Radiotherapy Delays Second-line Drug Therapy for Oligo Progressive Primary Liver Cancer
NCT06261047 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 36
Last updated 2026-05-01
Summary
Recent years have seen significant advancements in the treatment landscape of advanced hepatocellular carcinoma (HCC), with the emergence of targeted and immunotherapy strategies reshaping first-line therapy. Sorafenib, a multi-targeted tyrosine kinase inhibitor, initially set the standard, followed by approvals for lenvatinib, regorafenib, cabozantinib, and ramucirumab. Immunotherapy, particularly combinations like atezolizumab with bevacizumab, has shown superior efficacy over sorafenib. Despite these advances, second-line therapies offer limited progression-free survival (mPFS: 2-3 months), necessitating new approaches. Radiotherapy, bolstered by technological advancements, has shown promise. Techniques like stereotactic body radiotherapy (SBRT) combined with PD-1 inhibitors achieve significant response rates and survival benefits. Combining radiotherapy with targeted immunotherapy has also demonstrated improved outcomes. Radiotherapy, especially in oligometastatic HCC, is increasingly favored due to its ability to enhance local control without increasing toxicity. These developments underscore the evolving landscape of HCC treatment towards personalized and multimodal approaches.
Conditions
- Hepatocellular Carcinoma
- Radiotherapy
Interventions
- RADIATION
-
radiotherapy
radiotherapy
Sponsors & Collaborators
-
Shandong Cancer Hospital and Institute
lead OTHER
Principal Investigators
-
jibo yue, dorctor · Shandong Cancer Hospital and Institute
Eligibility
- Min Age
- 18 Years
- Max Age
- 75 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2024-03-01
- Primary Completion
- 2026-01-01
- Completion
- 2026-01-01
Countries
- China
Study Locations
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