Immunotherapy and Cirrhosis: Expanding Child-Pugh Boundaries in Liver Cancer.

Li, Michael; Kelley, Robin K · Clin Cancer Res · 2025

editorial · Level V

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Abstract

Immunotherapy has historically been restricted to patients with hepatocellular carcinoma with well-preserved liver function, based upon safety and efficacy data established in clinical trial populations. Although an immunosuppressive microenvironment coupled with comorbid cirrhosis may contribute to poorer outcomes, a subset of patients with worse degrees of liver function achieves significant clinical benefit from combination immunotherapy. See related article by Lee et al., p. 4323.

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