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This triple therapy regimen combines hepatic arterial infusion chemotherapy (HAIC) using the FOLFOX protocol (oxaliplatin, leucovorin, and fluorouracil) with systemic administration of the PD-1 inhibitor sintilimab and the bevacizumab biosimilar IBI305. Developed and studied at Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, this approach is designed for the first-line treatment of advanced (BCLC-C) unresectable hepatocellular carcinoma. The regimen leverages the high local drug concentration of HAIC to achieve tumor debulking and potential surgical conversion, while systemic sintilimab and IBI305 provide synergistic immune checkpoint blockade and anti-angiogenic effects to control extrahepatic spread and enhance the local therapeutic response.
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