Durable complete response after discontinuation of atezolizumab-bevacizumab therapy in patients with hepatocellular carcinoma with portal vein tumor thrombosis: the first report

Hepatocellular carcinoma (HCC) with portal vein tumor thrombosis (PVTT) is associated with a dismal prognosis. Atezolizumab plus bevacizumab (atezo-bev) is the recommended palliative treatment, and approximately 10% of the patients may experience a complete response (CR), according to the mRECIST cr...

Full description

Saved in:
Bibliographic Details
Main Authors: Pramod Kumar, Pradeep Krishna, Rohit Maidur, Naveen Chandrashekhar, Suresh Raghavaiah
Format: Article
Language:English
Published: Korean Liver Cancer Association 2025-03-01
Series:Journal of Liver Cancer
Subjects:
Online Access:http://e-jlc.org/upload/pdf/jlc-2024-09-26.pdf
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849733577880633344
author Pramod Kumar
Pradeep Krishna
Rohit Maidur
Naveen Chandrashekhar
Suresh Raghavaiah
author_facet Pramod Kumar
Pradeep Krishna
Rohit Maidur
Naveen Chandrashekhar
Suresh Raghavaiah
author_sort Pramod Kumar
collection DOAJ
description Hepatocellular carcinoma (HCC) with portal vein tumor thrombosis (PVTT) is associated with a dismal prognosis. Atezolizumab plus bevacizumab (atezo-bev) is the recommended palliative treatment, and approximately 10% of the patients may experience a complete response (CR), according to the mRECIST criteria. The treatment duration is until disease progression or unacceptable side effects occur. Long-term continuation can cause potential toxicities and a substantial financial burden, making early treatment discontinuation a viable option. This report describes durable CR after discontinuing atezo-bev treatment in three patients with HCC and PVTT.
format Article
id doaj-art-2306cd19429f41cd917fd387ae38ac5c
institution DOAJ
issn 2288-8128
2383-5001
language English
publishDate 2025-03-01
publisher Korean Liver Cancer Association
record_format Article
series Journal of Liver Cancer
spelling doaj-art-2306cd19429f41cd917fd387ae38ac5c2025-08-20T03:08:00ZengKorean Liver Cancer AssociationJournal of Liver Cancer2288-81282383-50012025-03-0125113413710.17998/jlc.2024.09.26580Durable complete response after discontinuation of atezolizumab-bevacizumab therapy in patients with hepatocellular carcinoma with portal vein tumor thrombosis: the first reportPramod Kumar0Pradeep Krishna1Rohit Maidur2Naveen Chandrashekhar3Suresh Raghavaiah4 Department of Hepatology, Gleneagles BGS Hospital, Bengaluru, India Department of Liver Transplantation Surgery, Gleneagles BGS Hospital, Bengaluru, India Department of Medical Gastroenterology, SDM College of Medical Sciences and Hospital, Dharwad, India Department of Interventional Radiology, Gleneagles BGS Hospital, Bengaluru, India Department of Liver Transplantation Surgery, Gleneagles BGS Hospital, Bengaluru, IndiaHepatocellular carcinoma (HCC) with portal vein tumor thrombosis (PVTT) is associated with a dismal prognosis. Atezolizumab plus bevacizumab (atezo-bev) is the recommended palliative treatment, and approximately 10% of the patients may experience a complete response (CR), according to the mRECIST criteria. The treatment duration is until disease progression or unacceptable side effects occur. Long-term continuation can cause potential toxicities and a substantial financial burden, making early treatment discontinuation a viable option. This report describes durable CR after discontinuing atezo-bev treatment in three patients with HCC and PVTT.http://e-jlc.org/upload/pdf/jlc-2024-09-26.pdfliver cirrhosiscarcinoma, hepatocellularimmunotherapyliver transplantationhepatitis c
spellingShingle Pramod Kumar
Pradeep Krishna
Rohit Maidur
Naveen Chandrashekhar
Suresh Raghavaiah
Durable complete response after discontinuation of atezolizumab-bevacizumab therapy in patients with hepatocellular carcinoma with portal vein tumor thrombosis: the first report
Journal of Liver Cancer
liver cirrhosis
carcinoma, hepatocellular
immunotherapy
liver transplantation
hepatitis c
title Durable complete response after discontinuation of atezolizumab-bevacizumab therapy in patients with hepatocellular carcinoma with portal vein tumor thrombosis: the first report
title_full Durable complete response after discontinuation of atezolizumab-bevacizumab therapy in patients with hepatocellular carcinoma with portal vein tumor thrombosis: the first report
title_fullStr Durable complete response after discontinuation of atezolizumab-bevacizumab therapy in patients with hepatocellular carcinoma with portal vein tumor thrombosis: the first report
title_full_unstemmed Durable complete response after discontinuation of atezolizumab-bevacizumab therapy in patients with hepatocellular carcinoma with portal vein tumor thrombosis: the first report
title_short Durable complete response after discontinuation of atezolizumab-bevacizumab therapy in patients with hepatocellular carcinoma with portal vein tumor thrombosis: the first report
title_sort durable complete response after discontinuation of atezolizumab bevacizumab therapy in patients with hepatocellular carcinoma with portal vein tumor thrombosis the first report
topic liver cirrhosis
carcinoma, hepatocellular
immunotherapy
liver transplantation
hepatitis c
url http://e-jlc.org/upload/pdf/jlc-2024-09-26.pdf
work_keys_str_mv AT pramodkumar durablecompleteresponseafterdiscontinuationofatezolizumabbevacizumabtherapyinpatientswithhepatocellularcarcinomawithportalveintumorthrombosisthefirstreport
AT pradeepkrishna durablecompleteresponseafterdiscontinuationofatezolizumabbevacizumabtherapyinpatientswithhepatocellularcarcinomawithportalveintumorthrombosisthefirstreport
AT rohitmaidur durablecompleteresponseafterdiscontinuationofatezolizumabbevacizumabtherapyinpatientswithhepatocellularcarcinomawithportalveintumorthrombosisthefirstreport
AT naveenchandrashekhar durablecompleteresponseafterdiscontinuationofatezolizumabbevacizumabtherapyinpatientswithhepatocellularcarcinomawithportalveintumorthrombosisthefirstreport
AT sureshraghavaiah durablecompleteresponseafterdiscontinuationofatezolizumabbevacizumabtherapyinpatientswithhepatocellularcarcinomawithportalveintumorthrombosisthefirstreport