoma (HCC) is a leading cause of cancer-related mortality globally.
- Tyrosine kinase inhibitors (TKIs) and immune checkpoint inhibitors (ICIs) represent significant therapeutic advancements in HCC management.
- Current research focuses on novel combinations and alternative pathway targets for HCC treatment.
Purpose of the Study:
- To review recent therapeutic advancements in Hepatocellular Carcinoma (HCC).
- To highlight the growing importance of tyrosine kinase inhibitors (TKIs) in HCC treatment strategies.
- To emphasize the need for expanded molecular testing and resistance monitoring in clinical practice.
Main Methods:
- Review of recent clinical trials and laboratory studies in HCC therapy.
- Analysis of the role of tyrosine kinase inhibitors (TKIs) in monotherapy and combination treatments.
- Evaluation of emerging targeted therapies and immune checkpoint inhibitors (ICIs).
Main Results:
- Tyrosine kinase inhibitors (TKIs) are increasingly integral to HCC treatment regimens.
- Combinations of TKIs with immune checkpoint inhibitors (ICIs) show promise.
- Phase II trials are exploring novel combinations and alternative mutation targets.
Conclusions:
- Tyrosine kinase inhibitors (TKIs) play a pivotal role in current HCC therapeutic strategies.
- Expanded molecular testing and monitoring for acquired resistance are crucial for effective HCC management.
- Further research is essential to bridge the gap between laboratory findings and clinical practice in HCC treatment.
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