4.7 Review

Treating Advanced Hepatocellular Carcinoma: How To Get Out of First Gear

Journal

CANCER
Volume 120, Issue 20, Pages 3122-3130

Publisher

WILEY
DOI: 10.1002/cncr.28850

Keywords

hepatocellular carcinoma; targeted therapy; sorafenib; angiogenic; doxorubicin; cabozantinib; tivantinib; everolimus; pegylated arginine deiminase (ADI-PEG 20); tremelimumab

Categories

Funding

  1. Abbott Laboratories
  2. Amgen
  3. Bayer
  4. Eli Lilly and Company/Imclone
  5. Exelixis
  6. Genentech
  7. Momenta Pharmaceuticals
  8. Myriad Genetics
  9. Novartis
  10. OncoMed Pharmaceuticals
  11. Polaris Pharmaceuticals
  12. Roche
  13. Sanofi-Aventis
  14. Vicus Therapeutics
  15. Aduro Biotech
  16. Astellas Pharma US
  17. AstraZeneca
  18. Celgene
  19. Celsion
  20. Cipla
  21. Eli Lilly and Company
  22. IntegraGen
  23. Jennerex Biotherapeutics
  24. MedImmune
  25. Pharmacyclics
  26. Silenseed

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Hepatocellular carcinoma is a common malignancy with a poor prognosis. Sorafenib is the only systemic therapy known to improve the overall survival of patients with advanced disease. The clinical benefit of sorafenib is modest and the mechanistic basis for its activity is unknown. Four phase 3 clinical trials have failed to improve on sorafenib in the frontline setting and no agent has been shown to impact outcomes after sorafenib failure. Several factors have contributed to this recent stall in drug development but new approaches hold promise and currently are being investigated. This review will focus on the current pipeline of experimental therapeutics for patients with advanced hepatocellular carcinoma and shed a light on scientific limitations that hamper the advancement of new therapies for this disease, and ways around it. (C) 2014 American Cancer Society.

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