Emerging treatment strategies in hepatobiliary cancer. Issue 3 (4th March 2023)

• Record Type: Journal Article
• Authors: Guven, Deniz Can; Yildirim, Hasan Cagri; Chalabiyev, Elvin; Kus, Fatih; Yilmaz, Feride; Yasar, Serkan; Akyildiz, Arif; Aktas, Burak Yasin; Yalcin, Suayib; Dizdar, Omer
• Is Part Of: Expert review of anticancer therapy. Volume 23:Issue 3(2023)
• Page Start: 243
• Page End: 256
• Publication Date: 2023-03-04
• Subjects: Biliary tract cancer -- hepatocellular cancer -- immunotherapy -- molecular targeted therapy -- systemic treatment; Cancer -- Treatment -- Periodicals; 616.99406
• DOI: 10.1080/14737140.2023.2183844
• Languages: English
• ISSNs: 1473-7140

Abstract

ABSTRACT: Introduction: There have been significant advances in the treatment of hepatobiliary cancers, especially for advanced-stage disease. However, data is limited for optimal therapy selection in the first line and sequencing of available options. Areas covered: This review covers the systemic treatment of hepatobiliary cancers with an emphasis on the advanced stage. The previously published and ongoing trials will be discussed to create an algorithm for the current practice and to give future perspectives on how the field could go forward. Expert opinion: While there is no standard-of-care option in the adjuvant treatment of hepatocellular cancer, capecitabine is the standard of care for biliary tract cancer. The efficacy of adjuvant gemcitabine and cisplatin and the added benefit of radiotherapy to chemotherapy are yet to be defined. For the advanced stage, immunotherapy-based combinations became the standard of care for both hepatocellular and biliary tract cancers. The molecularly targeted therapy has profoundly changed the second-line and later treatment for biliary tract cancers, while the optimal second-line treatment for advanced hepatocellular cancer is yet to be defined due to rapid advances in the first-line setting.