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乐伐替尼与免疫检查点抑制剂联合经动脉化疗栓塞,是否是不可切除肝细胞癌的黄金治疗时机?

Combinations of lenvatinib and immune checkpoint inhibitors plus transarterial chemoembolization, is it the prime time for unresectable hepatocellular carcinoma?

作者信息

Centrone Natalia, Serrano Uson Junior Pedro Luiz

机构信息

Center for Personalized Medicine, Hospital Israelita Albert Einstein, Sao Paulo 05651-901, Brazil.

出版信息

World J Gastrointest Oncol. 2024 Dec 15;16(12):4753-4756. doi: 10.4251/wjgo.v16.i12.4753.

DOI:10.4251/wjgo.v16.i12.4753
PMID:39678805
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11577365/
Abstract

Hepatocellular carcinoma (HCC) is a lethal disease and unfortunately, most patients will be diagnosed with unresectable/advanced stages and the overall prognosis is poor. For patients with initially unresectable HCC (uHCC), transarterial chemoembolization (TACE) was the mainstream treatment. Lately, the incorporation of immune checkpoint inhibitors and antiangiogenics for the treatment of metastatic disease has paved the way for significant improvements in the treatment of initially uHCC. In this editorial we will discuss an article that evaluated ICI combinations with lenvatinib and TACE for the treatment of uHCC patients, and highlight future advances in the field.

摘要

肝细胞癌(HCC)是一种致命疾病,不幸的是,大多数患者被诊断为不可切除/晚期阶段,总体预后较差。对于最初不可切除的HCC(uHCC)患者,经动脉化疗栓塞术(TACE)是主流治疗方法。最近,免疫检查点抑制剂和抗血管生成药物用于转移性疾病的治疗,为最初uHCC的治疗带来显著改善铺平了道路。在这篇社论中,我们将讨论一篇评估ICI与乐伐替尼联合TACE治疗uHCC患者的文章,并强调该领域未来的进展。

相似文献

1
Combinations of lenvatinib and immune checkpoint inhibitors plus transarterial chemoembolization, is it the prime time for unresectable hepatocellular carcinoma?乐伐替尼与免疫检查点抑制剂联合经动脉化疗栓塞,是否是不可切除肝细胞癌的黄金治疗时机?
World J Gastrointest Oncol. 2024 Dec 15;16(12):4753-4756. doi: 10.4251/wjgo.v16.i12.4753.
2
Lenvatinib plus transarterial chemoembolization with or without immune checkpoint inhibitors for unresectable hepatocellular carcinoma: A review.乐伐替尼联合经动脉化疗栓塞术(无论是否联合免疫检查点抑制剂)治疗不可切除肝细胞癌的综述
Front Oncol. 2022 Sep 28;12:980214. doi: 10.3389/fonc.2022.980214. eCollection 2022.
3
Prognostic nomogram model for selecting between transarterial chemoembolization plus lenvatinib, with and without PD-1 inhibitor in unresectable hepatocellular carcinoma.不可切除肝细胞癌中经动脉化疗栓塞联合仑伐替尼,以及联合与不联合 PD-1 抑制剂的预后列线图模型。
Br J Radiol. 2024 Feb 28;97(1155):668-679. doi: 10.1093/bjr/tqae018.
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Clinical outcomes of lenvatinib plus transarterial chemoembolization with or without programmed death receptor-1 inhibitors in unresectable hepatocellular carcinoma.不可切除肝细胞癌中仑伐替尼联合经动脉化疗栓塞术与程序性死亡受体-1 抑制剂联合或不联合的临床结局。
World J Gastroenterol. 2023 Mar 14;29(10):1614-1626. doi: 10.3748/wjg.v29.i10.1614.
5
Lenvatinib in combination with transarterial chemoembolization vs. sorafenib in combination with transarterial chemoembolization for unresectable hepatocellular carcinoma: A network meta‑analysis.乐伐替尼联合经动脉化疗栓塞术与索拉非尼联合经动脉化疗栓塞术治疗不可切除肝细胞癌的网状Meta分析
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6
Transarterial Chemoembolization Combined With PD-1 Inhibitors Plus Lenvatinib Showed Improved Efficacy for Treatment of Unresectable Hepatocellular Carcinoma Compared With PD-1 Inhibitors Plus Lenvatinib.经动脉化疗栓塞联合 PD-1 抑制剂加仑伐替尼治疗不可切除肝细胞癌的疗效优于 PD-1 抑制剂加仑伐替尼。
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Lenvatinib in combination with transarterial chemoembolization for treatment of unresectable hepatocellular carcinoma (uHCC): a retrospective controlled study.仑伐替尼联合经动脉化疗栓塞术治疗不可切除肝细胞癌(uHCC):一项回顾性对照研究。
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Transarterial Chemoembolization Combined with Tyrosine Kinase Inhibitors Plus Immune Checkpoint Inhibitors Versus Tyrosine Kinase Inhibitors Plus Immune Checkpoint Inhibitors in Unresectable Hepatocellular Carcinoma with First- or Lower-Order Portal Vein Tumor Thrombosis.经动脉化疗栓塞联合酪氨酸激酶抑制剂加免疫检查点抑制剂与酪氨酸激酶抑制剂加免疫检查点抑制剂治疗不可切除的伴有一级或低级别门静脉癌栓的肝细胞癌。
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Sorafenib, Lenvatinib, or Lenvatinib Combining PD-1 Inhibitors Plus TACE in Unresectable Hepatocellular Carcinoma: A Retrospective Analysis.索拉非尼、仑伐替尼或仑伐替尼联合 PD-1 抑制剂联合 TACE 治疗不可切除肝细胞癌:回顾性分析。
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Transarterial chemoembolization combined with molecular targeted agents plus immune checkpoint inhibitors for unresectable hepatocellular carcinoma beyond the up-to-seven criteria: a propensity score-matching analysis.经动脉化疗栓塞联合分子靶向药物加免疫检查点抑制剂治疗超出 up-to-seven 标准的不可切除肝细胞癌:倾向评分匹配分析。
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本文引用的文献

1
Efficacy and predictive factors of transarterial chemoembolization combined with lenvatinib plus programmed cell death protein-1 inhibition for unresectable hepatocellular carcinoma.经动脉化疗栓塞联合乐伐替尼加程序性细胞死亡蛋白-1抑制治疗不可切除肝细胞癌的疗效及预测因素
World J Gastrointest Oncol. 2024 Apr 15;16(4):1236-1247. doi: 10.4251/wjgo.v16.i4.1236.
2
Lenvatinib Combined With Transarterial Chemoembolization as First-Line Treatment for Advanced Hepatocellular Carcinoma: A Phase III, Randomized Clinical Trial (LAUNCH).仑伐替尼联合经动脉化疗栓塞术作为晚期肝细胞癌一线治疗的III期随机临床试验(LAUNCH)
J Clin Oncol. 2023 Jan 1;41(1):117-127. doi: 10.1200/JCO.22.00392. Epub 2022 Aug 3.
3
Immune Checkpoint Inhibitors as Therapy to Down-Stage Hepatocellular Carcinoma Prior to Liver Transplantation.免疫检查点抑制剂作为肝移植前降低肝细胞癌分期的治疗方法。
Cancers (Basel). 2022 Apr 19;14(9):2056. doi: 10.3390/cancers14092056.
4
AGA Clinical Practice Guideline on Systemic Therapy for Hepatocellular Carcinoma.AGA 临床实践指南:肝细胞癌的系统治疗。
Gastroenterology. 2022 Mar;162(3):920-934. doi: 10.1053/j.gastro.2021.12.276.
5
BCLC strategy for prognosis prediction and treatment recommendation: The 2022 update.BCLC 策略用于预后预测和治疗推荐:2022 年更新版。
J Hepatol. 2022 Mar;76(3):681-693. doi: 10.1016/j.jhep.2021.11.018. Epub 2021 Nov 19.
6
Recent Updates of Transarterial Chemoembolilzation in Hepatocellular Carcinoma.原发性肝癌经动脉化疗栓塞术的最新进展。
Int J Mol Sci. 2020 Oct 31;21(21):8165. doi: 10.3390/ijms21218165.
7
Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries.全球癌症统计数据 2018:GLOBOCAN 对全球 185 个国家/地区 36 种癌症的发病率和死亡率的估计。
CA Cancer J Clin. 2018 Nov;68(6):394-424. doi: 10.3322/caac.21492. Epub 2018 Sep 12.