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December 2, 2025Liver International4 citationsOpen Access

Efficacy and Safety of Atezolizumab Plus Bevacizumab for Patients With Hepatocellular Carcinoma and Child–Pugh Class B

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TTTetsu TomonariTTTetsuji TakayamaHKHiroki Kawashima

Key Points

  • Atezolizumab plus Bevacizumab therapy improves overall survival in patients with Hepatocellular Carcinoma.
  • Median overall survival reached 10.3 months in Child-Pugh class B patients, indicating clinical significance.
  • Retrospective study evaluated the efficacy and safety of the treatment across 796 patients with CP-B liver function.
  • Findings highlight the need for effective therapeutic strategies for advanced hepatocellular carcinoma patients.

Abstract

ABSTRACT Background MST, 10.3 months vs. 23.2 months) (PFS, p = 0.009; OS, p < 0.001). Although CP‐B was associated with a higher incidence of bleeding‐related events, the discontinuation rate due to adverse events did not differ from that of CP‐A. As a factor for stratifying CP‐B outcomes, significant differences in the PFS, OS and response rate were observed between mALBI grades ≤ 2b and 3 (PFS, p = 0.004; OS, p = 0.024; response rate, p = 0.001). In multivariate analysis, the mALBI grade (hazard ratio 95% CI: 2.388 1.186–4.810; p = 0.014) was extracted as a factor contributing to OS in patients with CP‐B. Conclusion Atez/Bev therapy demonstrated efficacy and safety in patients with CP‐B, especially when hepatic reserve is maintained within mALBI grade 2b.

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Cite This Study

Tomonari et al. (2025) studied this question.

synapsesocial.com/papers/692e3d796c9b3ab28c18717chttps://doi.org/10.1111/liv.70466
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