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August 22, 2026Current OncologyOpen Access

The Evolving Role of Immunotherapy in the Treatment with Curative Purpose of Early, Intermediate and Advanced Stage Hepatocellular Carcinoma

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Authors

AKAnastasia KarampaUniversity of IoanninaAGAnna GoussiaHellenic Cooperative Oncology GroupEBEvangelos G. BaltagiannisUniversity of Ioannina

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Overview

Review reveals potential of perioperative immune checkpoint inhibitors in hepatocellular carcinoma, indicating ongoing trials are essential to confirm long-term survival benefits.

Key Points

  • To synthesize current evidence regarding the use of immune checkpoint inhibitors as neoadjuvant and adjuvant curative strategies across early, intermediate, and advanced hepatocellular carcinoma.
  • Reviewed completed and ongoing clinical trials evaluating immune checkpoint inhibitors as monotherapy, combined with anti-angiogenic agents, or as dual-checkpoint blockade.
  • Assessed perioperative approaches and long-term outcomes from trials including IMbrave050 following radical liver resection or ablation.
  • Adjuvant immunotherapy with atezolizumab and bevacizumab demonstrated initial improvements in recurrence-free survival for high-risk patients in preliminary IMbrave050 trial findings.
  • Recurrence-free survival benefits were not sustained at median follow-up, and clear overall survival advantages across disease stages remain unestablished pending mature trial data.
  • Integrating checkpoint inhibitors into pre- and post-operative regimens shows promise for improving resectability and reducing post-surgical recurrence rates exceeding 70%.

Cite This Study

Karampa et al. (2026) studied this question.

synapsesocial.com/papers/6a895fd3ca7ade938187eba5https://doi.org/10.3390/curroncol33080492
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Contemporary Use of Immunotherapy in Treating Patients with Advanced Hepatocellular Carcinoma2025
  2. 2Combined Immunotherapy in Treating Patients with Advanced Hepatocellular Carcinoma2025
  3. 3Pioneering precision: The evolution of immunotherapy for hepatocellular carcinoma2025 · 2 citations
  4. 4Emerging data on immune checkpoint inhibitors in the neoadjuvant and adjuvant setting for patients with hepatocellular carcinoma2024 · 1 citations
  5. 5Immunotherapy as a Complement to Surgical Management of Hepatocellular Carcinoma2024 · 3 citations