Advanced Hepatocellular Carcinoma (HCC)
Conditions
Keywords
advanced hepatocellular carcinoma, immune checkpoint inhibitors
Brief summary
the Objectives of this study are: • Primary Objective: To prospectively evaluate overall survival (OS), ICI-specific survival (OS-ICI), and progression-free survival (PFS) in patients with advanced HCC treated with immune checkpoint inhibitors. the main question it aims to answer is: What are the clinical outcomes (overall survival, progression-free survival, and OS-ICIs) of immune checkpoint inhibitor therapy in patients with advanced hepatocellular carcinoma? Participants already taking immune checkpoint inhibitors as part of their regular medical care.
Detailed description
Objectives • Primary Objective: To prospectively evaluate overall survival (OS), ICI-specific survival (OS-ICI), and progression-free survival (PFS) in patients with advanced HCC treated with immune checkpoint inhibitors. • Secondary Objectives: To assess the incidence, type, and severity of irAEs. To identify clinical predictors of survival outcomes, including ALBI grade, prior LRT, SBRT or resection. To guide personalized therapy for Tailoring immunotherapy to individual patients, reducing unnecessary toxicity and cost.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Adults (≥18 years) with radiologically or histologically confirmed advanced HCC * Candidates for systemic immune checkpoint inhibitors (e.g., atezolizumab-bevacizumab, durvalumab-tremelimumab). * Patients with preserved liver function. ( up to G2 using ALBI score or up to B (7 ) using Child-Pugh socring system) .
Exclusion criteria
* Child-Pugh C liver function. * Prior liver transplantation. * patients with concurrent malignancies other than HCC. * Active autoimmune disease requiring systemic immunosuppression.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| ICI-Specific Survival (OS-ICI). | 12 months | Time from ICI initiation to death or last follow-up. |
Countries
Egypt