Clinical Edge Journal Scan

Immune checkpoint inhibitor rechallenge is effective and safe in HCC


 

Key clinical point: The use of immune checkpoint inhibitor (ICI)-based regimens after prior immunotherapy is safe and confers a treatment benefit in a clinically meaningful proportion of patients with hepatocellular carcinoma (HCC).

Major finding: The objective response and disease control rates were 22% and 59% with first-line ICI therapy (ICI-1) and 26% and 55% with second-line ICI therapy (ICI-2), respectively. The median times to progression with ICI-1 and ICI-2 were 5.4 (95% CI 3.0-7.7) months and 5.2 (95% CI 3.3-7.0) months, respectively. Grade 3-4 treatment-related adverse events with ICI-1 and ICI-2 occurred in 16% and 17% of patients, respectively.

Study details: This multicenter retrospective included 58 patients with HCC who received ≥2 lines of ICI-based therapies.

Disclosures: This study did not receive any specific funding. Some authors declared serving as investigators for or receiving advisory, consulting, or speaker fees or travel support from various sources.

Source: Scheiner B et al. Efficacy and safety of immune checkpoint inhibitor rechallenge in individuals with hepatocellular carcinoma. JHEP Rep. 2022;100620 (Oct 26). Doi: 10.1016/j.jhepr.2022.100620

Recommended Reading

Antiplatelet therapy may decrease HCC incidence and improve post-treatment outcomes
Federal Practitioner
Microwave ablation: An alternative to resection in subcapsular HCC within the Milan criteria
Federal Practitioner
Opioid use need not be eliminated in post-hepatectomy in HCC
Federal Practitioner
Blind spots require attention during abdominal ultrasonography-based HCC surveillance
Federal Practitioner
Rigorous surveillance recommended after resection for HBV-related HCC in patients with metabolic syndrome
Federal Practitioner
Unrecognized liver cirrhosis common, associated with worse prognosis in HCC
Federal Practitioner
Alpha-fetoprotein: A real-time monitor in HCC treatment with atezolizumab and bevacizumab
Federal Practitioner
Commentary: Multifocal Hepatocellular Carcinoma, November 2022
Federal Practitioner
Advanced HCC: Antidrug antibody levels tied to outcomes in patients on atezolizumab/bevacizumab
Federal Practitioner
Bevacizumab use is questionable in liver cirrhosis with locally advanced HCC
Federal Practitioner