2018
DOI: 10.6002/ect.2015.0299
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Abstract: These few case reports suggest the potential interest and feasibility of controlled studies to assess the efficacy and safety of sorafenib in neoadjuvant setting for hepatocellular carcinoma.

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Cited by 10 publications
(11 citation statements)
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“…The safety and feasibility of TKIs as NATs for HCC were then explored. [131][132][133][134][135][136][137] For patients with unresectable HCC, a subset analysis of a sorafenib study database showed a difference of approximately 10 months in the OS between patients who received and did not receive sorafenib before surgical resection. 136,138 No serious adverse effect of preoperative sorafenib administration was observed during and immediately after LR.…”
Section: Neoadjuvant Tki Strategymentioning
confidence: 99%
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“…The safety and feasibility of TKIs as NATs for HCC were then explored. [131][132][133][134][135][136][137] For patients with unresectable HCC, a subset analysis of a sorafenib study database showed a difference of approximately 10 months in the OS between patients who received and did not receive sorafenib before surgical resection. 136,138 No serious adverse effect of preoperative sorafenib administration was observed during and immediately after LR.…”
Section: Neoadjuvant Tki Strategymentioning
confidence: 99%
“…137 For patients with locally advanced HCC who were awaiting LT, the drop-out rate of patients receiving NAT was less than that of those treated with NAT for <6 months. 131,134 Downstaging from beyond the MC using neoadjuvant sorafenib therapy was correlated with better post-LT tumor event-free survival and longer OS. 139 However, compared with TACE alone, the combination of TACE and sorafenib before LT did not result in significant benefits.…”
Section: Neoadjuvant Tki Strategymentioning
confidence: 99%
“…In recent years, molecular-targeted therapies have been used alone or in combination with locoregional therapies as pre-transplant treatments [ 120 , 121 ]. Sorafenib is an oral multi-kinase inhibitor that has been effective in prolonging time-to-progression in patients with advanced cancer in two large phase III trials [ 122 , 123 ].…”
Section: Variations Of Pre-transplant Locoregional Therapiesmentioning
confidence: 99%
“…Since sorafenib suppresses the growth of HCC by directly suppressing angiogenesis, it may be effective for bridging or downstaging when combined with TACE. However, at present, there are few reports that sorafenib was useful for bridging or downstaging before LT [ 121 ]. In addition to sorafenib, lenvatinib and regorafenib, which are also oral multi-kinase inhibitors, are used as therapeutic agents for advanced HCC.…”
Section: Variations Of Pre-transplant Locoregional Therapiesmentioning
confidence: 99%
“…To date, there have been few reports of successful conversion after receiving sorafenib[ 142 - 144 ]. More evidence is required to support the role of sorafenib in neoadjuvant therapy because of the small sample size of clinical studies on sorafenib in neoadjuvant therapy[ 145 ]. Compared with other targeted drugs, lenvatinib leads to a higher response rate of approximately 40.6%[ 146 ].…”
Section: How To Implement Neoadjuvant Therapy In Hccmentioning
confidence: 99%