Table 1:
Author | Treatment modality | Study design | Number of patients | Lesion size | Local control or complete response rate | Acute mild/grade 1–2 toxicities | Acute severe/grade 3+ toxicities |
---|---|---|---|---|---|---|---|
Choti et al54 | Surgery | Retrospective | 226 | Median 3.9 cm | 5-yr disease-free survival 20% | NR | 2 peri-operative deaths |
Petrelli et al55 | SABR | Systematic review | 656 | Median 2–3.5 cm (0.6 – 11.6) | 60 – 96% | 31% | 9% |
Van Amerongen et al56 | RFA vs surgical resection | Meta-analysis | 751 RFA 1,276 surgery |
NR | 32–82% RFA 77–98% surgery |
Total complication rate reported: 12% RFA, 2 grade 5 25% surgery, 8 grade 5 |
|
Kron et al57 | RFA vs surgical resection | Systematic review | 779 RFA 1359 surgery |
NR | 24–85% RFA 60–98 % surgery |
NR | NR |
Gavriildis et al58 | MWA vs RFA vs surgery | Meta-analysis | 350 MWA 1253 RFA 1798 Surgery |
NR | 42–74% MWA 63–71% RFA 43–94% Surgery |
NR | NR |
Correa-Gallego et al59 | Open RFA or MWA | Retrospective | 127 | Median 1.0 cm (1.0–2.0) | 80% for RFA at 2.5 years, 94% for MWA at 18 months |
24% vs 27% | Not reported |
Wasan et al10 | FOLFOX +/− TARE | Combined analysis of 3 phase III trials | 1,103 | NR | At best response, CR rate 4.5% for TARE+FOLFOX vs 1.6% for FOLFOX alone |
74% TARE+FOLFOX 67% FOLFOX alone |
16.4% from TARE, 8 were grade 5 |
Van Hazel et al60 | TARE + FOLFOX vs FOLFOX + Bevacizumab | Phase III randomized trial | 263 mFOLFOX6 267 TARE + mFOLFOX6 |
NR | At best response, CR rate 6% mFOLFOX6 + TARE 1.9% mFOLFOX6 |
58% with TARE + mFOLFOX6 46% with mFOLFOX6 + Bevacizumab |
85.4% with TARE, 9 were grade 5 73% with FOLFOX + Bev, 5 were grade 5 |
Kemeny et Al17 | 5-FU +/− HAI | Phase III randomized trial | 74 5-FU/leucovorin 82 5-FU/leucovorin + HAI |
NR | 2-yr survival free of hepatic recurrence 60% 5-FU/leucovorin 90% 5-FU/leucovorin + HAI |
NR | 7% 5-FU/leucovorin 6% 5-FU/leucovorin + HAI |
Abbreviations: CR, complete response; HAI, hepatic artery infusion; MWA, microwave ablation; NR, not reported; OS, overall survival; RFA, radiofrequency ablation; SABR, stereotactic ablative radiotherapy; TARE, transarterial radioembolization