Sorafenib + TACE |
Phase 3 |
458 |
Sorafenib 400 (n = 229) mg bid po or placebo (n = 227) po after 1-2 TACE |
First line |
mTTP: 5.4 vs. 3.7 months 3-months PFR: 65.0% vs 58.7% mOS: 29.7 months vs. NR |
HFSR, elevated lipase, alopecia and rash/desquamation. |
[16] |
Sorafenib + TACE |
Phase 2 |
304 |
Sorafenib 400 mg bid po (n = 82) + TACE vs TACE alone (n = 222) |
First line |
mTTP: 6.3 vs 4.3 months mOS: 7.5 vs 5.1 months DCR: 58.5% vs 44.5% |
hand-foot skin reaction, alopecia and diarrhea, gastrointestinal bleeding, hyperbilirubinemia and hepatic encephalopathy. |
[17] |
Sorafenib + TACE |
Phase 2 |
80 |
Sorafenib 400 (n = 31) mg bid po or placebo (n = 31) po after TACE |
First line |
mTTP: 9.2 vs. 4.9 months |
anorexia, diarrhea, fatigue, hand–foot skin reaction, hematological event, nausea, rash/desquamation. |
[18] |
Sorafenib + TACE |
Phase 2 |
43 |
Sorafenib: starting dose of 200 mg bid po increased to 400 mg bid in the majority of patients (n = 13), or placebo (n = 30) after TACE |
First line |
mOS: 20.6 vs 13.8 months; |
pain, nausea, vomiting and mild elevation of liver enzymes. |
[19] |
Sorafenib + TACE |
Phase 2 |
355 |
Sorafenib 400mg bid po plus TACE (n = 164) vs sorafenib alone (n = 191) |
First line |
mTTP: 2.5 vs 2.1 months; mOS: 8.9 vs 5.9 months. |
hand-foot skin reaction |
[20] |
Sorafenib + TACE |
Phase 2 |
45 |
Sorafenib 200mg bid po plus TACE |
First line |
mOS: 27 vs. 17 months |
hand-foot skin reaction, rash and diarrhea. |
[21] |
Bevacizumab + TACE |
Phase 2 |
32 |
Bevacizumab (5 mg/kg) (n = 16) or placebo (n = 16) |
First line |
mTTP: 7.2 vs. 11.7 months mOS: 5.3 vs 13.7 months |
severe bleeding, vascular, and septic events; right heart dilatation, anorexia, fatigue, or alopecia were low-grade events |
[22] |
Bevacizumab + TACE |
Phase 2 |
30 |
Bevacizumab 10 mg/kg IV (n = 15) or placebo (n = 15). |
First line |
mOS: 49 vs. 61 months 16-weeks PFS rate: 79% vs 19%. |
elevated transaminases, pain, pyrexia, nausea/vomiting, and fatigue. |
[23] |
Sunitinib + TACE |
Phase 2 |
103 |
Sunitinib (n = 38) 37.5 mg po daily or placebo (n = 65) after TACE |
First line |
mOS: 8.8 vs 6.3 months mTTP: 3.9 vs 2.5 months |
hrombocytopenia, fatigue, leukopenia, and anemia. upper gastrointestinal bleeding, hepatic encephalopathy, and hyperbilirubinemia. |
[24] |
Sunitinib + TACE |
Phase 2 |
16 |
Sunitinib 37.5 mg po daily after TACE |
First line |
mPFS: 8 months mOS: 14.9 months DCR: 81%. |
thrombocytopenia, increase of amylase/lipase, lymphopenia, and fatigue. |
[25] |