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Research ArticleClinical Studies

Efficacy and Safety of Lenvatinib for Patients With Advanced Hepatocellular Carcinoma: A Retrospective, Real-world Study Conducted in Japan

NAOTAKA SHIMOZATO, TADASHI NAMISAKI, AKIHIRO OKANO, MASAYA OHANA, DAISUKE KINOSHITA, TOSHIHIKO KAWASAKI, YOSUKE AIHARA, TOSHIYA NAKATANI, HIROKI KINOSHITA, TATSUICHI ANN, KO SAITO, MOTOYUKI YOSHIDA and HITOSHI YOSHIJI
Anticancer Research January 2022, 42 (1) 173-183; DOI: https://doi.org/10.21873/anticanres.15471
NAOTAKA SHIMOZATO
1Department of Gastroenterology, Nara Medical University, Kashihara, Japan
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TADASHI NAMISAKI
1Department of Gastroenterology, Nara Medical University, Kashihara, Japan
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  • For correspondence: tadashin{at}naramed-u.ac.jp
AKIHIRO OKANO
2Department of Gastroenterology, Tenri Hospital, Tenri, Japan
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MASAYA OHANA
2Department of Gastroenterology, Tenri Hospital, Tenri, Japan
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DAISUKE KINOSHITA
3Department of Gastroenterology, Kindai University Nara Hospital, Ikoma, Japan
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TOSHIHIKO KAWASAKI
3Department of Gastroenterology, Kindai University Nara Hospital, Ikoma, Japan
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YOSUKE AIHARA
4Department of Gastroenterology, Nara Prefecture General Medical Center, Nara, Japan
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TOSHIYA NAKATANI
4Department of Gastroenterology, Nara Prefecture General Medical Center, Nara, Japan
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HIROKI KINOSHITA
5Gastroenterology, Bell Land General Hospital, Sakai, Japan
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TATSUICHI ANN
5Gastroenterology, Bell Land General Hospital, Sakai, Japan
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KO SAITO
6Department of Gastroenterology, Nara Prefecture Seiwa Medical Center, Sango, Japan
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MOTOYUKI YOSHIDA
6Department of Gastroenterology, Nara Prefecture Seiwa Medical Center, Sango, Japan
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HITOSHI YOSHIJI
1Department of Gastroenterology, Nara Medical University, Kashihara, Japan
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    Figure 1.

    Flow chart showing patient enrolment in the study.

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    Figure 2.

    Kaplan–Meier analysis of progression-free survival in 142 patients treated with lenvatinib. Median progression-free survival was 176 days (95% confidence interval=134-234 days).

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    Figure 3.

    Kaplan–Meier analysis of progression-free survival in 142 patients with hepatocellular carcinoma treated with lenvatinib stratified by Child–Pugh score (A), tumour number (B), des-gamma-carboxy prothrombin (DCP) level (C), vascular invasion (D), extrahepatic metastasis (E) and adverse effects (F).

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    Figure 4.

    Kaplan–Meier analysis of progression-free survival in 142 patients with hepatocellular carcinoma treated with lenvatinib stratified by the REFLECT trial eligibility criteria (A), Child–Pugh grade (B), main portal trunk invasion (Vp4) (C) and prior tyrosine kinase inhibitor (TKI) therapy (D).

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January 2022
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Efficacy and Safety of Lenvatinib for Patients With Advanced Hepatocellular Carcinoma: A Retrospective, Real-world Study Conducted in Japan
NAOTAKA SHIMOZATO, TADASHI NAMISAKI, AKIHIRO OKANO, MASAYA OHANA, DAISUKE KINOSHITA, TOSHIHIKO KAWASAKI, YOSUKE AIHARA, TOSHIYA NAKATANI, HIROKI KINOSHITA, TATSUICHI ANN, KO SAITO, MOTOYUKI YOSHIDA, HITOSHI YOSHIJI
Anticancer Research Jan 2022, 42 (1) 173-183; DOI: 10.21873/anticanres.15471

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Efficacy and Safety of Lenvatinib for Patients With Advanced Hepatocellular Carcinoma: A Retrospective, Real-world Study Conducted in Japan
NAOTAKA SHIMOZATO, TADASHI NAMISAKI, AKIHIRO OKANO, MASAYA OHANA, DAISUKE KINOSHITA, TOSHIHIKO KAWASAKI, YOSUKE AIHARA, TOSHIYA NAKATANI, HIROKI KINOSHITA, TATSUICHI ANN, KO SAITO, MOTOYUKI YOSHIDA, HITOSHI YOSHIJI
Anticancer Research Jan 2022, 42 (1) 173-183; DOI: 10.21873/anticanres.15471
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  • Surgical Intervention After Lenvatinib Treatment in Patients With Advanced Hepatocellular Carcinoma
  • Efficacy and Safety of Lenvatinib After Progression on First-line Atezolizumab Plus Bevacizumab Treatment in Advanced Hepatocellular Carcinoma Patients
  • Impact of Post-progression Survival on Outcomes of Lenvatinib Treatment for Unresectable Hepatocellular Carcinoma: A Systematic Review and Retrospective Cohort Study
  • Leaky Gut and Severe Adverse Events in Advanced Hepatocellular Carcinoma Treated With Lenvatinib
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Keywords

  • lenvatinib
  • tyrosine kinase inhibitor
  • Hepatocellular carcinoma
  • Child–Pugh
  • Adverse events
  • progression-free survival
  • objective response
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