Research Article

Treatment Patterns and Survival in Patients with Intermediate, Advanced, or Terminal Stage of Hepatocellular Carcinoma in France over the Period 2015-2017: A Real-Life Study

Table 5

Characteristics of patients with IAT stage HCC treated with sorafenib (first line of systemic treatment) according to HCC aetiology and treatment patterns.

Population with IAT stage HCC treated with sorafenibTotalSorafenib after TACE onlySorafenib after TARE onlySorafenib only
4,658 (100%)1,079 (23.2%)113 (2.4%)3,466 (74.4%)

Gender male (%)4,063 (87.2%)950 (88.0%)97 (85.8%)3,016 (87.0%)
Age (years) at identification of IAT stage HCC: mean (SD)67.2 (9.9)67.0 (9.3)64.8 (11.0)67.4 (10.0)
Duration of follow up: mean (SD) (month)7.9 (7.3)8.9 (7.5)7.6 (6.2)7.6 (7.2)
HCC aetiology (one answer only)
 Alcohol without viral hepatitis1,949 (41.8%)507 (47.0%)41 (36.3%)1,401 (40.4%)
 Alcohol- and viral hepatitis-related liver disease404 (8.7%)112 (10.4%)18 (15.9%)274 (7.9%)
 Viral hepatitis-related liver disease without alcohol682 (14.6%)189 (17.5%)22 (19.5%)471 (13.6%)
 Metabolic risk factors833 (17.9%)162 (15.0%)11 (9.7%)660 (19.0%)
 Other liver diseases268 (5.8%))53 (4.9%)8 (7.1%)207 (6.0%)
 No identified liver disease or diabetes mellitus522 (11.2%)56 (5.2%)13 (11.5%)453 (13.1%)
History of HCC curative treatment or type of disease progression
 Previous curative treatment1,061 (22.8%)325 (30.1%)26 (23.0%)710 (20.5%)
 No curative treatment (de novo IAT stage at HCC diagnosis)2,959 (63.5%)686 (63.6%)86 (76.1%)2,187 (63.1%)
 Undetermined (lack of retrospective data)638 (13.7%)68 (6.3%)1 (0.9%)569 (16.4%)
Sorafenib treatment modalities
 Number of deliveries
  Mean (SD) number of sorafenib deliveries during the study period3.7 (3.8)3.9 (3.9)3.4 (3.0)3.7 (3.9)
  Only one delivery of sorafenib1,495 (32.1%)309 (28.6%)39 (34.5%)1,147 (33.1%)
  2 sorafenib deliveries914 (19.6%)201 (18.6%)22 (19.5%)691 (19.9%)
  ≥3 sorafenib deliveries2,249 (48.3%)569 (52.7%)52 (46.0%)1,628 (47.0%)
Analysis in patient subgroup who received ≥2 sorafenib deliveries
 Number of patients (%)3,163 (67.9%)770 (71.4%)74 (65.5%)2,319 (66.9%)
 Sorafenib dose
  Daily dose (mg): mean (SD)762 (612)717 (321)804 (553)775 (683)
  ≥1 dose adaptation (patients)1,128 (35.7%)293 (38.0%)23 (31.1%)812 (35.0%)
In patients alive at treatment discontinuation1,067 (33.7%)286 (38.1%)26 (35.1%)755 (32.6%)
 No deaths observed during the study period407 (12.9%)115 (14.9%)12 (16.2%)280 (12.1%)
 Delayed death after the treatment discontinuation660 (20.9%)171 (22.2%)14 (18.9)475 (20.5%)
Median survival: month (95% CI)7.3 (7.0 -7.7)10.4 (9.7-11.2)8.2 (6.0 -8.8)6.5 (6.2 -6.9)

IAT: intermediate, advanced, or terminal stage; with or without metabolic risk factors: NASH (nonalcoholic steatohepatitis), NAFLD (nonalcoholic fatty liver disease) or diabetes mellitus; 95% CI: 95% confidence interval.