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Molecular and Clinical Oncology
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International Journal of Oncology is an international journal devoted to oncology research and cancer treatment.

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Article

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 / Copyright

    Affiliations: Division of Gastroenterology, Second Department of Internal Medicine, Faculty of Medical Sciences, University of Fukui, Fukui 910‑1193, Japan
  • Pages: 1028-1034
    |
    Published online on: August 5, 2014
       https://doi.org/10.3892/mco.2014.371
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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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1 

El-Serag HB: Epidemiology of viral hepatitis and hepatocellular carcinoma. Gastroenterology. 142:1264–1273. 2012. View Article : Google Scholar : PubMed/NCBI

2 

Suda T, Nagashima A, Takahashi S, et al: Active treatments are a rational approach for hepatocellular carcinoma in elderly patients. World J Gastroenterol. 19:3831–3840. 2013. View Article : Google Scholar : PubMed/NCBI

3 

Balducci L: Geriatric oncology: challenges for the new century. Eur J Cancer. 36:1741–1754. 2000. View Article : Google Scholar : PubMed/NCBI

4 

Collier JD, Curless R, Bassendine MF and James OF: Clinical features and prognosis of hepatocellular carcinoma in Britain in relation to age. Age Ageing. 23:22–27. 1994. View Article : Google Scholar : PubMed/NCBI

5 

Mirici-Cappa F, Gramenzi A, Santi V, et al: Treatments for hepatocellular carcinoma in elderly patients are as effective as in younger patients: a 20-year multicentre experience. Gut. 59:387–396. 2010.PubMed/NCBI

6 

Llovet JM, Ricci S, Mazzaferro V, et al: Sorafenib in advanced hepatocellular carcinoma. N Engl J Med. 359:378–390. 2008. View Article : Google Scholar : PubMed/NCBI

7 

Kudo M, Izumi N, Kokudo N, et al; HCC Expert Panel of Japan Society of Hepatology. Management of hepatocellular carcinoma in Japan: Consensus-Based Clinical Practice Guidelines proposed by the Japan Society of Hepatology (JSH) 2010 updated version. Dig Dis. 29:339–364. 2011. View Article : Google Scholar

8 

Meric F, Patt YZ, Curley SA, et al: Surgery after downstaging of unresectable hepatic tumors with intra-arterial chemotherapy. Ann Surg Oncol. 7:490–495. 2000. View Article : Google Scholar : PubMed/NCBI

9 

Miyaki D, Aikata H, Honda Y, et al: Hepatic arterial infusion chemotherapy for advanced hepatocellular carcinoma according to Child-Pugh classification. J Gastroenterol Hepatol. 27:1850–1857. 2012. View Article : Google Scholar : PubMed/NCBI

10 

Ando E, Tanaka M, Yamashita F, et al: Hepatic arterial infusion chemotherapy for advanced hepatocellular carcinoma with portal vein tumor thrombosis: analysis of 48 cases. Cancer. 95:588–595. 2002. View Article : Google Scholar : PubMed/NCBI

11 

Obi S, Yoshida H, Toune R, et al: Combination therapy of intraarterial 5-fluorouracil and systemic interferon-alpha for advanced hepatocellular carcinoma with portal venous invasion. Cancer. 106:1990–1997. 2006. View Article : Google Scholar : PubMed/NCBI

12 

Wong H, Tang YF, Yao TJ, et al: The outcomes and safety of single-agent sorafenib in the treatment of elderly patients with advanced hepatocellular carcinoma (HCC). Oncologist. 16:1721–1728. 2011. View Article : Google Scholar : PubMed/NCBI

13 

Morimoto M, Numata K, Kondo M, et al: Higher discontinuation and lower survival rates are likely in elderly Japanese patients with advanced hepatocellular carcinoma receiving sorafenib. Hepatol Res. 41:296–302. 2011. View Article : Google Scholar

14 

Di Costanzo GG, Tortora R, De Luca M, et al: Impact of age on toxicity and efficacy of sorafenib-targeted therapy in cirrhotic patients with hepatocellular carcinoma. Med Oncol. 30:4462013.PubMed/NCBI

15 

Montella L, Addeo R, Cennamo G, et al: Sorafenib in elderly patients with advanced hepatocellular carcinoma: a case series. Oncology. 84:265–272. 2013. View Article : Google Scholar : PubMed/NCBI

16 

Jo M, Yasui K, Kirishima T, et al: Efficacy and safety of sorafenib in very elderly patients aged 80 years and older with advanced hepatocellular carcinoma. Hepatol Res. Feb 14–2014.(Epub ahead of print).

17 

Yamashita T, Arai K, Sunagozaka H, et al: Randomized, phase II study comparing interferon combined with hepatic arterial infusion of fluorouracil plus cisplatin and fluorouracil alone in patients with advanced hepatocellular carcinoma. Oncology. 81:281–290. 2011. View Article : Google Scholar

18 

Hiramine Y, Uto H, Imamura Y, et al: Sorafenib and hepatic arterial infusion chemotherapy for unresectable advanced hepatocellular carcinoma: A comparative study. Exp Ther Med. 2:433–441. 2011.PubMed/NCBI

19 

Jeong SW, Jang JY, Lee JE, et al: The efficacy of hepatic arterial infusion chemotherapy as an alternative to sorafenib in advanced hepatocellular carcinoma. Asia Pac J Clin Oncol. 8:164–171. 2012. View Article : Google Scholar : PubMed/NCBI

20 

Kasai K, Ushio A, Kasai Y, et al: Therapeutic efficacy of combination therapy with intra-arterial 5-fluorouracil and systemic pegylated interferon alpha-2b for advanced hepatocellular carcinoma with portal venous invasion. Cancer. 118:3302–3310. 2012. View Article : Google Scholar

21 

Enjoji M, Morizono S, Kotoh K, et al: Re-evaluation of antitumor effects of combination chemotherapy with interferon-alpha and 5-fluorouracil for advanced hepatocellular carcinoma. World J Gastroenterol. 11:5685–5687. 2005.PubMed/NCBI

22 

Ota H, Nagano H, Sakon M, et al: Treatment of hepatocellular carcinoma with major portal vein thrombosis by combined therapy with subcutaneous interferon-alpha and intra-arterial 5-fluorouracil; role of type 1 interferon receptor expression. Br J Cancer. 93:557–564. 2005. View Article : Google Scholar

23 

Nagano H, Wada H, Kobayashi S, et al: Long-term outcome of combined interferon-alpha and 5-fluorouracil treatment for advanced hepatocellular carcinoma with major portal vein thrombosis. Oncology. 80:63–69. 2011. View Article : Google Scholar

24 

Uka K, Aikata H, Takaki S, et al: Pretreatment predictor of response, time to progression, and survival to intraarterial 5-fluorouracil/interferon combination therapy in patients with advanced hepatocellular carcinoma. J Gastroenterol. 42:845–853. 2007. View Article : Google Scholar

25 

Cheng AL, Kang YK, Chen Z, et al: Efficacy and safety of sorafenib in patients in the Asia-Pacific region with advanced hepatocellular carcinoma: a phase III randomised, double-blind, placebo-controlled trial. Lancet Oncol. 10:25–34. 2009. View Article : Google Scholar

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Copy and paste a formatted citation
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
Copy and paste a formatted citation
x
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
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