| All patients | No treatment | Sorafenib | TACE | TACE and sorafenib | p value# |
---|---|---|---|---|---|---|
Parameter | n = 215 | n = 102 | n = 48 | n = 42 | n = 23 |  |
Epidemiology | ||||||
 Gender, m/f (%) | 185/30 (86.0/14.0) | 85/17 (83.3/16.7) | 42/6 (87.5/12.5) | 36/6 (85.7/14.3) | 22/1 (95.7/4.3) | 0.480 |
 Age, median (min.- max.) | 69 (33 – 87) | 70 (41 -87) | 64 (33 – 85) | 68 (46 – 85) | 70 (50 -87) | 0.150 |
 ECOG |  |  |  |  |  | 0.163 |
  0 | 149 (69.3) | 65 (63.7) | 35 (72.9) | 29 (69.1) | 20 (87.0) | 0.164 |
  1 | 31 (14.4) | 14 (13.7) | 6 (12.5) | 8 (19.0) | 3 (13.0) | 0.844 |
  2 | 35 (16.3) | 23 (22.6) | 7 (14.6) | 5 (11.9) | 0 | 0.042 |
Etiology of liver disease | ||||||
Viral (%) | 68 (31.6) | 29 (28.4) | 16 (33.3) | 16 (38.1) | 7 (30.4) | 0.718 |
 HBV (%)| | 41 (60.3) | 18 (62.1) | 7 (43.8) | 12 (75.0) | 4 (57.1) |  |
 HCV (%)| | 27 (39.7) | 11 (37.9) | 9 (56.2) | 4 (25.0) | 3 (42.9) |  |
Non-viral (%) | 147 (68.4) | 73 (71.6) | 32 (66.7) | 26 (61.9) | 16 (69.6) | 0.658 |
 Alcohol (%)| | 82 (55.7) | 42 (57.5) | 18 (56.3) | 14 (53.8) | 8 (50.0) |  |
 NAFLD (%)| | 21 (14.4) | 12 (16.4) | 1 (3.1) | 6 (23.1) | 2 (12.4) |  |
 cryptogenic (%)| | 35 (23.8) | 16 (21.9) | 9 (28.1) | 6 (23.1) | 4 (25.0) |  |
 hemochromatosis (%)| | 8 (5.4) | 3 (4.1) | 4 (12.5) | - | 1 (6.3) |  |
 autoimmune (%)| | 1 (0,7) | - | - | - | 1 (6.3) |  |
Child Score | ||||||
Score, median | 5 (5-14) | 6 (5-14) | 5 (5-9) | 5 (5-9) | 5 (5-9) | 0.001 |
 (min.-max.) |  |  |  |  | 18 (78.3) | 0.003 |
 Child A | 146 (67.9) | 57 (55.8) | 38 (79.2) | 33 (78.6) | 5 (21.7) | 0.005 |
 Child B | 57 (26.5) | 33 (32.4) | 10 (20.8) | 9 (21.4) | 0 | 0.340 |
 Child C | 12 (5.6) | 12 (11.8) | 0 | 0 |  | 0.004 |
ALBI score##median (min.- max.) | −2.11 (−4.69 – −0.32) | −1.79 (− 3.25 – −0.32) | −2.36 (−3.36 – −0.85) | −2.19 (−4.69 – −0.76) | −2.23 (−3.32- - 1.13) | <0.001 |
ALBI grade##(%) | Â | Â | Â | Â | Â | <0.001 |
ALBI 1 | 53 (24.7) | 16 (15.7) | 17 (35.4) | 11 (26.2) | 9 (39.1) | 0.018 |
 ALBI 2 | 122 (56.7) | 54 (52.9) | 29 (60.4) | 28 (66.7) | 11 (47.9) | 0.355 |
 ALBI 3 | 40 (18.6) | 32 (31.4) | 2 (4.2) | 3 (7.1) | 3 (13.0) | <0.001 |
Tumor characteristics | ||||||
Intrahepatic HCC: oligonodular vs. multifocal (%) | 51 / 149 (26.6/73.4) | 22 /80 (21.6/78.4) | 8 /40 (16.7/83.3) | 17 / 25 (40.5/59.5) | 7/16 (30.4/69.6) | 0.071 |
Segmental portal vein thrombosis (%) | 36 (17.4) | 19 (18.6) | 5 (10.4) | 7 (16.7) | 5 (21.7) | 0.611 |
BCLC (%) | Â | Â | Â | Â | Â | <0.001 |
 C | 183 (85.1) | 74 (72.5) | 44 (91.7) | 42 (100) | 23 (100) |  |
 D | 32 (14.9) | 28 (27.5) | 4 (8.3) | 0 | 0 |  |
Largest tumor diameter [cm], median (min.-max.) | 5.2 (1 – 18) | 5.8 (1 – 17 | 4.4 (1 – 17) | 5.3 (1- 17) | 7 (2- 18) | 0.308 |
Largest tumor size >7Â cm (%) | 66 (30.7) | 34 (33.3) | 9 (18.8) | 12 (28.6) | 11 (47.8) | 0.078 |
Location of metastases | Â | Â | Â | Â | Â | 0.006 |
 Lung | 65 (30.1) | 38 (37.3) | 11 (22.9) | 9 (21.4) | 7 (30.4) | 0.012 |
 Bone | 24 (11.2) | 11 (10.8) | 5 (10.4) | 3 (7.1) | 5 (21.7) | 0.012 |
 Lymph nodes | 42 (19.5) | 14 (13.7) | 8 (16.7) | 17 (40.5) | 3 (13.1) | 0.012 |
 Peritoneum | 12 (5.6) | 5 (4.9) | 3 (6.3) | 3 (7.1) | 1 (4.4) | 0.718 |
 Adrenal gland | 4 (1.9) | 3 (2.9) | 0 | 1 (2.4) | 0 | 0.425 |
 Others | 18 (8.4) | 10 (9.8) | 2 (4.2) | 6 (14.3) | 0 | 0.416 |
 Multiple sites* | 50 (23.3) | 21 (20.6) | 19 (39.5) | 3 (7.2) | 7 (30.4) | 0.002 |
Laboratory analyses Median (min.-max.) | ||||||
 White blood count [106/μl] | 6. 7 (2.1 – 34.4) | 6,4 (2.1 – 28.0) | 6.8 (2.6 – 23.0) | 6.6 (2.4 – 34.4) | 6.8 (2.6 – 14.4) | 0.689 |
 Platelets [106/μl] | 157 (9 -702) | 150 (9 -702) | 201 (29 – 363) | 145 (56 – 480) | 161 (51 -401) | 0.400 |
 Hemoglobin [g/dl] | 12.3 (6.8 – 19.1) | 11.9 (6.8 – 16.4) | 12.9 (7.8 – 19.1) | 13.1 (8.9 – 17.3) | 12.6 (7.8 -14.9) | 0.002 |
 INR | 1.13 (0.7 – 10.0) | 1.17 (0.7 – 10.0) | 1.12 (0.8 – 2.6) | 1.10 (0.8 – 3.4) | 1.01 (0.8 – 3.2) | 0.078 |
 Creatinine [mg/dl] | 0.9 (0.4 – 7.4) | 0.9 (0.4 – 5.5) | 0.9 (0.5 – 7.4) | 0.9 (0.4 – 2.1) | 0.9 (0.6 – 1.3) | 0.123 |
 AST [U/l] | 75 (12 – 674) | 96 (18 – 674) | 75 (25 – 450) | 56 (12 – 252) | 65 (20 -472) | 0.002 |
 ALT [U/l] | 47 (8 - 640) | 48 (13 -640) | 49 (16 – 205) | 45 (8 – 234) | 46 (15 – 253) | 0.555 |
 Bilirubin [mg/dl] | 1.0 (0.3 – 30.9) | 1.5 (0.3 -30.9) | 0.9 (0.3 – 6.8) | 0.9 (0.4 – 14.9) | 0.8 (0.4 – 2.5) | <0.001 |
 Albumin [g/dl] | 3.5 (2.0 – 6.4) | 3.3 2.0 – 4.7) | 3.7 (2.4 – 4.6) | 3.5 (2.5 – 6.4) | 3.7 (2.4 – 4.6) | <0.001 |
 AFP [ng/ml] | 222.0 (0.6 – 502,900.0**) | 303.1 1.1 – 502,900.0) | 174.6 (1.1 – 60,500.0**) | 71.4 (0.6 – 60,500.0) | 174.0 (1.5 – 60,500.0) | 0.098 |
AFPÂ >Â 400Â ng/ml (%) | 93 (43.3) | 49 (48.0) | 20 (41.7) | 16 (38.1) | 8 (34.8) | 0.557 |