Eur Rev Med Pharmacol Sci 2019; 23 (22): 10139-10150

DOI: 10.26355/eurrev_201911_19584

Features of microvessel density (MVD) and angiogenesis inhibitors in therapeutic approach of hepatocellular carcinoma (HCC)

M. Berretta, G. Cobellis, R. Franco, I. Panarese, B. Rinaldi, G. Nasti, R. Di Francia, L. Rinaldi

Department of Medical Oncology, Centro di Riferimento Oncologico, Istituto Nazionale Tumori “CRO”, IRCCS Aviano (PN), Italy. mberretta@cro.it


OBJECTIVE: The curative hepatocellular carcinoma (HCC) therapy was traditionally based on surgical or loco-regional ablation approach. However, HCC is a solid tumor characterized by a highest level of vascularization; therefore, angiogenesis inhibitor could play a pivotal role in the pharmacological therapeutic approach. Despite the low number of approved drugs, a wide range of multi-kinase and MET inhibitor is currently being evaluated in phase II and III study. In this review, we described all the drugs that have shown efficacy in recently and ongoing trials.

Moreover, the immunotherapy represents a recent challenge in the HCC treatment. The strategy based on the production of multi-epitope, multi-HLA peptide vaccine naturally processed and presented on primary tumor tissues of HCC patients. A further upgrade of cancer vaccine could be represented by the combination of metronomic chemotherapy and checkpoint inhibitors.

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M. Berretta, G. Cobellis, R. Franco, I. Panarese, B. Rinaldi, G. Nasti, R. Di Francia, L. Rinaldi
Features of microvessel density (MVD) and angiogenesis inhibitors in therapeutic approach of hepatocellular carcinoma (HCC)

Eur Rev Med Pharmacol Sci
Year: 2019
Vol. 23 - N. 22
Pages: 10139-10150
DOI: 10.26355/eurrev_201911_19584