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Teaching Cases from Investigators: The Application of Available Research to the Clinical Care of Patients with Hepatocellular Carcinoma (Symposium Video Proceedings)
Released February 2025

Featuring perspectives from Dr Anthony El-Khoueiry, Dr Richard S Finn, Dr Aiwu Ruth He and Dr Stacey Stein, moderated by Dr Stephen “Fred” Divers. Published February 12, 2025.

CE Information and Faculty Disclosures

  • TARGET AUDIENCE
    This program is intended for medical oncologists, hematology-oncology fellows, surgeons and other healthcare providers involved in the treatment of hepatocellular carcinoma.

    LEARNING OBJECTIVES

    • Appreciate recently updated trial results with anti-PD-L1 antibody therapy in combination with anti-VEGF therapy as adjuvant treatment for patients with HCC and a high risk of recurrence after curative resection or ablation, and avoid this approach in clinical practice.
    • Recall recently presented trial results with anti-PD-1/PD-L1 antibody therapy in combination with VEGF or multikinase inhibitors for patients with HCC receiving transarterial chemoembolization for unresectable disease, and consider the potential role of this strategy in clinical practice.
    • Consider age, performance status, degree of liver function and other clinical and logistical factors in the selection of first-line therapy for patients with unresectable or metastatic HCC.
    • Evaluate the scientific rationale for and available data with anti-PD-1/PD-L1 antibodies in combination with anti-CTLA-4 antibodies for patients with HCC, and optimally incorporate available regimens into the management of this disease.
    • Establish an evidence-based approach to the selection and sequencing of available therapeutic options for patients with progressive HCC.
    • Review available and emerging data with investigational agents and strategies with documented efficacy in HCC in preparation for potential availability or to enhance clinical trial participation.

    ACCREDITATION STATEMENT
    Research To Practice is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

    CREDIT DESIGNATION STATEMENT
    Audio Program: Research To Practice designates this enduring material for a maximum of 2.75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

    Video Program: Research To Practice designates this enduring material for a maximum of 2.25 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

    AMERICAN BOARD OF INTERNAL MEDICINE (ABIM) — MAINTENANCE OF CERTIFICATION (MOC)
    Successful completion of these CME activities, which includes participation in the evaluation component and a short post-test, enables the participant to earn up to 2.75 (audio) and 2.25 (video) Medical Knowledge MOC points in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for each activity. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

    Please note, these programs have been specifically designed for the following ABIM specialty: medical oncology.

    AMERICAN BOARD OF SURGERY (ABS) — CONTINOUS CERTIFICATION (CC)
    Successful completion of these CME activities, which includes participation in the evaluation component and a short post-test, enables the learner to earn credit toward the CME and Self-Assessment requirement(s) of the American Board of Surgery’s Continuous Certification program. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABS credit.

    Please note, these programs have been specifically designed for the following ABS practice area: complex general surgical oncology.

    PRIVACY POLICY
    Personal information and data sharing: Research To Practice aggregates deidentified user data for program-use analysis, program development, activity planning and site improvement. We may provide aggregate and deidentified data to third parties, including commercial supporters. We do not share or sell personally identifiable information to any unaffiliated third parties or commercial supporters. Please see our privacy policy at ResearchToPractice.com/Privacy-Policy for more information.

    HOW TO USE THIS CME ACTIVITY
    Audio Program: This CME activity consists of an audio component. To receive credit, the participant should review the CME information, listen to the MP3s, review the downloadable slide set, complete the post-test with a score of 80% or better and fill out the evaluation located at ResearchToPractice.com/ASCOGI25/HCC/CME. The corresponding video program is available as an alternative at ResearchToPractice.com/ASCOGI25/HCC/Video.

    Video Program: This CME activity consists of a video component. To receive credit, the participant should review the CME information, watch the video, complete the post-test with a score of 80% or better and fill out the evaluation located at ResearchToPractice.com/ASCOGI25/HCC/Video/CME. The corresponding audio program is available as an alternative at ResearchToPractice.com/ASCOGI25/HCC.

    CONTENT VALIDATION AND DISCLOSURES
    Research To Practice (RTP) is committed to providing its participants with high-quality, unbiased and state-of-the-art education and adheres to the ACCME’s Standards for Integrity and Independence in Accredited Continuing Education. Any individuals in a position to control the content of an accredited continuing education activity, including faculty, planners, reviewers and others, are required to disclose all relevant financial relationships with ineligible entities (commercial interests). All relevant conflicts of interest have been mitigated prior to the commencement of this activity. In addition, all activity content is reviewed by RTP scientific staff and an external, independent physician reviewer for fair balance, scientific objectivity of studies referenced and patient care recommendations.

    FACULTY — The following faculty reported relevant financial relationships with ineligible entities:

    Anthony El-Khoueiry, MD
    Associate Professor of Clinical Medicine
    Associate Director for Clinical Research
    Phase I Section Chief, Developmental Therapeutics
    USC Norris Comprehensive Cancer Center
    Los Angeles, California

    Advisory Committees and Consulting Agreements: AbbVie Inc, AstraZeneca Pharmaceuticals LP, Bristol Myers Squibb, Eisai Inc, Elevar Therapeutics, Exelixis Inc, Genentech, a member of the Roche Group, Merck, Qurient, Terumo Medical Corporation; Contracted Research: Astex Pharmaceuticals, AstraZeneca Pharmaceuticals LP, Auransa Inc, Fulgent.

    Richard S Finn, MD
    Professor, Department of Medicine, Division of Hematology/Oncology
    David Geffen School of Medicine at UCLA
    Director, Signal Transduction and Therapeutics Program
    Jonsson Comprehensive Cancer Center at UCLA
    Los Angeles, California

    Advisory Committees: CStone Pharmaceuticals, Zai Lab; Consulting Agreements: AstraZeneca Pharmaceuticals LP, Bayer HealthCare Pharmaceuticals, Bristol Myers Squibb, Eisai Inc, Genentech, a member of the Roche Group, Lilly, Novartis, Merck, Pfizer Inc, Zymeworks Inc; Contracted Research: Bayer HealthCare Pharmaceuticals, Bristol Myers Squibb, Eisai Inc, Genentech, a member of the Roche Group, Merck, Pfizer Inc, Roche Laboratories Inc; Speakers Bureaus: Genentech, a member of the Roche Group.

    Aiwu Ruth He, MD, PhD
    Associate Professor of Medicine
    Leader of the Gastrointestinal Cancer Program
    Lombardi Comprehensive Cancer Center
    MedStar Georgetown University Hospital
    Washington, DC

    Advisory Committees: Bristol Myers Squibb; Consulting Agreements: Boston Scientific Corporation; Contracted Research: AstraZeneca Pharmaceuticals LP; Speakers Bureaus: AstraZeneca Pharmaceuticals LP, Eisai Inc.

    Stacey Stein, MD
    Associate Professor of Medicine
    Rutgers Cancer Institute of New Jersey
    RWJBarnabus Health
    New Brunswick, New Jersey

    Advisory Committees: Cardinal Health, Exelixis Inc, Genentech, a member of the Roche Group, GSK, Merck, Regeneron Pharmaceuticals Inc; Data and Safety Monitoring Boards/Committees: Aethlon Medical Inc, Genentech, a member of the Roche Group, TransThera.

    MODERATOR
    Stephen "Fred" Divers, MD
    Chief Medical Officer
    American Oncology Network
    Hot Springs, Arkansas

    Advisory Committees: Daiichi Sankyo Inc; Community Oncology Panels: Caris Life Sciences, Johnson & Johnson Pharmaceuticals; Nonrelevant Financial Relationships: MiBA.

    RESEARCH TO PRACTICE CME PLANNING COMMITTEE MEMBERS, STAFF AND REVIEWERS — Planners, scientific staff and independent reviewers for Research To Practice have no relevant conflicts of interest to disclose.

    These educational activities contain discussion of published and/or investigational uses of agents that are not indicated by the Food and Drug Administration. Research To Practice does not recommend the use of any agent outside of the labeled indications. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications and warnings. The opinions expressed are those of the presenters and are not to be construed as those of the publisher or grantors.

    These activities are supported by educational grants from AstraZeneca Pharmaceuticals LP and Eisai Inc.

    Release date: February 2025
    Expiration date: February 2026

    After completing the post-test, learners may download and review the answers here in order to identify further areas of study.

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Watch video
(WIFI is recommended for best performance):

Adjuvant Systemic Therapy for Early-Stage Hepatocellular Carcinoma (HCC) — Dr El-Khoueiry

Recent Developments in the Management of Intermediate-Stage HCC — Dr Finn

Current First-Line Therapy for Advanced HCC — Dr He

Promising Investigational Front-Line Strategies for Advanced HCC; Selection and Sequencing of Therapy for Relapsed/Refractory HCC — Dr Stein

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