Study study type PathologyT1T0Patientssample sizesROB Results

mHCC - 1st line (L1) metastatic/advanced hepatocellular cancer (mHCC) mHCC - 1st line (L1)

versus sorafenib
atezolizumab plus bevacizumab
IMbrave-150, 2020
  NCT03434379
RCTmHCC - 1st line (L1)atezolizumab-bevacizumabsorafenibpatients with unresectable hepatocellular carcinoma who had not previously received systemic treatment336 / 165some concern
conclusif
  • demonstrated 42 % decrease in deaths (OS) (PE)
  • demonstrated 41 % decrease in progression or deaths (PFS) (PE)
  • demonstrated 1.8-fold increase in objective responses (ORR) (PE)
nivolumab alone
CheckMate 459, 2019
  NCT02576509
RCTmHCC - 1st line (L1)nivolumabsorafenibfirst-line (1L) treatment in patients (pts) with advanced hepatocellular carcinoma (aHCC) / patients (at least 18yr) with hiistologically confirmed advanced hepatocellular carcinoma ot eligible for, or whose disease had progressed after, surgical or locoregional therapies371 / 372some concern
suggested
  • inconclusive 15 % decrease in deaths (OS) (PE)

mHCC - 2nd line (L2) metastatic/advanced hepatocellular cancer (mHCC) mHCC - 2nd line (L2)

versus placebo
pembrolizumab alone
KEYNOTE-240, 2020
  NCT02702401
RCTmHCC - 2nd line (L2)pembrolizumabplacebopreviously treated patients with advanced hepatocellular carcinoma (HCC)278 / 135low
inconclusive
  • suggested 22 % decrease in deaths (OS),deaths (OS) (PE)
  • suggested 28 % decrease in progression or deaths (PFS),progression or deaths (PFS) (PE)
pembrolizumab based treatment
KEYNOTE-394, 2022
 
NCT03062358
RCThepatocell cancer (HCC), mHCC - 2nd line (L2)pembrolizumabplaceboAsian participants with previously systemically treated advanced hepatocellular carcinoma (HCC)300 / 153NA
conclusif
  • demonstrated 21 % decrease in deaths (OS),deaths (OS) (PE)
  • demonstrated 26 % decrease in progression or deaths (PFS),progression or deaths (PFS) (PE)