Comparative efficacy and safety of first-line treatments for advanced hepatocellular carcinoma: a Bayesian network meta-analysis - Summary - MDSpire

Comparative efficacy and safety of first-line treatments for advanced hepatocellular carcinoma: a Bayesian network meta-analysis

  • By

  • Yun Su

  • Tongze Cai

  • Jingxuan Wei

  • Qiuju Huang

  • Chun Yao

  • Lei Fu

  • Jinghui Zheng

  • Hongwei Guo

  • Xiongbin Gui

  • June 5, 2026

  • 0 min

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Objective:

To compare the efficacy and safety of first-line treatments for patients with advanced hepatocellular carcinoma (HCC) using a Bayesian network meta-analysis.

Key Findings:
  • HAIC-based regimens, particularly sorafenib plus HAIC and HAIC_FO, ranked highest for both PFS and OS.
  • Several immunotherapy-based combinations showed significant survival benefits without increasing severe adverse events.
  • Subgroup analyses indicated consistent benefits across various clinical subgroups.
Interpretation:

HAIC-based strategies and selected immunotherapy combinations appear to provide superior survival outcomes as first-line treatment for advanced HCC.

Limitations:
  • Comparator selection limitations.
  • Evolving evidence necessitates future head-to-head randomized trials.
Conclusion:

Future studies are warranted to refine optimal treatment strategies for advanced HCC.

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