- |||||||||| Avastin (bevacizumab) / Roche, Tecentriq (atezolizumab) / Roche
Atezolizumab Plus bevacizumab versus lenvatinib or sorafenib in non-viral unresectable hepatocellular carcinoma: An international study (Auditorium A; Level 0) - May 12, 2022 - Abstract #ESMOGI2022ESMO_GI_501; For the primary and secondary endpoints, we performed the analysis firstly on the whole population, then we divided the cohort into two groups NASH/NAFLD and non-NASH/NAFLD population. Conclusions The present analysis conducted on a large number of advanced non-viral HCC patients showed for the first time a significant survival benefit with lenvatinib compared to atezolizumab plus bevacizumab, in particular in patients with NASH/NAFLD-related HCC.
- |||||||||| Avastin (bevacizumab) / Roche
Impact of relative dose intensity of bevacizumab in first-line treatment of hepatocellular cancer () - May 12, 2022 - Abstract #ESMOGI2022ESMO_GI_410; Background Atezolizumab-Bevacizumab (AB) is the current standard of care for treatment of unresectable hepatocellular cancer (HCC), with the recommended dosage of bevacizumab at 15mg/kg...A relative dose intensity (RDI) of ā„70% is correlated with better overall survival (OS) and radiological responses for other first-line therapies for HCC like Lenvatinib...Use of reduced dose bevacizumab can be considered to reduce cost and toxicity without significantly affecting treatment outcomes. This should be explored further in a prospective setting.
- |||||||||| Avastin (bevacizumab) / Roche, Tecentriq (atezolizumab) / Roche
Patient preferences for unresectable hepatocellular carcinoma (HCC) treatments: Balancing overall survival and quality of life () - May 12, 2022 - Abstract #ESMOGI2022ESMO_GI_291; Conclusions Patients with unresectable HCC prioritized avoiding side effects that would severely impact their quality of life during treatment much more compared with mode and frequency of treatment administration and digestive tract bleeding risk. For patients with unresectable HCC, the ability to maintain quality of life and conduct daily activities is as important or more important than a treatment's survival benefit.
- |||||||||| Discussant: O-5, SO-12, SO-13, SO-14, SO-15 (Auditorium A; Level 0) - May 12, 2022 - Abstract #ESMOGI2022ESMO_GI_121;
For patients with unresectable HCC, the ability to maintain quality of life and conduct daily activities is as important or more important than a treatment's survival benefit. Learning Objectives: O-5: Outcomes by baseline liver function in patients with unresectable hepatocellular carcinoma treated with tremelimumab and durvalumab in the Phase 3 HIMALAYA study - Arndt Vogel, et al SO-12: Nivolumab (NIVO) plus ipilimumab (IPI) combination therapy in patients with advanced hepatocellular carcinoma (aHCC): 5-year results from CheckMate 040 - Ignacio Melero, et al SO-13: Pembrolizumab in patients with advanced hepatocellular carcinoma (aHCC) previously treated with sorafenib: updated data from the open-label, phase 2 KEYNOTE-224 study - Arndt Vogel, et al SO-14: Atezolizumab Plus bevacizumab versus lenvatinib or sorafenib in non-viral unresectable hepatocellular carcinoma: An international study - Andrea Casadei-Gardini, et al SO-15: Impact of sequencing of different treatment modalities on survival outcomes among patients with non-metastatic hepatocellular carcinoma - Firas Baidoun, et al
- |||||||||| Journal: Recent Progress in Systemic Therapy for Hepatocellular Cancer (HCC). (Pubmed Central) - May 10, 2022
Moreover, patients now have multiple options available in second-line therapy including targeted therapies like sorafenib, lenvatinib, regorafenib, cabozantinib, ramucirumab and immunotherapies like atezolizumab, and nivolumab either alone or combined with ipilimumab...Combination therapy with atezolizumab-bevacizumab has recently become the standard first line of therapy for patients with advanced HCC. Additionally, immunotherapy agents are poised to play a significant role in the management of HCC either alone or in combination with molecular targeted therapies.
- |||||||||| lenvatinib / Generic mfg.
Clinical observation of D-TACE combined with lenvatinib for advanced hepatocellular carcinoma () - May 9, 2022 - Abstract #ECIO2022ECIO_54; Although combination therapy could greatly improve patients with uHCC survival benefits, under the current WTP, donafenib is still the most economical option. D-TACE combined with lenvatinib in the treatment of advanced HCC can significantly improve the short-term efficacy, and does not increase the toxic and side effects.
- |||||||||| Farydak (panobinostat) / Secura Bio, Torisel (temsirolimus) / Pfizer
Biomarker, Clinical data, Journal, Tumor Mutational Burden, Tumor microenvironment, IO biomarker, Epigenetic controller: Identification of Tumor Microenvironment and DNA Methylation-Related Prognostic Signature for Predicting Clinical Outcomes and Therapeutic Responses in Cervical Cancer. (Pubmed Central) - May 7, 2022 Finally, four drugs (panobinostat, lenvatinib, everolimus, and temsirolimus) were found to have potential therapeutic implications for patients with a high-risk score. Our findings highlight that the TME and DNA methylation-related prognostic signature can accurately predict the prognosis of CC and may be important for stratified management of patients and precision targeted therapy.
- |||||||||| Lenvima (lenvatinib) / Eisai, Merck (MSD)
Trial completion date, Trial primary completion date, Metastases: Lenvatinib and Everolimus in Renal Cell Carcinoma (RCC) (clinicaltrials.gov) - May 6, 2022 P1, N=15, Recruiting, LP regimen may be a potential first-line immunotherapy option for advanced HCC given its comparative effectiveness in relation to AB. Trial completion date: Apr 2022 --> Apr 2024 | Trial primary completion date: Apr 2022 --> Apr 2023
- |||||||||| Review, Journal, Adverse events, Checkpoint inhibition: Dermatological adverse events associated with immune checkpoint inhibitor-based combinations of anticancer therapies: a systematic review. (Pubmed Central) - May 6, 2022
The dermatological AEs reported were mutually inclusive and the highest incidence of specific AEs was seen in the following combinations: rash in the nivolumab/ipilimumab and lenvatinib/pembrolizumab combinations, pruritus in the atezolizumab/nab-paclitaxel combination, dry skin and palmar-plantar erythrodysesthesia in the axitinib/pembrolizumab combination, and alopecia and severe skin reactions in the pembrolizumab/carboplatin/paclitaxel combination. Knowledge of such side effects is of benefit when choosing an optimal treatment regimen and should be integrated into the monitoring and follow-up phases of treatment.
- |||||||||| Review, Journal, PD(L)-1 Biomarker, IO biomarker: Approaches to First-Line Therapy for Metastatic Clear Cell Renal Cell Carcinoma. (Pubmed Central) - May 6, 2022
The four IO-based combinations reviewed are ipilimumab/nivolumab (IO/IO), pembrolizumab/axitinib (IO/TKI), nivolumab/cabozantinib (IO/TKI), and pembrolizumab/lenvatinib (IO/TKI)...IO/IO and IO/TKI combinations for mccRCC have distinct efficacy and toxicity profiles. Future studies are needed to identify biomarkers to optimize patient outcomes.
- |||||||||| Keytruda (pembrolizumab) / Merck (MSD), Opdivo (nivolumab) / Ono Pharma, BMS, Cabometyx (cabozantinib tablet) / Takeda, Exelixis, Ipsen
Retrospective data, Review, Journal: New first-line immunotherapy-based combinations for metastatic renal cell carcinoma: A systematic review and network meta-analysis. (Pubmed Central) - May 6, 2022 Although we established a ranking among new first-line mRCC treatment combinations, the absence of direct comparisons between the multiple treatment options represents a major hurdle in establishing optimal therapeutic sequences. Our results could represent a starting point for head-to-head trials between the most promising combinations.
- |||||||||| Keytruda (pembrolizumab) / Merck (MSD)
Biomarker, Trial completion date, Trial primary completion date, Tumor mutational burden: KeyImPaCT: A Study of Biomarker-Directed, Pembrolizumab (MK-3475) Based Combination Therapy for Advanced Non-Small Cell Lung Cancer (MK-3475-495/KEYNOTE-495) (clinicaltrials.gov) - May 5, 2022 P2, N=318, Active, not recruiting, Toxicities were manageable, with no unexpected safety signals. Trial completion date: Oct 2025 --> Jun 2025 | Trial primary completion date: Oct 2025 --> Jun 2025
- |||||||||| Review, Tumor Mutational Burden, PD(L)-1 Biomarker, IO biomarker: How Immunotherapy Modified the Therapeutic Scenario of Endometrial Cancer: A Systematic Review. (Pubmed Central) - May 3, 2022
Anti-PD1 (pembrolizumab, nivolumab, dostarlimab) and anti-PD-L1 agents (avelumab, atezolizumab, durvalumab) were administered as single agents; pembrolizumab and nivolumab were combined with the tyrosine-kinase inhibitors (TKI) lenvatinib and cabozantinib, respectively; and durvalumab was associated with anti-CTLA4 tremelimumab...Ongoing randomized trials will further clarify the role of these therapeutic options. PROSPERO, CRD42021293538.
- |||||||||| Avastin (bevacizumab) / Roche, Nexavar (sorafenib) / Bayer, Amgen, Tecentriq (atezolizumab) / Roche
Review, Journal: Systemic Therapy in Metastatic Hepatocellular Carcinoma. (Pubmed Central) - Apr 29, 2022 Lenvatinib, a multikinase inhibitor, is also a new first line treatment option for patients who are not eligible for immunotherapy...However, these new therapies are primarily approved for patients with Child-Pugh A classification with few options for patients with Child-Pugh B disease. Further work is needed to expand options for patients with more advanced liver disease and to optimize the sequencing of these new therapies.
- |||||||||| Review, Journal, PD(L)-1 Biomarker, IO biomarker: Immunotherapies for hepatocellular carcinoma. (Pubmed Central) - Apr 28, 2022
In addition, pembrolizumab monotherapy and the combination of nivolumab plus ipilimumab have received FDA Accelerated Approval in the second-line setting based on early efficacy data...In addition, current evidence from phase III trials on the efficacy, immune-related adverse events and aetiology-dependent mechanisms of response are described. Finally, we discuss emerging trials assessing immunotherapies across all stages of HCC that might change the management of this disease in the near future.
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