Andrea Dalbeni1,2, Marco Vicardi1,2,*, Leonardo A. Natola1,2, Alessandra Auriemma3, Bernardo Stefanini4, Caterina Vivaldi5, Piera Federico6, Andrea Polloni7, Caterina Soldà8, Lorenzo Lani4, Ingrid Garajová9, Stefano Tamberi10, Stefania De Lorenzo11, Fabio Piscaglia4,12, Vincenzo Di Maria1, Gianluca Masi5, Sara Lonardi8, Giovanni Brandi4,7, Bruno Daniele6, Franco Trevisani4,13, Gianluca Svegliati-Baroni14, Laura Schiada14, Fabio Marra15, Claudia Campani15, Ciro Celsa16, Giuseppe Cabibbo16, Mariangela Bruccoleri17, Massimo Iavarone17,18, Leonardo Stella19, Francesca R. Ponziani19, Tiziana Pressiani20, Lorenza Rimassa20,21, Francesco Tovoli4, David Sacerdoti2
Oncology Research, Vol.34, No.4, 2026, DOI:10.32604/or.2026.073063
- 23 March 2026
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… More >