Nan Y M, Miao T G
Third Hospital of Hebei Medical University, Shijiazhuang 050051, China.
Zhonghua Gan Zang Bing Za Zhi. 2022 Sep 20;30(9):905-911. doi: 10.3760/cma.j.cn501113-20220624-00344.
Targeted and immunotherapy drugs for hepatocellular carcinoma (HCC) have been rapidly developed. Atezolizumab in combination with bevacizumab has been recommended as the first-line standard of care for unresectable or advanced HCC in several national and international guidelines. The combination therapies with sindilizumab and bevacizumab biosimilar, apatinib and carrilizumab, dulvalizumab and tremelimumab are also recommended as first-line standard regimens for advanced HCC in the guideline of Chinese Society of Clinical Oncology. Local therapy combined with targeted drugs (such as sorafenib and lenvatinib) or immune checkpoint inhibitors can significantly improve outcomes. Therefore, some progress has also been made in the study of single-agent or combination regimens as perioperative neoadjuvant therapy.
用于肝细胞癌(HCC)的靶向治疗和免疫治疗药物已得到迅速发展。阿替利珠单抗联合贝伐单抗在多项国内外指南中被推荐为不可切除或晚期HCC的一线标准治疗方案。信迪利单抗联合贝伐单抗生物类似药、阿帕替尼联合卡瑞利珠单抗、度伐利尤单抗联合曲美木单抗的联合疗法在中国临床肿瘤学会指南中也被推荐为晚期HCC的一线标准方案。局部治疗联合靶向药物(如索拉非尼和仑伐替尼)或免疫检查点抑制剂可显著改善疗效。因此,在单药或联合方案作为围手术期新辅助治疗的研究方面也取得了一些进展。