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This combination therapy involves the administration of Hepatic Arterial Infusion Chemotherapy (HAIC) using the FOLFOX regimen (oxaliplatin, leucovorin, and fluorouracil) in conjunction with an oral tyrosine kinase inhibitor (TKI), specifically lenvatinib or regorafenib. Developed by Fudan University, this regimen is being evaluated as a second-line treatment for patients with advanced hepatocellular carcinoma (HCC) who have failed first-line therapy. HAIC delivers high concentrations of chemotherapeutic agents directly to the liver tumor via the hepatic artery, minimizing systemic toxicity, while the TKI provides systemic anti-angiogenic and anti-proliferative effects by targeting various receptor tyrosine kinases.
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