New LRT-IO Therapy Makes Inoperable Liver Cancer Potentially Curable, Study Shows
May 25, 2025
The study also emphasizes the potential of a 'watch-and-wait' strategy for elderly and medically unfit patients, marking a significant shift in the management of advanced liver cancer.
Overall, the findings suggest that advanced liver cancer, often deemed incurable, can become treatable through a combination of therapies, leading to potential curative surgery.
While previous studies indicated that 42% of patients showed complete cancer disappearance post-treatment, the long-term effects were previously unclear, making this study's findings particularly significant.
Patients who achieved a complete response had a significantly higher three-year overall survival rate of 76%, compared to just 28% for those who did not.
The LRT-IO treatment consists of three stages: stereotactic beam radiotherapy (SBRT), optional transarterial chemoembolization (TACE), followed by immunotherapy.
A recent study has emerged as the largest examination of long-term outcomes for advanced liver cancer patients treated with a novel approach combining locoregional therapy and immunotherapy (LRT-IO).
The study monitored 63 patients treated with LRT-IO from January 2018 to December 2022, revealing a 46% complete response rate and a median follow-up of almost three years.
Although about one-third of patients experienced cancer recurrence, 60% of these individuals were still eligible for curative surgery, highlighting the importance of achieving a complete response.
These findings contribute to the growing adoption of the LRT-IO strategy in clinical practice across multiple tertiary centers in Hong Kong.
Key researchers involved in this groundbreaking study included Professor Albert Chan and Dr. Chiang Chi-leung from the University of Hong Kong.
This research may influence future clinical guidelines, particularly following the inclusion of a similar approach in China's National Guidelines for Liver Cancer Management in 2024.
This interdisciplinary research team demonstrated that the LRT-IO strategy can convert previously inoperable liver cancer into a potentially curable state, with two-thirds of patients remaining cancer-free as of June 2023.
Summary based on 2 sources
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Sources

Medical Xpress • May 25, 2025
Long-term remission of advanced liver cancer in 46% of patients achieved with combination therapy
Mirage News • May 23, 2025
HKUMed Treatment Yields 46% Liver Cancer Remission