Additional Data Updates from AASLD 2023

Opinion
Video

Drs Saeed and Singal discuss additional data presented at AASLD 2023 related to frontline systemic therapies and emerging combinations in unresectable HCC.

This is a video synopsis/summary of a Post-Conference Perspectives featuring Anwaar Saeed, MD, and Amit Singal, MD, MS.

Singal discusses an AASLD abstract examining clinical and imaging factors to predict risk of varices in hepatocellular carcinoma (HCC) patients, which can help determine need for pretreatment endoscopy before regimens like atezolizumab-bevacizumab. The model achieved a high negative predictive value, meaning it reliably identified low-risk patients unlikely to have varices. If validated, using it could avoid endoscopy in 50% of HCC cases.

Transitioning to emerging treatments, Saeed reviews phase 2 and phase 3 HCC study data presented at AASLD. A network meta-analysis found the regimens of sintilimab plus a bevacizumab biosimilar and camrelizumab-apatinib offered the best survival hazard ratios, followed by atezolizumab-bevacizumab and durvalumab-tremelimumab, which also showed efficacy vs sorafenib. However, she cautions that regional heterogeneity between trial populations limits head-to-head cross-study comparisons. A separate single-arm phase 2 study of tislelizumab- anlotinib reported encouraging response rate and disease control data, albeit in a trial where a number of patients had hepatitis B–associated HCC, a positive prognostic factor. Mature survival outcomes are still needed.

Video synopsis is AI-generated and reviewed by OncLive® editorial staff.

Related Videos
Video 10 - "Monitoring and AE Management Strategies with Fruquintinib in CRC"
Video 9 - "FRESCO-2: Fruquintinib in Patients with Refractory Metastatic CRC"
John M. Kirkwood, MD, Distinguished Service Professor of Medicine, Sandra and Thomas Usher Professor of Medicine, Dermatology & Translational Science, coleader, Melanoma and Skin Cancer Program, Division of Hematology/Oncology, the University of Pittsburgh
Julia Foldi, MD, PhD
Video 6 - "Patient Case 2: A 62-Year-Old Woman with Metastatic Rectal Cancer"
Video 5 - "Adverse Events Associated With TAS-102 Plus Bevacizumab in CRC"
Michael J. Overman, MD
Ilyas Sahin, assistant professor, Medicine, Department of Medicine, Division of Hematology & Oncology, University of Florida College of Medicine
Michael J. Overman, MD
Manish A. Shah, MD, director, Gastrointestinal Oncology Program, Weill Cornell Medicine; chief, Solid Tumor Service, co-director, Center for Advanced Digestive Disease, NewYork Presbyterian