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Long-term outcomes of atezolizumab-bevacizumab in unresectable hepatocellular carcinoma: A real-world study - PubMed

6 hours ago
  • #Atezolizumab-Bevacizumab
  • #Real-World Evidence
  • #Hepatocellular Carcinoma
  • Study evaluates long-term outcomes of atezolizumab-bevacizumab (AB) in unresectable hepatocellular carcinoma (HCC).
  • Median overall survival (OS) was 19.7 months with a 36-month survival rate of 30.0%.
  • Key factors influencing OS included ECOG-PS >0, ALBI grade >1, AFP >400 ng/mL, multinodularity, macrovascular invasion, and on-treatment events.
  • Grade ≥3 adverse events occurred in 36.8% of patients, with five late-onset severe toxicities beyond 24 months.
  • Liver decompensation unrelated to tumor progression occurred in 14.1% of patients.
  • 14.9% of patients underwent surgical or locoregional procedures post-AB initiation; 4.4% achieved drug-free disease-free status.
  • Findings confirm sustained effectiveness of AB without new safety concerns.
  • Highlights the need for a multidisciplinary approach in advanced HCC management.