ORIGINAL RESEARCH ARTICLE
Unresectable Hepatocellular Carcinoma and Prognostic Factors of Sorafenib Treatment: A Real-Life Experience
Received Date : 17 Feb 2023
Accepted Date : 08 May 2023
Available Online : 23 May 2023
Cihan EROLa, Murat BARDAKÇIb, Mutlu HIZALb, Seda KAHRAMANa, Emre YEKEDÜZc,
Deniz Can GÜVENd, Musa Barış AYKANe, Recep AKf, Öztürk ATEŞf, Didem ŞENER DEDEa,
Muhammed Bülent AKINCIa, Nuri KARADURMUŞe, Öznur BALb, Yüksel ÜRÜNc,
Şuayib YALÇINd, Bülent YALÇINa, Mehmet Ali Nahit ŞENDURa
aDivision of Medical Oncology, Ankara Yıldırım Beyazıt University Faculty of Medicine, Ankara, Türkiye
bClinic of Medical Oncology, Ankara City Hospital, Ankara, Türkiye
cDivision of Medical Oncology, Ankara University Faculty of Medicine, Ankara, Türkiye
dDivision of Medical Oncology, Hacettepe University Faculty of Medicine, Ankara, Türkiye
eClinic of Medical Oncology, Gülhane Training and Research Hospital, Ankara, Türkiye
fClinic of Medical Oncology, Ankara Dr. Abdurrahman Yurtaslan Oncology Training and Research Hospital, Ankara, Türkiye
Doi: 10.37047/jos.2023-96148 - Article's Language: EN
J Oncol Sci. 2023;9(2):72-8
ABSTRACT
Objective: Sorafenib is the first targeted therapy for patients with advanced hepatocellular carcinoma (HCC). This multicenter
study primarily aimed to assess real-life experiences of sorafenib in patients with advanced HCC in Türkiye and to determine the prognostic
factors. Material and Methods: Patients treated with sorafenib for HCC treatment were included in a retrospective collection of
demographic, clinical, and laboratory data. Overall survival (OS) and progression-free survival (PFS), safety data, and prognostic factors
were analyzed. Results: A total of 147 patients receiving sorafenib from six tertiary oncology centers were included. Approximately 88.4%
and 11.6% of patients were Child-Pugh (CP) classes A and B, respectively. The median PFS was 5.1 (95% CI, 4.3 to 5.9) and 2.9 months (95%
CI, 2.3 to 3.5), and OS was 9.8 (95% CI, 6.4 to 13.2) and 5.3 months (95% CI, 4.1 to 6.5) in patients with CP-A and CP-B, respectively. There
was a difference in OS between CP-A and B (p=<0.001). The most common adverse event was diarrhea (19.7%, Grade 1-2; 6.8%, Grade 3).
The eastern cooperative oncology group (ECOG) performance score, CP score, neutrophil-lymphocyte ratio (NLR), and alpha-fetoprotein
(AFP) values were found to be independent prognostic factors. Conclusion: OS and PFS were similar in routine clinical practice compared
to Phase III pivotal SHARP and Asia-Pacific trials. The median survival was longer in those with a better ECOG performance score, CP-A,
and lower NLR and AFP levels.
Keywords: Hepatocellular carcinoma; prognostic factors; sorafenib; real-life experience
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