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. 2016 Sep 10;7(43):71036–71051. doi: 10.18632/oncotarget.11954

Table 3. Clinical trials regarding TACE combine with targeted therapy (with published results).

Agents Stage patients(n) Therapeutic scheme First or second line Efficacy (combined therapy vs monotherapy) Adverse events (AEs) Ref
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]