PMID- 37314298 OWN - NLM STAT- MEDLINE DCOM- 20230616 LR - 20230701 IS - 1473-2300 (Electronic) IS - 0300-0605 (Print) IS - 0300-0605 (Linking) VI - 51 IP - 6 DP - 2023 Jun TI - Sorafenib as first-line treatment for patients with primary hepatocellular carcinoma: an outcome evaluation. PG - 3000605231179928 LID - 10.1177/03000605231179928 [doi] LID - 03000605231179928 AB - OBJECTIVE: To evaluate the clinical outcomes following first-line treatment with sorafenib in patients with primary hepatocellular carcinoma (HCC). METHODS: This retrospective cohort study enrolled patients with primary HCC that had been treated with sorafenib. Their data were collected from the hospital medical records database at three time-points: after three cycles, after six cycles and at the end of the sorafenib treatment regimen. The starting dose was 800 mg/day sorafenib but this could be reduced to 600 mg/day or 400 mg/day if patients developed adverse events (AEs). RESULTS: A total of 98 patients participated in the study. Of these, nine (9.2%) had a partial response, 47 patients (48.0%) had stable disease and 42 patients (42.9%) had progressive disease. The overall disease control rate was 57.1% (56 of 98 patients). Median progression-free survival for the overall cohort was 4.7 months. The most common AEs were hand-foot skin reaction (49 of 98 patients; 50.0%), fatigue (41 of 98 patients; 41.8%), appetite loss (39 of 98 patients; 39.8%) and hepatotoxicity/transaminitis (24 of 98 patients; 24.5%). The majority of the AEs were toxicity grades 1 and 2. CONCLUSION: Sorafenib as a first-line treatment for primary HCC patients provided survival benefits and the AEs were well tolerated by patients. FAU - Nguyen, Dung Thi AU - Nguyen DT AUID- ORCID: 0000-0001-5798-8636 AD - Department of On-demand GI Medical Oncology, Hanoi Oncology Hospital, Hanoi, Vietnam. FAU - Nguyen, Duong Hoang AU - Nguyen DH AD - Department of On-demand GI Medical Oncology, Hanoi Oncology Hospital, Hanoi, Vietnam. FAU - Nguyen, Van Thi Hong AU - Nguyen VTH AD - Department of On-demand GI Medical Oncology, Hanoi Oncology Hospital, Hanoi, Vietnam. LA - eng PT - Journal Article PL - England TA - J Int Med Res JT - The Journal of international medical research JID - 0346411 RN - 9ZOQ3TZI87 (Sorafenib) SB - IM MH - Humans MH - *Carcinoma, Hepatocellular/drug therapy MH - Sorafenib/therapeutic use MH - Retrospective Studies MH - *Liver Neoplasms/drug therapy MH - Outcome Assessment, Health Care PMC - PMC10291016 OTO - NOTNLM OT - Hepatocellular carcinoma (HCC) OT - grade, adverse event (AE) OT - progression free survival (PFS) OT - response rate OT - sorafenib OT - toxicity COIS- The authors declare that there are no conflicts of interest. EDAT- 2023/06/14 13:06 MHDA- 2023/06/16 06:42 PMCR- 2023/06/14 CRDT- 2023/06/14 09:43 PHST- 2023/06/16 06:42 [medline] PHST- 2023/06/14 13:06 [pubmed] PHST- 2023/06/14 09:43 [entrez] PHST- 2023/06/14 00:00 [pmc-release] AID - 10.1177_03000605231179928 [pii] AID - 10.1177/03000605231179928 [doi] PST - ppublish SO - J Int Med Res. 2023 Jun;51(6):3000605231179928. doi: 10.1177/03000605231179928.