Efficiency and Side Effects of Sorafenib Therapy for Advanced Hepatocellular Carcinoma: A Retrospective Study by the Anatolian Society of Medical Oncology

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dc.contributor.authorBerk, Veli
dc.contributor.authorKaplan, Mehmet Ali
dc.contributor.authorTonyali, Onder
dc.contributor.authorBuyukberber, Suleyman
dc.contributor.authorBalakan, Ozan
dc.contributor.authorOzkan, Metin
dc.contributor.authorDemirci, Umut
dc.date.accessioned2024-02-23T14:44:49Z
dc.date.available2024-02-23T14:44:49Z
dc.date.issued2013
dc.departmentNEÜen_US
dc.description.abstractBackground: Inoperable and metastatic hepatocellular carcinoma (HCC) is associated with a poor prognosis and low chemotherapeutic efficiency. Sorafenib is an oral multi-kinase inhibitor exerting its effects via the RAF/MEK/ERK pathway, vascular endothelial growth factor receptor (VEGFR) and platelet derived growth factor receptor beta (PDGFR-beta) tyrosine kinases. Randomized studies have shown a significant contribution of sorafenib to life expectancy and quality of life of cancer patients. The aim of the present study is to evaluate the efficacy and side effects of sorafenib therapy in Turkey. Materials and Methods: Data for 103 patients (82 males, 21 females) receiving sorafenib therapy in 13 centers from February 2008 to December 2012 were evaluated. Median age was 61 years and median ECOG performance status was 1 (range: 0-2). 60 patients (58%) had hepatitis B, 15 patients (15%) had hepatitis C infection and 12 patients (12%) had a history of alcohol consumption. All of the patients had Child scores meeting the utilization permit of the drug in our country (Child A). Results: A total of 571 cycles of sorafenib therapy were administered with a median of four per patient. Among the evaluable cases, there was partial response in 15 (15%), stable disease in 52 (50%), and progressive disease in 36 (35%). Median progression-free survival was 18 weeks and median overall survival was 48 weeks. The dose was reduced only in 6 patients and discontinued in 2 patients due to grade 3-4 toxicity, 18 patients (17%) suffering hand-foot syndrome, 7 (7%) diarrhea, and 2 (2%) vomiting. Conclusions: This retrospective study demonstrated better efficacy of sorafenib therapy in patients with advanced HCC compared to the literature while progression-free survival and overall survival findings were comparable. The side effect rates indicate that the drug was tolerated well. In conclusion, among the available treatment options, sorafenib is an efficient and tolerable agent in patients with inoperable or metastatic HCC.en_US
dc.identifier.doi10.7314/APJCP.2013.14.12.7367
dc.identifier.endpage7369en_US
dc.identifier.issn1513-7368
dc.identifier.issue12en_US
dc.identifier.pmid24460304en_US
dc.identifier.scopus2-s2.0-84893396167en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage7367en_US
dc.identifier.urihttps://doi.org/10.7314/APJCP.2013.14.12.7367
dc.identifier.urihttps://hdl.handle.net/20.500.12452/17132
dc.identifier.volume14en_US
dc.identifier.wosWOS:000331528900056en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherAsian Pacific Organization Cancer Preventionen_US
dc.relation.ispartofAsian Pacific Journal Of Cancer Preventionen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectHepatocellular Carcinomaen_US
dc.subjectSorafeniben_US
dc.subjectTurkeyen_US
dc.titleEfficiency and Side Effects of Sorafenib Therapy for Advanced Hepatocellular Carcinoma: A Retrospective Study by the Anatolian Society of Medical Oncologyen_US
dc.typeArticleen_US

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