Influencing factors of early objective response of unresectable hepatitis B virus⁃related liver cancer with triple therapy

Objective To explore the factors associated with achieving early objective response in patients with unresectable hepatitis B virus(HBV)⁃related liver cancer after three months of triple therapy,including transcatheter arterial chemoembolization(TACE),lenvatinib,and programmed death receptor⁃ 1(PD⁃1...

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Main Author: YU Jin*,LI Xiaogang
Format: Article
Language:zho
Published: The Editorial Department of Chinese Journal of Clinical Research 2025-08-01
Series:Zhongguo linchuang yanjiu
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Online Access:http://zglcyj.ijournals.cn/zglcyj/ch/reader/create_pdf.aspx?file_no=20250815
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author YU Jin*,LI Xiaogang
author_facet YU Jin*,LI Xiaogang
author_sort YU Jin*,LI Xiaogang
collection DOAJ
description Objective To explore the factors associated with achieving early objective response in patients with unresectable hepatitis B virus(HBV)⁃related liver cancer after three months of triple therapy,including transcatheter arterial chemoembolization(TACE),lenvatinib,and programmed death receptor⁃ 1(PD⁃1)inhibitors. Methods The clinical data of triple therapy in the treatment of unresectable HBV⁃related liver cancer in Xiangyang Central Hospital from January 2020 to November 2023 were retrospectively analyzed. According to the modified response evaluation criteria in solid tumors(mRECIST),partial response and complete response were defined as objective response. Multivariate logistic regression analysis was performed to determine the independent factors influencing early objective response achievement after triple therapy. Results Data of 87 patients were obtained. Among them,50 patients with early objective response after triple therapy for unresectable HBV⁃related HCC were divided into the response group,and 37 patients without objective response were divided into the non⁃response group. Logistic regression analysis showed that extrahepatic metastasis(OR=0.264,95%CI:0.076-0.913),alpha⁃fetoprotein(AFP)>400 ng/mL(OR=0.330, 95%CI:0.118- 0.919),and HBV⁃DNA>1 000 IU/mL(OR=0.305,95%CI:0.103- 0.899)were independent risk factors for early objective response in patients with unresectable HBV ⁃ related HCC after triple therapy(P<0.05).Conclusion Extrahepatic metastasis,AFP and HBV ⁃ DNA are independent factors of early objective response in patients with unresectable HBV⁃related liver cancer after triple therapy.
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spelling doaj-art-4ff56327d33a4c4eb5026efecb244a9a2025-08-25T08:12:57ZzhoThe Editorial Department of Chinese Journal of Clinical ResearchZhongguo linchuang yanjiu1674-81822025-08-013881211121510.13429/j.cnki.cjcr.2025.08.015Influencing factors of early objective response of unresectable hepatitis B virus⁃related liver cancer with triple therapyYU Jin*,LI Xiaogang0*School of Medicine,Wuhan University of Science and Technology,Wuhan,Hubei 430065,ChinaObjective To explore the factors associated with achieving early objective response in patients with unresectable hepatitis B virus(HBV)⁃related liver cancer after three months of triple therapy,including transcatheter arterial chemoembolization(TACE),lenvatinib,and programmed death receptor⁃ 1(PD⁃1)inhibitors. Methods The clinical data of triple therapy in the treatment of unresectable HBV⁃related liver cancer in Xiangyang Central Hospital from January 2020 to November 2023 were retrospectively analyzed. According to the modified response evaluation criteria in solid tumors(mRECIST),partial response and complete response were defined as objective response. Multivariate logistic regression analysis was performed to determine the independent factors influencing early objective response achievement after triple therapy. Results Data of 87 patients were obtained. Among them,50 patients with early objective response after triple therapy for unresectable HBV⁃related HCC were divided into the response group,and 37 patients without objective response were divided into the non⁃response group. Logistic regression analysis showed that extrahepatic metastasis(OR=0.264,95%CI:0.076-0.913),alpha⁃fetoprotein(AFP)>400 ng/mL(OR=0.330, 95%CI:0.118- 0.919),and HBV⁃DNA>1 000 IU/mL(OR=0.305,95%CI:0.103- 0.899)were independent risk factors for early objective response in patients with unresectable HBV ⁃ related HCC after triple therapy(P<0.05).Conclusion Extrahepatic metastasis,AFP and HBV ⁃ DNA are independent factors of early objective response in patients with unresectable HBV⁃related liver cancer after triple therapy. http://zglcyj.ijournals.cn/zglcyj/ch/reader/create_pdf.aspx?file_no=20250815liver cancerhepatitis b virustranscatheter arterial chemoembolizationlenvatinibprogrammed deathreceptor⁃1immunotherapyobjective responsetriple therapy
spellingShingle YU Jin*,LI Xiaogang
Influencing factors of early objective response of unresectable hepatitis B virus⁃related liver cancer with triple therapy
Zhongguo linchuang yanjiu
liver cancer
hepatitis b virus
transcatheter arterial chemoembolization
lenvatinib
programmed deathreceptor⁃1
immunotherapy
objective response
triple therapy
title Influencing factors of early objective response of unresectable hepatitis B virus⁃related liver cancer with triple therapy
title_full Influencing factors of early objective response of unresectable hepatitis B virus⁃related liver cancer with triple therapy
title_fullStr Influencing factors of early objective response of unresectable hepatitis B virus⁃related liver cancer with triple therapy
title_full_unstemmed Influencing factors of early objective response of unresectable hepatitis B virus⁃related liver cancer with triple therapy
title_short Influencing factors of early objective response of unresectable hepatitis B virus⁃related liver cancer with triple therapy
title_sort influencing factors of early objective response of unresectable hepatitis b virus⁃related liver cancer with triple therapy
topic liver cancer
hepatitis b virus
transcatheter arterial chemoembolization
lenvatinib
programmed deathreceptor⁃1
immunotherapy
objective response
triple therapy
url http://zglcyj.ijournals.cn/zglcyj/ch/reader/create_pdf.aspx?file_no=20250815
work_keys_str_mv AT yujinlixiaogang influencingfactorsofearlyobjectiveresponseofunresectablehepatitisbvirusrelatedlivercancerwithtripletherapy