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Article: The Use of Cabozantinib in Advanced Hepatocellular Carcinoma in Hong Kong—A Territory-Wide Cohort Study

TitleThe Use of Cabozantinib in Advanced Hepatocellular Carcinoma in Hong Kong—A Territory-Wide Cohort Study
Authors
KeywordsHepatocellular carcinoma
Cabozantinib
Tyrosine kinase inhibitors
Issue Date2021
PublisherMDPI AG. The Journal's web site is located at http://www.mdpi.com/journal/cancers/
Citation
Cancers, 2021, v. 13 n. 9, article no. 2002 How to Cite?
Abstract(1) Background: Cabozantinib is approved in sorafenib-exposed advanced hepatocellular carcinoma (aHCC). We evaluated the real-life pattern of use, efficacy, and tolerability of cabozantinib in aHCC. (2) Methods: This territory-wide study included consecutive aHCC patients who received cabozantinib between February 2018 and September 2020 in Hong Kong. The objective response rate (ORR), disease control rate (DCR), overall survival (OS), and adverse events (AE) were assessed. (3) Results: Overall, 42 patients were included. Approximately 83.3% had Child-Pugh A cirrhosis. About 64.3% received cabozantinib as a single agent, and the remaining 35.7% received cabozantinib as an add-on to immune checkpoint inhibitors (ICIs). For single-agent patients, the median follow-up was 6.7 months. The ORR was 3.7%, DCR was 44.4%, and the median OS was 8.28 months. About 74.1% of patients experienced any AEs with 7.4% having grade ≥3 AEs. Among patients who received prior ICIs (n = 16), the ORR was 6.3%, and the median OS was 8.28 months. An exploratory analysis of patients who received cabozantinib as an add-on to ICIs showed an ORR of 6.7% and a median OS of 15.1 months, with 73.3% having any AE and 13.3% having grade ≥3 AEs. (4) Conclusions: Cabozantinib had good anti-tumor activity, survival benefits, and acceptable tolerability in real-life aHCC patients.
Persistent Identifierhttp://hdl.handle.net/10722/304980
ISSN
2023 Impact Factor: 4.5
2023 SCImago Journal Rankings: 1.391
PubMed Central ID
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorWong, JSL-
dc.contributor.authorDong, Y-
dc.contributor.authorTang, V-
dc.contributor.authorLeung, T-
dc.contributor.authorYeung, CSY-
dc.contributor.authorTai, A-
dc.contributor.authorLaw, A-
dc.contributor.authorShum, T-
dc.contributor.authorKwok, GGW-
dc.contributor.authorLi, BCW-
dc.contributor.authorLeung, R-
dc.contributor.authorChiu, J-
dc.contributor.authorMa, KW-
dc.contributor.authorShe, WH-
dc.contributor.authorTsang, J-
dc.contributor.authorCheung, TT-
dc.contributor.authorYau, T-
dc.date.accessioned2021-10-05T02:38:00Z-
dc.date.available2021-10-05T02:38:00Z-
dc.date.issued2021-
dc.identifier.citationCancers, 2021, v. 13 n. 9, article no. 2002-
dc.identifier.issn2072-6694-
dc.identifier.urihttp://hdl.handle.net/10722/304980-
dc.description.abstract(1) Background: Cabozantinib is approved in sorafenib-exposed advanced hepatocellular carcinoma (aHCC). We evaluated the real-life pattern of use, efficacy, and tolerability of cabozantinib in aHCC. (2) Methods: This territory-wide study included consecutive aHCC patients who received cabozantinib between February 2018 and September 2020 in Hong Kong. The objective response rate (ORR), disease control rate (DCR), overall survival (OS), and adverse events (AE) were assessed. (3) Results: Overall, 42 patients were included. Approximately 83.3% had Child-Pugh A cirrhosis. About 64.3% received cabozantinib as a single agent, and the remaining 35.7% received cabozantinib as an add-on to immune checkpoint inhibitors (ICIs). For single-agent patients, the median follow-up was 6.7 months. The ORR was 3.7%, DCR was 44.4%, and the median OS was 8.28 months. About 74.1% of patients experienced any AEs with 7.4% having grade ≥3 AEs. Among patients who received prior ICIs (n = 16), the ORR was 6.3%, and the median OS was 8.28 months. An exploratory analysis of patients who received cabozantinib as an add-on to ICIs showed an ORR of 6.7% and a median OS of 15.1 months, with 73.3% having any AE and 13.3% having grade ≥3 AEs. (4) Conclusions: Cabozantinib had good anti-tumor activity, survival benefits, and acceptable tolerability in real-life aHCC patients.-
dc.languageeng-
dc.publisherMDPI AG. The Journal's web site is located at http://www.mdpi.com/journal/cancers/-
dc.relation.ispartofCancers-
dc.rightsThis work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.-
dc.subjectHepatocellular carcinoma-
dc.subjectCabozantinib-
dc.subjectTyrosine kinase inhibitors-
dc.titleThe Use of Cabozantinib in Advanced Hepatocellular Carcinoma in Hong Kong—A Territory-Wide Cohort Study-
dc.typeArticle-
dc.identifier.emailTang, V: vyftang@hku.hk-
dc.identifier.emailLi, BCW: bryanli@hku.hk-
dc.identifier.emailChiu, J: jwychiu@hku.hk-
dc.identifier.emailCheung, TT: cheung68@hku.hk-
dc.identifier.emailYau, T: tyaucc@hku.hk-
dc.identifier.authorityChiu, J=rp01917-
dc.identifier.authorityMa, KW=rp02758-
dc.identifier.authorityCheung, TT=rp02129-
dc.identifier.authorityYau, T=rp01466-
dc.description.naturepublished_or_final_version-
dc.identifier.doi10.3390/cancers13092002-
dc.identifier.pmid33919277-
dc.identifier.pmcidPMC8122581-
dc.identifier.scopuseid_2-s2.0-85104443611-
dc.identifier.hkuros326084-
dc.identifier.volume13-
dc.identifier.issue9-
dc.identifier.spagearticle no. 2002-
dc.identifier.epagearticle no. 2002-
dc.identifier.isiWOS:000649964700001-
dc.publisher.placeSwitzerland-

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