Tremelimumab and durvalumab in the treatment of unresectable, advanced hepatocellular carcinoma Review


Authors: de Castria, T. B.; Khalil, D. N.; Harding, J. J.; O'Reilly, E. M.; Abou-Alfa, G. K.
Review Title: Tremelimumab and durvalumab in the treatment of unresectable, advanced hepatocellular carcinoma
Abstract: Liver cancer is the third most common cause of cancer-related mortality worldwide, with over 780,000 deaths in 2018. About 90% of liver cancer cases are hepatocellular carcinoma (HCC), a prototype of inflammation-driven cancer, leading to a robust rationale for the exploration of immune therapy. Previously approved agents for first-line therapy, such as sorafenib, lenvatinib and bevacizumab combined with atezolizumab, have focused on angiogenesis. HIMALAYA was the first trial to demonstrate the benefit of dual immune checkpoint inhibitors, representing a new treatment option in this scenario. Liver cancer is the third most common cause of cancer-related mortality worldwide, with over 780,000 deaths in 2018. About 90% of liver cancer cases originate in liver cells and are referred to as hepatocellular carcinoma (HCC). Systemic treatment (medications) is the mainstay for patients with advanced disease who are not suitable for resection or liver transplant and aims to improve survival and quality of life. HIMALAYA was the first study to demonstrate the benefit of using a combination of two immunotherapy medications for initial treatment.
Keywords: liver cell carcinoma; carcinoma, hepatocellular; liver neoplasms; ticilimumab; monoclonal antibody; antibodies, monoclonal; immunotherapy; liver tumor; liver cancer; tremelimumab; hepatocellular; humans; human; durvalumab; dual-blockade
Journal Title: Future Oncology
Volume: 18
Issue: 33
ISSN: 1479-6694
Publisher: Future Medicine  
Date Published: 2022-10-01
Start Page: 3769
End Page: 3782
Language: English
DOI: 10.2217/fon-2022-0652
PUBMED: 36399155
PROVIDER: scopus
DOI/URL:
Notes: Review -- Export Date: 1 February 2023 -- Source: Scopus
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  1. James Joseph Harding
    250 Harding
  2. Ghassan Abou-Alfa
    568 Abou-Alfa
  3. Eileen O'Reilly
    780 O'Reilly
  4. Danny Nejad Khalil
    64 Khalil