Title |
Cryotherapy is Associated with Improved Clinical Outcomes of Sorafenib Therapy for Advanced Hepatocellular Carcinoma
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Published in |
Cell Biochemistry and Biophysics, April 2012
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DOI | 10.1007/s12013-012-9353-2 |
Pubmed ID | |
Authors |
Yongping Yang, Yinying Lu, Chunping Wang, Wenlin Bai, Jianhui Qu, Yan Chen, Xiujuan Chang, Linjing An, Lin Zhou, Zhen Zeng, Min Lou, Jiyun Lv |
Abstract |
We assessed the safety and efficacy of sorafenib with cryotherapy (cryoRx) in advanced hepatocellular carcinoma (HCC). One hundred four HCC patients were enrolled, who met the following criteria: (i) Barcelona Clinic Liver Cancer stage C; (ii) HCC without distant metastasis; (iii) the presence of portal vein thrombosis (PVT); (iv) Child-Pugh class A or B; and (v) life expectancy of at least 12 weeks. The patients were randomly divided into sorafenib-cryoRx and sorafenib (control) groups. Primary endpoint was time to progression (TTP); secondary endpoints included overall survival (OS) and tolerability. Microvessel density (MVD) was assessed by CD34-immunostaining. After a median 10.5 (4-26) months follow-up, the data showed that median TTP was 9.5 (8.4-13.5) months in combinatorial therapy group vs. 5.3 (3.8-6.9) months in sorafenib group (P = 0.02). The median OS was 12.5 (95 % CI 10.6-16.4) months in combination therapy group vs. 8.6 (7.3-10.4) months in sorafenib group (P = 0.01). Low MVD patients in combination therapy exhibited significantly longer median TTP and OS than controls. High MVD was predictive of poor responses to sorafenib. CryoRx did not increase frequency/degree of sorafenib-related adverse events. Therefore, it was concluded that the addition of cryoRx significantly improved clinical outcomes of Sorafenib therapy in advanced HCC with acceptable tolerance and similar safety profiles as previously reported. |
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Unknown | 1 | 100% |
Demographic breakdown
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Members of the public | 1 | 100% |
Mendeley readers
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Germany | 1 | 3% |
Unknown | 37 | 97% |
Demographic breakdown
Readers by professional status | Count | As % |
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Researcher | 8 | 21% |
Student > Master | 7 | 18% |
Other | 6 | 16% |
Student > Doctoral Student | 5 | 13% |
Student > Bachelor | 2 | 5% |
Other | 5 | 13% |
Unknown | 5 | 13% |
Readers by discipline | Count | As % |
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Medicine and Dentistry | 19 | 50% |
Nursing and Health Professions | 5 | 13% |
Biochemistry, Genetics and Molecular Biology | 2 | 5% |
Agricultural and Biological Sciences | 2 | 5% |
Computer Science | 1 | 3% |
Other | 0 | 0% |
Unknown | 9 | 24% |