The Effect of Metformin on Atezolizumab/Bevacizumab Treatment in Patients with Hepatocellular Carcinoma and Diabetes
Andrea Dalbeni, Marco Vicardi, Leonardo A. Natola, Alessandra Auriemma, Bernardo Stefanini, Caterina Vivaldi, Piera Federico, Andrea Polloni, Caterina Soldà, Lorenzo Lani, Ingrid Garajová, Stefano Tamberi, Stefania De Lorenzo, Fabio Piscaglia, Vincenzo Di Maria, Gianluca Masi, Sara Lonardi, Giovanni Brandi, Bruno Daniele, Franco Trevisani, Gianluca Svegliati-Baroni, Laura Schiada, Fabio Marra, Claudia Campani, Ciro Celsa, Giuseppe Cabibbo, Mariangela Bruccoleri, Massimo Iavarone, Leonardo Stella, Francesca R. Ponziani, Tiziana Pressiani, Lorenza Rimassa, Francesco Tovoli, David Sacerdoti
Oncology Research, Vol.34, No.4, 2026, DOI:10.32604/or.2026.073063
(This article belongs to the Special Issue:
Molecular Targets and Combinatorial Therapeutics of Liver Cancer)
Abstract Objectives: The combination of atezolizumab plus bevacizumab (A+B) represents one of the standards first-line treatments for unresectable hepatocellular carcinoma (HCC). Metformin has garnered attention for its potential antitumour and immunomodulatory properties beyond glycaemic control. This study aimed to assess metformin’s impact in patients with type 2 diabetes mellitus (T2DM) receiving A+B therapy.
Methods: This retrospective analysis of a prospectively-maintained multicentre database included 523 patients with HCC treated with A+B from the ARTE (Atezolizumab-bevacizumab Real-life Experience for Treatment of Hepatocellular Carcinoma) dataset across 18 Italian centres (May 2020–January 2024). We evaluated objective response rate (ORR), disease…
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