PMID- 34205099 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20210705 IS - 2072-6694 (Print) IS - 2072-6694 (Electronic) IS - 2072-6694 (Linking) VI - 13 IP - 11 DP - 2021 Jun 3 TI - Initial Experience of Atezolizumab Plus Bevacizumab for Unresectable Hepatocellular Carcinoma in Real-World Clinical Practice. LID - 10.3390/cancers13112786 [doi] LID - 2786 AB - BACKGROUND: Atezolizumab plus bevacizumab was approved for patients with hepatocellular carcinoma (HCC). Although clinical trials have revealed its efficacy, the outcomes in the real-world clinical practice are unclear. We retrospectively evaluated the efficacy and safety of atezolizumab plus bevacizumab for HCC. MATERIALS AND METHODS: This is a multicenter study conducted between November 2020 and March 2021. Among the 61 patients, 51 were assessed for progression-free survival (PFS), therapeutic response, and adverse events (AEs). RESULTS: The median PFS was 5.4 months. The objective response rate (ORR) was 35.3%. The disease control rate (DCR) was 86.3%. The incidence rates of AEs at any grade and grade >3 were 98.0% and 29.4%, respectively. The most frequent AE at any grade and grade >3 was hepatic disorder. In patients with a previous history of molecular targeted agent (MTA) or the degree of albumin-bilirubin (ALBI) grade, there were no significant differences in the PFS, ORR, DCR, and incidence rates of AEs. CONCLUSION: The study demonstrated that atezolizumab plus bevacizumab was effective and safe for patients with HCC even in the real-world setting including patients with a previous MTA history or other than ALBI grade 1. FAU - Iwamoto, Hideki AU - Iwamoto H AD - Division of Gastroenterology, Department of Medicine, Kurume University School of Medicine, Kurume 830-0011, Japan. AD - Department of Gastroenterology, Iwamoto Internal Medicine Clinic, Kitakyushu 802-0832, Japan. FAU - Shimose, Shigeo AU - Shimose S AUID- ORCID: 0000-0003-2068-8386 AD - Division of Gastroenterology, Department of Medicine, Kurume University School of Medicine, Kurume 830-0011, Japan. FAU - Noda, Yu AU - Noda Y AD - Division of Gastroenterology, Department of Medicine, Kurume University School of Medicine, Kurume 830-0011, Japan. FAU - Shirono, Tomotake AU - Shirono T AUID- ORCID: 0000-0002-2662-6779 AD - Division of Gastroenterology, Department of Medicine, Kurume University School of Medicine, Kurume 830-0011, Japan. FAU - Niizeki, Takashi AU - Niizeki T AD - Division of Gastroenterology, Department of Medicine, Kurume University School of Medicine, Kurume 830-0011, Japan. FAU - Nakano, Masahito AU - Nakano M AD - Division of Gastroenterology, Department of Medicine, Kurume University School of Medicine, Kurume 830-0011, Japan. FAU - Okamura, Shusuke AU - Okamura S AD - Division of Gastroenterology, Department of Medicine, Kurume University School of Medicine, Kurume 830-0011, Japan. FAU - Kamachi, Naoki AU - Kamachi N AD - Division of Gastroenterology, Department of Medicine, Kurume University School of Medicine, Kurume 830-0011, Japan. FAU - Suzuki, Hiroyuki AU - Suzuki H AUID- ORCID: 0000-0003-2383-5038 AD - Division of Gastroenterology, Department of Medicine, Kurume University School of Medicine, Kurume 830-0011, Japan. FAU - Sakai, Miwa AU - Sakai M AD - Division of Gastroenterology, Department of Medicine, Kurume University School of Medicine, Kurume 830-0011, Japan. FAU - Kajiwara, Akira AU - Kajiwara A AD - Division of Gastroenterology, Department of Medicine, Kurume University School of Medicine, Kurume 830-0011, Japan. FAU - Itano, Satoshi AU - Itano S AD - Department of Gastroenterology, Kurume Central Hospital, Kurume 830-0001, Japan. FAU - Tanaka, Masatoshi AU - Tanaka M AUID- ORCID: 0000-0002-4791-8885 AD - Department of Gastroenterology, Yokokura Hospital, Miyama 839-0295, Japan. FAU - Yamaguchi, Taizo AU - Yamaguchi T AD - Department of Gastroenterology, Iwamoto Internal Medicine Clinic, Kitakyushu 802-0832, Japan. FAU - Kuromatsu, Ryoko AU - Kuromatsu R AD - Division of Gastroenterology, Department of Medicine, Kurume University School of Medicine, Kurume 830-0011, Japan. FAU - Koga, Hironori AU - Koga H AUID- ORCID: 0000-0001-5814-9543 AD - Division of Gastroenterology, Department of Medicine, Kurume University School of Medicine, Kurume 830-0011, Japan. FAU - Torimura, Takuji AU - Torimura T AD - Division of Gastroenterology, Department of Medicine, Kurume University School of Medicine, Kurume 830-0011, Japan. FAU - On Behalf Of The Kurume Liver Cancer Study Group Of Japan AU - On Behalf Of The Kurume Liver Cancer Study Group Of Japan LA - eng PT - Journal Article DEP - 20210603 PL - Switzerland TA - Cancers (Basel) JT - Cancers JID - 101526829 PMC - PMC8199943 OTO - NOTNLM OT - atezolizumab OT - bevacizumab OT - hepatocellular carcinoma OT - real-world data COIS- The authors declare no conflict of interest. EDAT- 2021/07/03 06:00 MHDA- 2021/07/03 06:01 PMCR- 2021/06/03 CRDT- 2021/07/02 01:23 PHST- 2021/04/25 00:00 [received] PHST- 2021/05/24 00:00 [revised] PHST- 2021/06/02 00:00 [accepted] PHST- 2021/07/02 01:23 [entrez] PHST- 2021/07/03 06:00 [pubmed] PHST- 2021/07/03 06:01 [medline] PHST- 2021/06/03 00:00 [pmc-release] AID - cancers13112786 [pii] AID - cancers-13-02786 [pii] AID - 10.3390/cancers13112786 [doi] PST - epublish SO - Cancers (Basel). 2021 Jun 3;13(11):2786. doi: 10.3390/cancers13112786.