Abstract | AIM: METHODS: A total of 146 patients with u-HCC and Child-Pugh Scores of 5-7 received Atezo + Beva. Prophylactic treatment for varices was performed for patients with the risk of rupture of varices before the start of Atezo + Beva. A propensity score-matched cohort was created to minimize the risk of potential confounders. Efficacy was assessed in 41 propensity score-matched pairs. AEs were assessed between patients without PH (n = 80) and with PH (n = 66). RESULTS: In patients without PH and with PH, median overall survival was 18.4 months and 18.8 months (p = 0.71), and median progression-free survival was 8.6 months and 5.8 months (p = 0.92), respectively. On the best radiological response evaluation for Response Evaluation Criteria in Solid Tumors, the objective response rate was 31.7% and 26.8% (p = 0.81), respectively. Variceal rupture occurred in three patients with PH, but there were no significant differences in the occurrence of variceal rupture (p = 0.090) and Grade 3-4 AEs between patients without and with PH. CONCLUSIONS: No significant differences in efficacy and safety were observed with PH. Prophylactic treatment for varices before the start of Atezo + Beva would allow treatment to continue relatively safely.
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Authors | Takahiro Kinami, Shinsuke Uchikawa, Tomokazu Kawaoka, Shintaro Yamasaki, Masanari Kosaka, Yusuke Johira, Shigeki Yano, Kei Amioka, Kensuke Naruto, Kenji Yamaoka, Yasutoshi Fujii, Hatsue Fujino, Takashi Nakahara, Atsushi Ono, Eisuke Murakami, Wataru Okamoto, Masami Yamauchi, Daiki Miki, Masataka Tsuge, Shiro Oka |
Journal | Cancer medicine
(Cancer Med)
Vol. 13
Issue 5
Pg. e7025
(Mar 2024)
ISSN: 2045-7634 [Electronic] United States |
PMID | 38477514
(Publication Type: Journal Article)
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Copyright | © 2024 The Authors. Cancer Medicine published by John Wiley & Sons Ltd. |
Chemical References |
- Bevacizumab
- atezolizumab
- Antibodies, Monoclonal, Humanized
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Topics |
- Humans
- Carcinoma, Hepatocellular
- Bevacizumab
- Liver Neoplasms
- Hypertension, Portal
- Varicose Veins
- Antibodies, Monoclonal, Humanized
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