PMID- 35734398 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220716 IS - 1663-9812 (Print) IS - 1663-9812 (Electronic) IS - 1663-9812 (Linking) VI - 13 DP - 2022 TI - Real-Life Experience of Regorafenib in Patients With Advanced Hepatocellular Carcinoma. PG - 917384 LID - 10.3389/fphar.2022.917384 [doi] LID - 917384 AB - Background: The RESORCE trial reported that regorafenib was effective as the second-line treatment for patients with hepatocellular carcinoma (HCC) after progression on sorafenib. Real-world data are needed to assess clinical outcomes and adverse events in the setting of daily practice. Objective: We aimed to evaluate the efficacy and safety of regorafenib after disease progression with sorafenib in Chinese patients with advanced HCC. Patients and Methods: A total of 41 patients with advanced HCC who did not respond to sorafenib and followed a regorafenib regimen were enrolled in this retrospective study. Overall survival (OS), progression-free survival (PFS), radiological responses, and adverse events (AEs) were evaluated. Survival curves were compared by using the log-rank test and constructed with the Kaplan-Meier method. Results: The median PFS with regorafenib was 6.6 months (range: 5.0-8.2 months), and the median OS with regorafenib was not reached. The 1-year OS rate of regorafenib was 66.4%. The median OS of sequential sorafenib to regorafenib treatment was 35.3 months [95% confidence interval (CI), 24.3-46.3], and the 2-year OS rate of sequential sorafenib to regorafenib treatment was 74.4%. The most common AEs of regorafenib treatment were elevated aspartate aminotransferase [17/41 patients (41.5%)], elevated alanine aminotransferase [16/41 patients (39%)] and hand-foot syndrome [14/41 patients (34.1%)]. Conclusion: Regorafenib appears to be safe and clinically effective in patients with advanced HCC who progressed on first-line sorafenib. CI - Copyright (c) 2022 Hou, Xiao, Huang, Jiang, Jiang, Li, Xu and Chen. FAU - Hou, Jing-Yu AU - Hou JY AD - Department of Liver Surgery, Sun Yat-sen University Cancer Center, Sun Yat-sen University, Guangzhou, China. AD - Collaborative Innovation Center for Cancer Medicine, State Key Laboratory of Oncology in South China, Guangzhou, China. FAU - Xiao, Ya-Ting AU - Xiao YT AD - School of Molecular Medicine, Hangzhou Institute for Advanced Study, UCAS, Hangzhou, China. FAU - Huang, Jing-Bo AU - Huang JB AD - Department of Hepatobiliary Surgery, The First Affiliated Hospital of Hunan Normal University (Hunan Provincial People's Hospital), Changsha, China. FAU - Jiang, Xin-Hua AU - Jiang XH AD - Department of Radiology, Sun Yat-sen University Cancer Center, State Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Guangzhou, China. FAU - Jiang, Kai AU - Jiang K AD - Department of Orthopaedics, The Second Xiangya Hospital, Central South University, Changsha, China. FAU - Li, Xun AU - Li X AD - School of Chemical Engineering, University of Chinese Academy of Sciences, Beijing, China. FAU - Xu, Li AU - Xu L AD - Department of Liver Surgery, Sun Yat-sen University Cancer Center, Sun Yat-sen University, Guangzhou, China. AD - Collaborative Innovation Center for Cancer Medicine, State Key Laboratory of Oncology in South China, Guangzhou, China. FAU - Chen, Min-Shan AU - Chen MS AD - Department of Liver Surgery, Sun Yat-sen University Cancer Center, Sun Yat-sen University, Guangzhou, China. AD - Collaborative Innovation Center for Cancer Medicine, State Key Laboratory of Oncology in South China, Guangzhou, China. LA - eng PT - Journal Article DEP - 20220606 PL - Switzerland TA - Front Pharmacol JT - Frontiers in pharmacology JID - 101548923 PMC - PMC9207200 OTO - NOTNLM OT - hepatocellular carcinoma OT - prognosis OT - regorafenib OT - retrospective study OT - sorafenib COIS- The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2022/06/24 06:00 MHDA- 2022/06/24 06:01 PMCR- 2022/06/06 CRDT- 2022/06/23 02:41 PHST- 2022/04/11 00:00 [received] PHST- 2022/05/16 00:00 [accepted] PHST- 2022/06/23 02:41 [entrez] PHST- 2022/06/24 06:00 [pubmed] PHST- 2022/06/24 06:01 [medline] PHST- 2022/06/06 00:00 [pmc-release] AID - 917384 [pii] AID - 10.3389/fphar.2022.917384 [doi] PST - epublish SO - Front Pharmacol. 2022 Jun 6;13:917384. doi: 10.3389/fphar.2022.917384. eCollection 2022.