Most Read Articles
Roshini Claire Anthony, Yesterday

The addition of the glucagon-like peptide-1 analogue semaglutide to standard of care resulted in sustained reduction in weight and waist circumference in individuals with type 2 diabetes (T2D) with high cardiovascular risk, according to the phase III SUSTAIN 6* trial presented at EASD 2017.

5 days ago
There appears to be an association between waterpipe tobacco smoking and gastro-oesophageal reflux disease (GERD), which is a known risk factor for oesophageal adenocarcinoma, a study has shown.
Tristan Manalac, 6 days ago
An 8-week regimen of sofosbuvir-velpatasvir-voxilaprevir combination is not noninferior to a 12-week regimen of sofosbuvir-velpatasvir for patients with chronic hepatitis C virus (HCV) infection, report two recent phase 3 open-label trials.
2 days ago
The additional use of intermittent low-energy diet (LED) or daily meal replacements after a mean 10-percent weight loss and 1-year maintenance effectively maintains weight loss in obese patients with knee osteoarthritis for 3 years, according to a recent study.

Lenalidomide modestly effective in second-line treatment of advanced HCC

13 Sep 2017

Lenalidomide as second-line agent in the treatment of advanced hepatocellular carcinoma (HCC) is safe and demonstrates moderate activity, according to a study.

The study included 55 advanced HCC patients with documented progression on sorafenib and Child-Pugh class A liver function. All patients were given oral lenalidomide 25 mg daily on days 1 to 21 every 4 weeks.

Assessments included survival, early α-fetoprotein response (defined as a >20-percent decline of α-fetoprotein levels from baseline within the first 4 weeks of treatment), vascular response (defined as a >40-percent decline in Ktrans after 2 weeks of treatment) and percentage of peripheral blood lymphocyte subsets.

Response and disease-control rates were 13 and 53 percent, respectively. The primary endpoint of 6-month progression-free survival rate was 9.1 percent. Median progression-free survival was 1.8 months, while median overall survival was 8.9 months.

Early α-fetoprotein response showed a significant association with higher disease-control rate (p=0.001) and longer progression-free survival (p=0.020). On the other hand, vascular response was not associated with any treatment outcomes.

High pretreatment B cell percentage was associated with a higher likelihood of having disease control (70 vs 36 percent; p=0.010) and longer progression-free (p<0.001) and overall survival (p=0.042).

In terms of safety, 26 patients needed dose interruption and 10 needed dose reduction. The most frequently reported reasons for interruption and reduction were neutropaenia and elevated transaminase level. Hyperbilirubinaemia and neutropaenia resulted in treatment discontinuation in three patients.

“The short progression-free survival found in our study indicated that resistance to lenalidomide therapy may develop rapidly, and combination therapy must be explored to provide more sustained therapeutic benefit,” researchers said.

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Most Read Articles
Roshini Claire Anthony, Yesterday

The addition of the glucagon-like peptide-1 analogue semaglutide to standard of care resulted in sustained reduction in weight and waist circumference in individuals with type 2 diabetes (T2D) with high cardiovascular risk, according to the phase III SUSTAIN 6* trial presented at EASD 2017.

5 days ago
There appears to be an association between waterpipe tobacco smoking and gastro-oesophageal reflux disease (GERD), which is a known risk factor for oesophageal adenocarcinoma, a study has shown.
Tristan Manalac, 6 days ago
An 8-week regimen of sofosbuvir-velpatasvir-voxilaprevir combination is not noninferior to a 12-week regimen of sofosbuvir-velpatasvir for patients with chronic hepatitis C virus (HCV) infection, report two recent phase 3 open-label trials.
2 days ago
The additional use of intermittent low-energy diet (LED) or daily meal replacements after a mean 10-percent weight loss and 1-year maintenance effectively maintains weight loss in obese patients with knee osteoarthritis for 3 years, according to a recent study.