Alternative treatments in advanced hepatocellular carcinoma patients with progressive disease after sorafenib treatment: a prospective multicenter cohort study

作者：Nakano Masahito; Tanaka Masatoshi; Kuromatsu Ryoko; Nagamatsu Hiroaki; Satani Manabu; Niizeki Takashi; Okamura Shusuke; Iwamoto Hideki; Shimose Shigeo; Shirono Tomotake; Noda Yu; Koga Hironori; Torimura Takuji

来源：Oncotarget, 2016, 7(39): 64400-64409.

DOI：10.18632/oncotarget.10794

• sorafenib
• hepatocellular carcinoma
• progressive disease
• follow-up treatments

Sorafenib is an oral multikinase inhibitor that has been approved to treat advanced hepatocellular carcinoma (HCC), though it is unclear how much benefit advanced HCC patients with progressive disease (PD) derive from sorafenib treatment. This study aimed to assess survival risk factors and evaluate therapeutic strategies for advanced HCC patients with PD after sorafenib treatment. We analyzed the clinical data and treatment outcomes for 315 consecutive advanced HCC patients treated with sorafenib. Univariate analyses of overall survival identified therapeutic effect as an independent risk factor in all patients. Among all patients, 141 developed PD. Of those, 58 (41%) were treated with sorafenib monotherapy, 70 (50%) with agents other than sorafenib, and 13 (9%) were not treated at all. The median survival time was 6.1 months for PD patients with sorafenib monotherapy and 12.2 months for those administered alternative treatments (p < 0.0001). Our results indicated that sorafenib treatment may have negative long-term therapeutic effects in advanced HCC patients with PD, and that alternative treatments should be considered for these patients after sorafenib administration.

• 出版日期2016-9-27