Oncotarget

Immunotherapy Safety for Hepatocellular Carcinoma in Latin America: Insights from a Real-World Study

Jul 2, 2025
Explore the challenges of treating hepatocellular carcinoma in Latin America, where limited access to advanced treatments complicates outcomes. Discover insights from a study on the efficacy and safety of the immunotherapy regimen combining atezolizumab and bevacizumab. The research reveals that while immune-related side effects do exist, they don't significantly affect overall survival. This real-world perspective sheds light on the harsh realities faced by patients battling liver cancer in the region.
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INSIGHT

Challenges in Hepatocellular Carcinoma

  • Hepatocellular carcinoma is often detected late and linked to liver diseases like cirrhosis, making surgery unsuitable.
  • The drug combo atezolizumab and bevacizumab shows promise but Latin American patients face unique challenges not reflected in trials.
INSIGHT

Immune Side Effects Manageable

  • In 99 Latin American patients, 18% developed immune-related adverse events, mainly hepatitis, thyroiditis, and nephritis.
  • These side effects were manageable and didn't reduce overall survival, aligning with global trial data.
INSIGHT

AFP Levels Predict Side Effects

  • Patients with higher alpha-fetoprotein (AFP) levels are more likely to develop immune side effects during treatment.
  • AFP could serve as an important marker to tailor monitoring intensity in these patients.
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