PMID- 38434917 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20240305 IS - 2732-7787 (Electronic) IS - 2732-7787 (Linking) VI - 4 IP - 2 DP - 2024 Mar-Apr TI - Evaluation of Atezolizumab Plus Bevacizumab Versus Modified Lenvatinib Therapy in Child-Pugh A Unresectable Hepatocellular Carcinoma. PG - 122-128 LID - 10.21873/cdp.10297 [doi] AB - BACKGROUND/AIM: Atezolizumab/bevacizumab (Atez/BV) and lenvatinib (LEN) are the recommended first-line treatments for patients with unresectable hepatocellular carcinoma (HCC). Previous reports have suggested that the tolerability and therapeutic efficacy of LEN could be enhanced by modifying its administration method. Therefore, this study compared the efficacy and safety of Atez/BV, the standard LEN therapy (standard LEN), and modified LEN therapy (modified LEN). PATIENTS AND METHODS: The overall survival (OS) and the rate of discontinuation due to adverse events (AEs) were compared between groups treated with Atez/BV (n=36), standard LEN (n=30), and modified LEN (n=11). RESULTS: Discontinuation due to AEs was required in 22.2%, 23.3%, and 9.1% of patients in the Atez/BV, standard LEN, and modified LEN groups (p=0.485). The median OS for the Atez/BV, standard LEN, and modified LEN groups was 523 [95% confidence interval (CI)=163-818], 382 (95%CI=330-547), and 604 (95% CI=257-656) days, respectively (log-rank test, p=0.949). CONCLUSION: Atez/BV and the standard and modified LEN regimens showed comparable efficacy and safety. CI - Copyright 2024, International Institute of Anticancer Research. FAU - Kimura, Michio AU - Kimura M AD - Department of Pharmacy, Ogaki Municipal Hospital, Gifu, Japan. FAU - Yamada, Shiori AU - Yamada S AD - Department of Pharmacy, Ogaki Municipal Hospital, Gifu, Japan. FAU - Go, Makiko AU - Go M AD - Department of Pharmacy, Ogaki Municipal Hospital, Gifu, Japan. FAU - Yasuda, Satoshi AU - Yasuda S AD - Department of Gastroenterology and Hepatology, Ogaki Municipal Hospital, Gifu, Japan. FAU - Toyoda, Hidenori AU - Toyoda H AD - Department of Gastroenterology and Hepatology, Ogaki Municipal Hospital, Gifu, Japan. FAU - Usami, Eiseki AU - Usami E AD - Department of Pharmacy, Ogaki Municipal Hospital, Gifu, Japan. LA - eng PT - Journal Article DEP - 20240303 PL - Greece TA - Cancer Diagn Progn JT - Cancer diagnosis & prognosis JID - 9918316186306676 PMC - PMC10905284 OTO - NOTNLM OT - Atezolizumab OT - bevacizumab OT - first-line treatment OT - lenvatinib OT - overall survival OT - unresectable hepatocellular carcinoma COIS- The Authors declare no conflicts of interest in relation to this study. EDAT- 2024/03/04 06:42 MHDA- 2024/03/04 06:43 PMCR- 2024/03/03 CRDT- 2024/03/04 04:52 PHST- 2024/01/05 00:00 [received] PHST- 2024/01/26 00:00 [accepted] PHST- 2024/03/04 06:43 [medline] PHST- 2024/03/04 06:42 [pubmed] PHST- 2024/03/04 04:52 [entrez] PHST- 2024/03/03 00:00 [pmc-release] AID - 10.21873/cdp.10297 [doi] PST - epublish SO - Cancer Diagn Progn. 2024 Mar 3;4(2):122-128. doi: 10.21873/cdp.10297. eCollection 2024 Mar-Apr.