Title:Efficacy and Safety of Lobaplatin-TACE in the Treatment of Primary Hepatocellular
Carcinoma: A Retrospective Study
Volume: 23
Issue: 4
Author(s): Haohao Lu, Chuansheng Zheng*, Bin Liang and Bin Xiong
Affiliation:
- Department of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Jiefang
Avenue #1277, Wuhan, 430022, China
- Hubei Province Key Laboratory of Molecular Imaging, Wuhan, 430022, China
Keywords:
Lobaplatin, lipiodol emulsion, TACE, Transarterial chemoembolization, hepatocellular carcinoma, tumor response, survival rate.
Abstract:
Purpose: To investigate the safety and efficacy of lobaplatin-TACE in treating primary hepatocellular carcinoma.
Methods: The data of 536 patients who underwent TACE in the interventional department from January 2016 to January
2020 were collected. Patients were divided into two groups according to the chemotherapeutic drugs used in
TACE.: the epirubicin-TACE group (N = 260) and the lobaplatin-TACE group (N = 276). Primary study endpoint: (1)
The tumor response after TACE; (2) The survival rates; Secondary study endpoints:(1) Changes in liver function and
blood routine before and after TACE; (2) Occurrence of the post-embolization syndrome and infection after TACE.
Results: The ORR was 35.0% in the epirubicin-TACE group and 51.1% in the lobaplatin-TACE group (p=0.001). The
DCR was 73.1% in the epirubicin-TACE group and 82.2% in the lobaplatin-TACE group (p=0.011). The 6-month, 9-
month, 12-month, and 15-month survival rates were higher in the lobaplatin-TACE group than in the epirubicin-TACE
group (p=0.029, p=0.001, p=0.005, p=0.002). mOS: Epirubicin-TACE group,14.8 months; Lobaplatin-TACE
group,18.6 months (p=0.007). mPFS: Epirubicin-TACE group,9.5 months; Lobaplatin-TACE group,12.8 months (P
=0.000). There was no statistical difference in ALT, AST, total bilirubin and Leucocyte after TACE between the two
groups (p=0.343, p=0.368, p=0.288, p=0.359). The platelet decrease after TACE was more significant in the lobaplatin-
TACE group than in the epirubicin-TACE group (p=0.046). There was no statistical difference in the incidence rate
of abdominal pain, fever and infection after TACE between the two groups (p=0.502, p=0.602, p=0.726). The incidence
of vomiting after TACE in the lobaplatin-TACE group was higher than that in the epirubicin-TACE group
(p=0.003).
Conclusion: Lobaplatin-TACE has a higher tumor response rate and survival rate. Lobaplatin-TACE is a safe and
effective treatment strategy; it is worthy of clinical application.
