Feasibility and Efficacy of S-Adenosyl-L-methionine in Patients with HBV-Related HCC with Different BCLC Stages

الملخص EN

Aims.

To understand the feasibility and efficacy of treatment with SAMe in patients with hepatitis B-related HCC with different Barcelona Clinic Liver Cancer (BCLC) stages.

Methods.

We retrospectively enrolled 697 patients with BCLC early-stage (stages 0-A) and advanced-stage (stages B-C) HCC who underwent SAMe therapy (354 cases) or no SAMe therapy (343 cases).

The baseline characteristics, postoperative recoveries, and 24-month overall survival rates of the patients in the 2 groups were compared.

Cox regression model analysis was performed to confirm the independent variables influencing the survival rate.

Results.

For patients in the early-stage (BCLC stages A1–A4) group, little benefit of SAMe therapy was observed.

For advanced-stage (BCLC B-C) patients, SAMe therapy reduced alanine aminotransferase (ALT) and aspartate transaminase (AST) levels and effectively delayed the recurrence time and enhanced the 24-month survival rate.

Cox regression model analysis in the advanced-stage group revealed that treatment with SAMe, preoperative viral load, and Child-Pugh grade were independent variables influencing survival time.

Conclusion.

SAMe therapy exhibited protective and therapeutic efficacy for BCLC advanced-stage HBV-related HCC patients.

And the efficacy of SAMe therapy should be further explored in randomized prospective clinical trials.