Back to Hepatocellular carcinoma
References: Hepatocellular carcinoma
89 sources cited on this page. Links open the primary source.
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Loading… - Llovet JM, Brú C, Bruix J. Prognosis of hepatocellular carcinoma: the BCLC staging classification. Semin Liver Dis. 1999;19(3):329-38. PubMedDOI
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Loading… - Llovet JM, Real MI, Montaña X, Planas R, Coll S, Aponte J, et al. Arterial embolisation or chemoembolisation versus symptomatic treatment in patients with unresectable hepatocellular carcinoma: a randomised controlled trial. Lancet. 2002;359(9319):1734-9. PubMedDOI
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Loading… - Lo CM, Ngan H, Tso WK, Liu CL, Lam CM, Poon RT, et al. Randomized controlled trial of transarterial lipiodol chemoembolization for unresectable hepatocellular carcinoma. Hepatology. 2002;35(5):1164-71. PubMedDOI
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Loading… - Chen JG, Parkin DM, Chen QG, Lu JH, Shen QJ, Zhang BC, et al. Screening for liver cancer: results of a randomised controlled trial in Qidong, China. J Med Screen. 2003;10(4):204-9. PubMedDOI
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Loading… - Llovet JM, Bruix J. Systematic review of randomized trials for unresectable hepatocellular carcinoma: Chemoembolization improves survival. Hepatology. 2003;37(2):429-42. PubMedDOI
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Loading… - Zhang BH, Yang BH, Tang ZY. Randomized controlled trial of screening for hepatocellular carcinoma. J Cancer Res Clin Oncol. 2004;130(7):417-22. PubMedDOI
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Loading… - Chen MS, Li JQ, Zheng Y, Guo RP, Liang HH, Zhang YQ, et al. A prospective randomized trial comparing percutaneous local ablative therapy and partial hepatectomy for small hepatocellular carcinoma. Ann Surg. 2006;243(3):321-8. PubMedDOI
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Loading… - Chen CJ, Yang HI, Su J, Jen CL, You SL, Lu SN, et al. Risk of hepatocellular carcinoma across a biological gradient of serum hepatitis B virus DNA level. JAMA. 2006;295(1):65-73. PubMedDOI
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Loading… - U.S. Food and Drug Administration, Center for Drug Evaluation and Research. Approval letter, NDA 21-923/S-007 (supersedes S-004, S-005 and S-006), Nexavar (sorafenib). Unresectable hepatocellular carcinoma. Electronically signed 16 November 2007. Source
- Llovet JM, Ricci S, Mazzaferro V, Hilgard P, Gane E, Blanc JF, et al. Sorafenib in advanced hepatocellular carcinoma. N Engl J Med. 2008;359(4):378-90. PubMedDOI
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Loading… - Chang MH, You SL, Chen CJ, Liu CJ, Lee CM, Lin SM, et al. Decreased incidence of hepatocellular carcinoma in hepatitis B vaccinees: a 20-year follow-up study. J Natl Cancer Inst. 2009;101(19):1348-55. PubMedDOI
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Loading… - Cheng AL, Kang YK, Chen Z, Tsao CJ, Qin S, Kim JS, et al. Efficacy and safety of sorafenib in patients in the Asia-Pacific region with advanced hepatocellular carcinoma: a phase III randomised, double-blind, placebo-controlled trial. Lancet Oncol. 2009;10(1):25-34. PubMedDOI
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Loading… - Huang J, Yan L, Cheng Z, Wu H, Du L, Wang J, et al. A randomized trial comparing radiofrequency ablation and surgical resection for HCC conforming to the Milan criteria. Ann Surg. 2010;252(6):903-12. PubMedDOI
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Loading… - van der Meer AJ, Veldt BJ, Feld JJ, Wedemeyer H, Dufour JF, Lammert F, et al. Association between sustained virological response and all-cause mortality among patients with chronic hepatitis C and advanced hepatic fibrosis. JAMA. 2012;308(24):2584-93. PubMedDOI
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Loading… - Bruix J, Takayama T, Mazzaferro V, Chau GY, Yang J, Kudo M, et al. Adjuvant sorafenib for hepatocellular carcinoma after resection or ablation (STORM): a phase 3, randomised, double-blind, placebo-controlled trial. Lancet Oncol. 2015;16(13):1344-54. PubMedDOI
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Loading… - Zhu AX, Park JO, Ryoo BY, Yen CJ, Poon R, Pastorelli D, et al. Ramucirumab versus placebo as second-line treatment in patients with advanced hepatocellular carcinoma following first-line therapy with sorafenib (REACH): a randomised, double-blind, multicentre, phase 3 trial. Lancet Oncol. 2015;16(7):859-70. PubMedDOI
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Loading… - Lencioni R, Llovet JM, Han G, Tak WY, Yang J, Guglielmi A, et al. Sorafenib or placebo plus TACE with doxorubicin-eluting beads for intermediate stage HCC: The SPACE trial. J Hepatol. 2016;64(5):1090-1098. PubMedDOI
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Loading… - Reig M, Mariño Z, Perelló C, Iñarrairaegui M, Ribeiro A, Lens S, et al. Unexpected high rate of early tumor recurrence in patients with HCV-related HCC undergoing interferon-free therapy. J Hepatol. 2016;65(4):719-726. PubMedDOI
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Loading… - Bruix J, Qin S, Merle P, Granito A, Huang YH, Bodoky G, et al. Regorafenib for patients with hepatocellular carcinoma who progressed on sorafenib treatment (RESORCE): a randomised, double-blind, placebo-controlled, phase 3 trial. Lancet. 2017;389(10064):56-66. PubMedDOI
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Loading… - El-Khoueiry AB, Sangro B, Yau T, Crocenzi TS, Kudo M, Hsu C, et al. Nivolumab in patients with advanced hepatocellular carcinoma (CheckMate 040): an open-label, non-comparative, phase 1/2 dose escalation and expansion trial. Lancet. 2017;389(10088):2492-2502. PubMedDOI
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Loading… - U.S. Food and Drug Administration. OPDIVO (nivolumab) prescribing information, revised 9/2017, enclosed with the approval letter for BLA 125554/S-041 (Reference ID 4156731). Sections 1.8 and 14.8: hepatocellular carcinoma previously treated with sorafenib. Source
- U.S. Food and Drug Administration, Center for Drug Evaluation and Research. Approval letter, BLA 125554/S-041 (accelerated approval), Opdivo (nivolumab). Single-agent nivolumab, hepatocellular carcinoma previously treated with sorafenib; accelerated approval. Electronically signed 22 September 2017. Source
- U.S. Food and Drug Administration, Center for Drug Evaluation and Research. Approval letter, NDA 203085/S-007, Stivarga (regorafenib). Hepatocellular carcinoma previously treated with sorafenib. Electronically signed 27 April 2017. Source
- Kanwal F, Kramer J, Asch SM, Chayanupatkul M, Cao Y, El-Serag HB. Risk of Hepatocellular Cancer in HCV Patients Treated With Direct-Acting Antiviral Agents. Gastroenterology. 2017;153(4):996-1005.e1. PubMedDOI
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Loading… - Vilgrain V, Pereira H, Assenat E, Guiu B, Ilonca AD, Pageaux GP, et al. Efficacy and safety of selective internal radiotherapy with yttrium-90 resin microspheres compared with sorafenib in locally advanced and inoperable hepatocellular carcinoma (SARAH): an open-label randomised controlled phase 3 trial. Lancet Oncol. 2017;18(12):1624-1636. PubMedDOI
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Loading… - Abou-Alfa GK, Meyer T, Cheng AL, El-Khoueiry AB, Rimassa L, Ryoo BY, et al. Cabozantinib in Patients with Advanced and Progressing Hepatocellular Carcinoma. N Engl J Med. 2018;379(1):54-63. PubMedDOI
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Loading… - Chow PKH, Gandhi M, Tan SB, Khin MW, Khasbazar A, Ong J, et al. SIRveNIB: Selective Internal Radiation Therapy Versus Sorafenib in Asia-Pacific Patients With Hepatocellular Carcinoma. J Clin Oncol. 2018;36(19):1913-1921. PubMedDOI
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Loading… - U.S. Food and Drug Administration, Center for Drug Evaluation and Research. Approval letter, BLA 125514/S-42 (accelerated approval), Keytruda (pembrolizumab). Hepatocellular carcinoma previously treated with sorafenib; accelerated approval. Electronically signed 9 November 2018. Source
- U.S. Food and Drug Administration, Center for Drug Evaluation and Research. Approval letter, NDA 206947/S-007, Lenvima (lenvatinib). First-line treatment of unresectable hepatocellular carcinoma. Electronically signed 15 August 2018. Source
- Koshiol J, Liu Z, O'Brien TR, Hildesheim A. Beasley's 1981 paper: The power of a well-designed cohort study to drive liver cancer research and prevention. Cancer Epidemiol. 2018;53:195-199. PubMedDOI
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Loading… - Kudo M, Finn RS, Qin S, Han KH, Ikeda K, Piscaglia F, et al. Lenvatinib versus sorafenib in first-line treatment of patients with unresectable hepatocellular carcinoma: a randomised phase 3 non-inferiority trial. Lancet. 2018;391(10126):1163-1173. PubMedDOI
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Loading… - Tzartzeva K, Obi J, Rich NE, Parikh ND, Marrero JA, Yopp A, et al. Surveillance Imaging and Alpha Fetoprotein for Early Detection of Hepatocellular Carcinoma in Patients With Cirrhosis: A Meta-analysis. Gastroenterology. 2018;154(6):1706-1718.e1. PubMedDOI
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Loading… - Zhu AX, Finn RS, Edeline J, Cattan S, Ogasawara S, Palmer D, et al. Pembrolizumab in patients with advanced hepatocellular carcinoma previously treated with sorafenib (KEYNOTE-224): a non-randomised, open-label phase 2 trial. Lancet Oncol. 2018;19(7):940-952. PubMedDOI
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Loading… - Carrat F, Fontaine H, Dorival C, Simony M, Diallo A, Hezode C, et al. Clinical outcomes in patients with chronic hepatitis C after direct-acting antiviral treatment: a prospective cohort study. Lancet. 2019;393(10179):1453-1464. PubMedDOI
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Loading… - U.S. Food and Drug Administration, Center for Drug Evaluation and Research. Approval letter, NDA 208692/S-003, Cabometyx (cabozantinib). Hepatocellular carcinoma previously treated with sorafenib. Electronically signed 14 January 2019. Source
- U.S. Food and Drug Administration, Center for Drug Evaluation and Research. Approval letter, BLA 125477/S-29, Cyramza (ramucirumab). Hepatocellular carcinoma with alpha fetoprotein of 400 ng/mL or more, treated with sorafenib. Electronically signed 10 May 2019. Source
- Zhu AX, Kang YK, Yen CJ, Finn RS, Galle PR, Llovet JM, et al. Ramucirumab after sorafenib in patients with advanced hepatocellular carcinoma and increased α-fetoprotein concentrations (REACH-2): a randomised, double-blind, placebo-controlled, phase 3 trial. Lancet Oncol. 2019;20(2):282-296. PubMedDOI
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Loading… - U.S. Food and Drug Administration, Center for Drug Evaluation and Research. Approval letter, BLA 125085/S-332, Avastin (bevacizumab). With atezolizumab, unresectable or metastatic hepatocellular carcinoma, no prior systemic therapy. Electronically signed 29 May 2020. Source
- U.S. Food and Drug Administration, Center for Drug Evaluation and Research. Approval letter, BLA 125554/S-078 (accelerated approval), Opdivo (nivolumab). With ipilimumab, hepatocellular carcinoma previously treated with sorafenib; accelerated approval. Electronically signed 10 March 2020. Source
- U.S. Food and Drug Administration, Center for Drug Evaluation and Research. Approval letter, BLA 761034/S-25, Tecentriq (atezolizumab). With bevacizumab, unresectable or metastatic hepatocellular carcinoma, no prior systemic therapy. Electronically signed 29 May 2020. Source
- U.S. Food and Drug Administration, Center for Drug Evaluation and Research. Approval letter, BLA 125377/S-108 (accelerated approval), Yervoy (ipilimumab). With nivolumab, hepatocellular carcinoma previously treated with sorafenib; accelerated approval. Electronically signed 10 March 2020. Source
- Finn RS, Ryoo BY, Merle P, Kudo M, Bouattour M, Lim HY, et al. Pembrolizumab As Second-Line Therapy in Patients With Advanced Hepatocellular Carcinoma in KEYNOTE-240: A Randomized, Double-Blind, Phase III Trial. J Clin Oncol. 2020;38(3):193-202. PubMedDOI
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Loading… - Finn RS, Qin S, Ikeda M, Galle PR, Ducreux M, Kim TY, et al. Atezolizumab plus Bevacizumab in Unresectable Hepatocellular Carcinoma. N Engl J Med. 2020;382(20):1894-1905. PubMedDOI
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Loading… - Kudo M, Ueshima K, Ikeda M, Torimura T, Tanabe N, Aikata H, et al. Randomised, multicentre prospective trial of transarterial chemoembolisation (TACE) plus sorafenib as compared with TACE alone in patients with hepatocellular carcinoma: TACTICS trial. Gut. 2020;69(8):1492-1501. PubMedDOI
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Loading… - Mazzaferro V, Citterio D, Bhoori S, Bongini M, Miceli R, De Carlis L, et al. Liver transplantation in hepatocellular carcinoma after tumour downstaging (XXL): a randomised, controlled, phase 2b/3 trial. Lancet Oncol. 2020;21(7):947-956. PubMedDOI
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Loading… - Abou-Alfa GK, Lau G, Kudo M, Chan SL, Kelley RK, Furuse J, et al. Tremelimumab plus Durvalumab in Unresectable Hepatocellular Carcinoma. NEJM Evid. 2022;1(8):EVIDoa2100070. PubMedDOI
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Loading… - Cheng AL, Qin S, Ikeda M, Galle PR, Ducreux M, Kim TY, et al. Updated efficacy and safety data from IMbrave150: Atezolizumab plus bevacizumab vs. sorafenib for unresectable hepatocellular carcinoma. J Hepatol. 2022;76(4):862-873. PubMedDOI
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Loading… - U.S. Food and Drug Administration, Center for Drug Evaluation and Research. Approval letter, BLA 761069/S-36, Imfinzi (durvalumab). With tremelimumab-actl, unresectable hepatocellular carcinoma. Electronically signed 21 October 2022. Source
- U.S. Food and Drug Administration, Center for Drug Evaluation and Research. Corrected BLA approval letter, BLA 761289, Imjudo (tremelimumab-actl). With durvalumab, unresectable hepatocellular carcinoma. The letter states that the effective action date remains 21 October 2022, the date of the original letter; the corrected letter was electronically signed 31 October 2022. Source
- Reig M, Forner A, Rimola J, Ferrer-Fàbrega J, Burrel M, Garcia-Criado Á, et al. BCLC strategy for prognosis prediction and treatment recommendation: The 2022 update. J Hepatol. 2022;76(3):681-693. PubMedDOI
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Loading… - Takayama T, Hasegawa K, Izumi N, Kudo M, Shimada M, Yamanaka N, et al. Surgery versus Radiofrequency Ablation for Small Hepatocellular Carcinoma: A Randomized Controlled Trial (SURF Trial). Liver Cancer. 2022;11(3):209-218. PubMedDOI
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Loading… - Yau T, Park JW, Finn RS, Cheng AL, Mathurin P, Edeline J, et al. Nivolumab versus sorafenib in advanced hepatocellular carcinoma (CheckMate 459): a randomised, multicentre, open-label, phase 3 trial. Lancet Oncol. 2022;23(1):77-90. PubMedDOI
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Loading… - European Medicines Agency. Imjudo: EPAR, product page (medicine overview and authorisation details). Accessed 20 October 2026. Source
- Qin S, Chen Z, Fang W, Ren Z, Xu R, Ryoo BY, et al. Pembrolizumab Versus Placebo as Second-Line Therapy in Patients From Asia With Advanced Hepatocellular Carcinoma: A Randomized, Double-Blind, Phase III Trial. J Clin Oncol. 2023;41(7):1434-1443. PubMedDOI
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Loading… - Qin S, Chen M, Cheng AL, Kaseb AO, Kudo M, Lee HC, et al. Atezolizumab plus bevacizumab versus active surveillance in patients with resected or ablated high-risk hepatocellular carcinoma (IMbrave050): a randomised, open-label, multicentre, phase 3 trial. Lancet. 2023;402(10415):1835-1847. PubMedDOI
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Loading… - Singal AG, Llovet JM, Yarchoan M, Mehta N, Heimbach JK, Dawson LA, et al. AASLD Practice Guidance on prevention, diagnosis, and treatment of hepatocellular carcinoma. Hepatology. 2023;78(6):1922-1965. PubMedDOI
- U.S. Food and Drug Administration, Center for Drug Evaluation and Research. Approval letter, BLA 125514/S-124 (supplement approval and fulfilment of postmarketing requirement), Keytruda (pembrolizumab). Conversion of the hepatocellular carcinoma indication from accelerated to regular approval. Electronically signed 25 January 2024. Source
- Gordan JD, Kennedy EB, Abou-Alfa GK, Beal E, Finn RS, Gade TP, et al. Systemic Therapy for Advanced Hepatocellular Carcinoma: ASCO Guideline Update. J Clin Oncol. 2024;42(15):1830-1850. PubMedDOI
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Loading… - European Association for the Study of the Liver. EASL Clinical Practice Guidelines on the management of hepatocellular carcinoma. J Hepatol. 2025;82(2):315-374. PubMedDOI
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Loading… - Kudo M, Ren Z, Guo Y, Han G, Lin H, Zheng J, et al. Transarterial chemoembolisation combined with lenvatinib plus pembrolizumab versus dual placebo for unresectable, non-metastatic hepatocellular carcinoma (LEAP-012): a multicentre, randomised, double-blind, phase 3 study. Lancet. 2025;405(10474):203-215. PubMedDOI
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Loading… - Rimassa L, Chan SL, Sangro B, Lau G, Kudo M, Reig M, et al. Five-year overall survival update from the HIMALAYA study of tremelimumab plus durvalumab in unresectable HCC. J Hepatol. 2025;83(4):899-908. PubMedDOI
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Loading… - Sangro B, Kudo M, Erinjeri JP, Qin S, Ren Z, Chan SL, et al. Durvalumab with or without bevacizumab with transarterial chemoembolisation in hepatocellular carcinoma (EMERALD-1): a multiregional, randomised, double-blind, placebo-controlled, phase 3 study. Lancet. 2025;405(10474):216-232. PubMedDOI
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Loading… - Vogel A, Chan SL, Dawson LA, Kelley RK, Llovet JM, Meyer T, et al. Hepatocellular carcinoma: ESMO Clinical Practice Guideline for diagnosis, treatment and follow-up. Ann Oncol. 2025;36(5):491-506. PubMedDOI
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