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Related Concept Videos

Tumor Immunotherapy01:27

Tumor Immunotherapy

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Immunotherapy is a treatment that boosts or manipulates the immune system to fight diseases, including cancer. For instance, by stimulating an immune response through vaccinations against viruses that cause cancers, like hepatitis B virus and human papillomavirus, these diseases can be prevented. Nonetheless, some cancer cells can avoid the immune system due to their rapid mutation and division. The immune response to many cancers involves three phases: elimination, equilibrium, and escape.
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Treatment Resistant Cancers02:56

Treatment Resistant Cancers

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Cancer is the second leading cause of death in the United States. A cancer cell is genetically unstable and hence can mutate faster. They can also modify their microenvironment and escape immune surveillance. The difficulties in treating cancer are further compounded by the emergence of rapid resistance to anticancer drugs. The most common ways to attain resistance in cancer cells include alteration in drug transport and metabolism, modification of drug target, elevated DNA damage response, or...
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Esophageal Varices-II: Clinical Features and Management01:28

Esophageal Varices-II: Clinical Features and Management

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Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
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Cancer Therapies02:49

Cancer Therapies

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Cancer therapies are various modes of treatment, such as surgery, radiation therapy, and chemotherapy that are administered to cancer patients.
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
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Targeted Cancer Therapies02:57

Targeted Cancer Therapies

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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...
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Durvalumab Plus Chemotherapy for Advanced Biliary Tract Cancer: A Post Hoc Analysis of the TOPAZ-1 Randomized Clinical Trial.

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Durvalumab with gemcitabine-based chemotherapy regimens in advanced biliary tract cancer: primary results from the phase IIIb TOURMALINE study.

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Trends in the incidence and surgical treatment of hepatocellular carcinoma in Ontario.

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Related Experiment Video

Updated: Jan 13, 2026

An Oncogenic Hepatocyte-Induced Orthotopic Mouse Model of Hepatocellular Cancer Arising in the Setting of Hepatic Inflammation and Fibrosis
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An Oncogenic Hepatocyte-Induced Orthotopic Mouse Model of Hepatocellular Cancer Arising in the Setting of Hepatic Inflammation and Fibrosis

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Navigating second-line therapy after immunotherapy in advanced HCC☆.

Arndt Vogel1,2,3, Anna Saborowski1, Lorenza Rimassa4,5

  • 1Department of Gastroenterology, Hepatology, Infectious Diseases and Endocrinology, Hannover Medical School, Carl-Neuberg-Straße 1, 30625 Hannover, Germany.

JHEP Reports : Innovation in Hepatology
|January 8, 2026
PubMed
Summary
This summary is machine-generated.

Systemic treatments for hepatocellular carcinoma have advanced, but optimal sequencing after initial therapy remains unclear. This review examines current evidence and emerging strategies for second-line and later treatments.

Keywords:
Checkpoint inhibitorHepatocellular carcinomaIntra-arterial therapiesLocal regional therapiesSystemic therapyTyrosine kinase inhibitor

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Y-90 Radioembolization and PD-1 Inhibitor as Neoadjuvant Treatment in Hepatocellular Carcinoma
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A Three-Dimensional Spheroid Model to Investigate the Tumor-Stromal Interaction in Hepatocellular Carcinoma
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Area of Science:

  • Hepatobiliary cancers
  • Medical oncology
  • Clinical research

Background:

  • Systemic treatment options for hepatocellular carcinoma (HCC) have significantly improved survival outcomes.
  • Recent advances primarily focus on first-line therapies, creating challenges for subsequent treatment sequencing.
  • Limited head-to-head comparisons exist for second- and later-line HCC therapies.

Purpose of the Study:

  • To review current evidence for second-line and subsequent therapies in HCC.
  • To explore key considerations in optimizing treatment sequences for HCC.
  • To highlight emerging strategies in HCC management.

Main Methods:

  • Review of pivotal phase III trials and phase II studies.
  • Analysis of post hoc data and real-world evidence.
  • Consideration of clinical practice factors and ongoing research.

Main Results:

  • Significant improvements in survival and response have been observed with advanced systemic therapies.
  • Evidence for second-line HCC treatment is largely derived from non-comparative studies.
  • Treatment decisions involve integrating evidence with patient-specific factors.

Conclusions:

  • Optimal sequencing of therapies following HCC progression requires further investigation.
  • Emerging strategies like immunotherapy continuation and novel targeted agents show promise.
  • Refining the therapeutic landscape for HCC necessitates ongoing research and evidence generation.