PMID- 30834335 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220408 IS - 2397-9070 (Electronic) IS - 2397-9070 (Linking) VI - 3 IP - 1 DP - 2019 Feb TI - Specific adverse events predict survival rates in a Chinese population diagnosed with hepatocellular carcinoma and treated with sorafenib. PG - 10-16 LID - 10.1002/jgh3.12096 [doi] AB - Hepatocellular carcinoma (HCC) is associated with a poor prognosis and a low chemotherapeutic efficiency except for when sorafenib is administered. The aim of this study was to evaluate the efficacy and adverse events (AEs) of sorafenib therapy in a Chinese population diagnosed with HCC. METHOD: Data for the subjects with HCC receiving sorafenib at Taichung Veterans General Hospital from June 2012 to October 2016 were evaluated. All enrolled cases belonged to the HCC Barcelona Clinic Liver Cancer (BCLC) classification stage C. The AEs were defined as appearances of hand-foot syndrome reaction (HFSR), hypertension (HTN), or diarrhea. The exclusion criteria included a poor performance status, lack of compliance to drugs, and loss of follow-up within the following day. RESULTS: Of a total of 116 subjects enrolled, there were 43 (37.1%), 13 (11.2%), and 15 (12.9%) cases experiencing HFSR, HTN, and diarrhea, respectively. The cases with AE had both a longer time to progression (TTP) (HFSR 5.16 vs. 3.33 months, P = 0.003; HTN 6.62 vs. 3.68 months, P = 0.001; diarrhea 6.67 vs. 3.61 months, P = 0.001) and overall survival (OS) (HFSR 8.12 vs. 4.75 months, P = 0.001; HTN 9.08 vs. 5.61 months, P = 0.008; diarrhea 8.20 vs. 5.67 months, P = 0.042) than those without. More AEs were correlated with a longer TTP and OS. CONCLUSION: The appearance of sorafenib AEs, including HFSR, HTN, and diarrhea, can predict a positive therapy efficacy to HCC. FAU - Lee, Shou-Wu AU - Lee SW AUID- ORCID: 0000-0002-2412-2665 AD - Division of Gastroenterology, Department of Internal Medicine Taichung Veterans General Hospital Taichung Taiwan. AD - Department of Internal Medicine Chung Shan Medical University Taichung Taiwan. FAU - Lee, Teng-Yu AU - Lee TY AD - Division of Gastroenterology, Department of Internal Medicine Taichung Veterans General Hospital Taichung Taiwan. AD - Department of Internal Medicine Chung Shan Medical University Taichung Taiwan. FAU - Yang, Sheng-Shun AU - Yang SS AD - Division of Gastroenterology, Department of Internal Medicine Taichung Veterans General Hospital Taichung Taiwan. AD - Department of Internal Medicine Yang-Ming University Taipei Taiwan. FAU - Peng, Yen-Chun AU - Peng YC AD - Division of Gastroenterology, Department of Internal Medicine Taichung Veterans General Hospital Taichung Taiwan. AD - Department of Internal Medicine Yang-Ming University Taipei Taiwan. FAU - Yeh, Hong-Zen AU - Yeh HZ AD - Division of Gastroenterology, Department of Internal Medicine Taichung Veterans General Hospital Taichung Taiwan. AD - Department of Internal Medicine Yang-Ming University Taipei Taiwan. FAU - Chang, Chi-Sen AU - Chang CS AD - Division of Gastroenterology, Department of Internal Medicine Taichung Veterans General Hospital Taichung Taiwan. AD - Department of Internal Medicine Chung Shan Medical University Taichung Taiwan. LA - eng PT - Journal Article DEP - 20181015 PL - Australia TA - JGH Open JT - JGH open : an open access journal of gastroenterology and hepatology JID - 101730833 PMC - PMC6386742 OTO - NOTNLM OT - hand-foot skin reaction OT - hepatocellular carcinoma OT - sorafenib EDAT- 2019/03/06 06:00 MHDA- 2019/03/06 06:01 PMCR- 2018/10/15 CRDT- 2019/03/06 06:00 PHST- 2018/07/19 00:00 [received] PHST- 2018/08/28 00:00 [revised] PHST- 2018/08/30 00:00 [accepted] PHST- 2019/03/06 06:00 [entrez] PHST- 2019/03/06 06:00 [pubmed] PHST- 2019/03/06 06:01 [medline] PHST- 2018/10/15 00:00 [pmc-release] AID - JGH312096 [pii] AID - 10.1002/jgh3.12096 [doi] PST - epublish SO - JGH Open. 2018 Oct 15;3(1):10-16. doi: 10.1002/jgh3.12096. eCollection 2019 Feb.