Comparison of hepatic arterial infusion chemotherapy and sorafenib in elderly patients with advanced hepatocellular carcinoma: A case series

  • Authors:
    • Tomoyuki Nemoto
    • Hidetaka Matsuda
    • Takuto Nosaka
    • Yasushi Saito
    • Yoshihiko Ozaki
    • Ryoko Hayama
    • Tatsushi Naito
    • Kazuto Takahashi
    • Kazuya Ofuji
    • Masahiro Ohtani
    • Katsushi Hiramatsu
    • Hiroyuki Suto
    • Yasunari Nakamoto
  • View Affiliations

  • Published online on: August 5, 2014     https://doi.org/10.3892/mco.2014.371
  • Pages: 1028-1034
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Abstract

Sorafenib and hepatic arterial infusion chemotherapy (HAIC) are both indicated for unresectable hepatocellular carcinoma (HCC). In this study, we compared the efficacy and safety of HAIC to that of sorafenib in elderly patients with HCC. Eligible patients included those aged ≥70 years, with histologically or clinically confirmed advanced HCC. A total of 12 patients received sorafenib (800 mg per day) and 8 patients received HAIC with 5‑fluorouracil (300 mg/m2 on days 1‑5 and 8‑12) with or without cisplatin (20 mg/m2 on days 1 and 8), with interferon‑α (3 times per week for 4 weeks). The response rate was significantly higher in patients treated with HAIC (37.5%) compared to that in patients treated with sorafenib (no response). The median overall survival (18.6 and 11.7 months) and progression‑free survival (4.0 and 5.0 months) were similar between the sorafenib and HAIC groups, respectively. In the sorafenib group, 58.3% of the patients discontinued treatment compared to none in the HAIC group. The most frequent adverse event leading to discontinuation of sorafenib was anorexia. Similar to sorafenib, HAIC appears to be a feasible treatment and may also have the advantage of an adequate safety profile for elderly patients with advanced HCC. Further study of HAIC in a larger population of elderly patients is required to assess its potential as an alternative to sorafenib for HCC.
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November-December 2014
Volume 2 Issue 6

Print ISSN: 2049-9450
Online ISSN:2049-9469

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Spandidos Publications style
Nemoto T, Matsuda H, Nosaka T, Saito Y, Ozaki Y, Hayama R, Naito T, Takahashi K, Ofuji K, Ohtani M, Ohtani M, et al: Comparison of hepatic arterial infusion chemotherapy and sorafenib in elderly patients with advanced hepatocellular carcinoma: A case series. Mol Clin Oncol 2: 1028-1034, 2014
APA
Nemoto, T., Matsuda, H., Nosaka, T., Saito, Y., Ozaki, Y., Hayama, R. ... Nakamoto, Y. (2014). Comparison of hepatic arterial infusion chemotherapy and sorafenib in elderly patients with advanced hepatocellular carcinoma: A case series. Molecular and Clinical Oncology, 2, 1028-1034. https://doi.org/10.3892/mco.2014.371
MLA
Nemoto, T., Matsuda, H., Nosaka, T., Saito, Y., Ozaki, Y., Hayama, R., Naito, T., Takahashi, K., Ofuji, K., Ohtani, M., Hiramatsu, K., Suto, H., Nakamoto, Y."Comparison of hepatic arterial infusion chemotherapy and sorafenib in elderly patients with advanced hepatocellular carcinoma: A case series". Molecular and Clinical Oncology 2.6 (2014): 1028-1034.
Chicago
Nemoto, T., Matsuda, H., Nosaka, T., Saito, Y., Ozaki, Y., Hayama, R., Naito, T., Takahashi, K., Ofuji, K., Ohtani, M., Hiramatsu, K., Suto, H., Nakamoto, Y."Comparison of hepatic arterial infusion chemotherapy and sorafenib in elderly patients with advanced hepatocellular carcinoma: A case series". Molecular and Clinical Oncology 2, no. 6 (2014): 1028-1034. https://doi.org/10.3892/mco.2014.371