Table 1. . Summary of published experience with radioembolization in hepatocellular carcinoma (by disease stage) in comparison with conventional transarterial embolization and sorafenib.
Study (year) | Study design | Treatment | Child-Pugh class | Early | Intermediate | Advanced | Ref. | |||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Overall | Patent portal vein | Portal vein occlusion | ||||||||||||
n | Median OS (95% CI) mo | n | Median OS (95% CI), months | n | Median OS (95% CI), months | n | Median OS (95% CI), months | n | Median OS (95% CI), months | |||||
Salem et al. (2011) | Retrospective case series | Conventional TACE | Overall A (n = 67) B (n = 53) | 47 | 45.4 (15.1–46.1) | 61 | 17.5 (14.8–18.7) | 12 | 9.3 (6.2–11.5) | – | – | – | – | [34] |
Hilgard et al. (2010) | Retrospective case series | Radioembolization | Overall | – | – | 47 | 16.4 (12.1–NC) | 51 | NR | 75 | 16.4 (12.1–NC) | 33 | 10.0 (6.0–NC) | [35] |
TheraSphere | A (n = 84) | 17.2 (12.1–NC) | ||||||||||||
B (n = 24) | 6.0 (4.2–NC) | |||||||||||||
Salem et al. (2010) | Prospective case series | Radioembolization | Overall | 48 | 26.9 (17–30.2) | 83 | 17.2 (13.5–29.6) | 107 | 7.3 (6.5–10.1)† | – | NR | – | NR | [36] |
TheraSphere | A | 27 | 20.5 (15–27.4) | 48 | 17.3 (13.7–32.5) | 41 | 13.8 (8.8–17.7)† | 6 | 47.4 (NR)† | 35 | 10.4 (7.2–16.6)† | |||
B | 21 | 29.1 (17–NC) | 35 | 13.5 (6.4–25.4) | 66 | 6.4 (4.9–7.7)† | 9 | 11.8 (NC–34)† | 57 | 5.6 (4.5–6.7)† | ||||
Sangro et al. (2011) | Retrospective case series | Radioembolization | Overall | 52 | 24.4 (18.6–38.1) | 87 | 16.9 (12.8–22.8) | 183 | 10.0 (7.7–10.0) | 110 | 9.3 (7.4–11.4) | 73 | 10.2 (7.7–11.8) | [37] |
SIR-Spheres | A | 47 | 30.9 (18.6–45.9) | 82 | 18.4 (13.6–23.2) | 137 | 9.7 (7.6–10.9) | |||||||
B | 5 | 19.4 (6.5–27.4) | 5 | 3.6 (2.4–10.8) | 46 | 10.0 (6.1–14.5) | ||||||||
Cheng et al. (2009) | Prospective RCT | Sorafenib | A | – | – | – | – | 150 | 6.5 (5.6–7.6) | 96 | NR | 54 | NR | [38] |
Llovet et al. (2008) | Prospective RCT | Sorafenib | Overall A (n = 284) B (n = 14) | – | – | 54 | 14.5 (NR) | 244 | 9.7 (NR) | 191 | NR | 108 | NR | [39,40] |
†Without extrahepatic disease.
NC: Not calculated; NR: Not reported; OS: Overall survival; RCT: Randomized controlled trial; TACE: Transarterial chemoembolization.