Table 1.
Several important molecular-targeted therapies that inhibit the vascular endothelial growth factor/vascular endothelial growth factor receptor signaling pathways involved in hepatocellular carcinoma
| Names of drug | Targeted signaling pathways | Phase/number of patients | Main side effects and prevalence | Efficiency (mo) (PFS/OS) |
| Sorafenib | Raf/MAPK/ERK, VEGFR-2, -3, PDGFR | II/137 | Diarrhea (8%), hand-foot skin reaction (5%) | 5.5/9.2[49] |
| Bevacizumab | VEGF/VEGFR | II/46 | Hypertension (15%), thrombosis (6%), and major bleeding (11%) | 6.9/12.4[52] |
| Sunitinib | VEGFR1, VEGFR2, PDGFR, c-KIT, FLT3, RET kinases | II/45 | Fatigue (62%), diarrhea (47%), nausea (44%) | 1.5/9.3[54] |
| Brivanib | VEGFR, FGFR | II/55 | Hypertension (33.8%), proteinuria (14.7%), hemorrhage (11.8%) | 2.7/10[56] |
| Linifanib | VEGFR and PDGFR | II/44 | Hypertension (25.0%) and fatigue (13.6%) | 3.7/9.7[58] |
| Ramucirumab | VEGFR-2 | II/40 | Hypertension (14%), gastrointestinal hemorrhage and infusion-related reactions (7% each), and fatigue (5%) | 4.0/12[59] |
VEGFR: Vascular endothelial growth factor receptor; ERK: Extracellular regulated protein kinases; MAPK: Mitogen-activated protein kinase; PDGFR: Platelet-derived growth factor receptor; FGFR: Fibroblast growth factor receptor; PFS: Progression-free survival; OS: Overall survival.