We have seen multiple new, effective, treatments approved for HCC!

That called for updated SYSTEMIC THERAPY guidelines!
Great work by the @ASCO Guidelines team (Erin Kennedy) and the Co-Chairs!

#ascoguidelines
#hbpsm

https://pubmed.ncbi.nlm.nih.gov/33197225/ 
Systemic therapy for HCC:
1st line therapy:
- Atezo/Bev (Preferred)
- TKI (Sorafenib/Lenvatinib)

#ascoguidelines
#hbpsm
Systemic therapy for HCC-- 2nd Line Therapy:

If Atezo/Bev 1st line -> sorafenib/lenvatinib
Can consider cabozantinib/rego too

#ascoguidelines
#hbpsm
HCC systemic therapy :
Areas of uncertainty:
- Sequencing of therapy
- Lack of adequately powered
studies to identify subgroups

Unmet need:
- Child-Pugh B patients
-Molecularly targeted treatments
- Third line?

#ascoguidelines
#hbpsm
HCC systemic therapy has come a long way.
Challenges:
- Health disparities persist
- Treatments can be toxic
- Cost of care is OUTRAGEOUS
- Trial participants don't reflect the 'typical' patient w HCC

#ascoguidelines
#hbpsm
Future studies are evaluating combinations of IO/IO and IO/TKI.

Hope to see more effective treatments in coming years!
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