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2013 ; 1
(1
): 75-8
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Development of Tivantinib as Treatment for Hepatocellular Carcinoma
#MMPMID26355274
Au J
; Frenette C
J Clin Transl Hepatol
2013[Sep]; 1
(1
): 75-8
PMID26355274
show ga
Hepatocellular carcinoma (HCC) is a rapidly rising cause of liver-related death
worldwide. Most patients are diagnosed at an advanced stage of disease, when
systemic therapy is the only viable option for treatment. Significant strides
have been made in the molecular understanding of HCC development and growth
stimulation. The c-Met pathway has been found to be an important pathway in half
of all patients with HCC. HCC tumors with high c-Met activation are associated
with an aggressive phenotype and poor prognosis. Tivantinib is a MET receptor
tyrosine kinase inhibitor with a broad spectrum of anti-tumor effects currently
being studied for the treatment of HCC. Phase I and II data are available for
tivantinib in the treatment of solid tumors, including HCC. There appears to be
an adequate safety profile, with the main side-effect being neutropenia. In HCC
patients with elevated c-Met activity, tivantinib results in an improved time to
progression of 2.7 months, compared with 1.4 months in placebo-treated patients.
Further studies are ongoing, but early data suggest that tivantinib is a therapy
that deserves close attention in the coming years for patients with HCC.