Hepatocellular carcinoma in 2017

Two large steps forward, one small step back

In 2017, the FDA approved regorafenib and nivolumab for the treatment of patients with hepatocellular carcinoma following prior sorafenib treatment, opening the door for an effective systemic second-line therapy in advanced disease. By contrast, the addition of sorafenib to transarterial chemoembolization with drug-eluting beads did not improve progression-free survival in the intermediate disease stage.

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Figure 1: Sequential treatment requires a timely switch from transarterial approaches to systemic treatment in patients with well-preserved liver function.

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Correspondence to Peter R. Galle.

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M.-A.W. has received consulting and lecture fees from Bayer and Bristol-Myers Squibb. P.R.G. has received consulting and lecture fees from AstraZeneca, Bayer, Bristol-Myers Squibb, Lilly, MSD/Merck, Roche, Sillajen, and Sirtex.

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Wörns, M., Galle, P. Two large steps forward, one small step back. Nat Rev Gastroenterol Hepatol 15, 74–76 (2018). https://doi.org/10.1038/nrgastro.2017.174

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