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This combination therapy is an investigational regimen being evaluated for the treatment of advanced hepatocellular carcinoma (HCC) following the failure of first-line therapy. It is a specific arm within the HCC-SIGHT platform trial, a Phase II Bayesian adaptive study led by Fudan University. The regimen consists of three components: tauroursodeoxycholic acid (TUDCA), an oral bile acid that may provide cytoprotection and reduce endoplasmic reticulum (ER) stress; camrelizumab, a humanized monoclonal antibody that acts as an immune checkpoint inhibitor by targeting the programmed cell death protein 1 (PD-1) receptor; and a tyrosine kinase inhibitor (TKI), which in this trial is either lenvatinib or regorafenib. Lenvatinib and regorafenib are small molecule inhibitors that target multiple receptors involved in angiogenesis and tumor growth, such as VEGFR, FGFR, and PDGFR. The combination aims to leverage the synergistic potential of anti-angiogenic therapy and immunotherapy while utilizing TUDCA to potentially improve the safety profile or efficacy within the liver's unique metabolic environment.
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