Disease Briefing

Hepatocellular carcinoma: research and therapeutic landscape

A live synthesis of what is being targeted, what is being trialled, which datasets exist, and where the actionable gaps sit — assembled from public APIs, with every figure traceable to its source.

Generated 2026-09-08Sources Open Targets · ClinicalTrials.gov · openFDA · GEO · PubMed · Europe PMC · iCite · RePORTERRanked 307 studies · 24,738 samples
Reading as
Reorders emphasis only — nothing is hidden or loaded on demand.

Answer block

11 genes recurrently implicated in hepatocellular carcinoma — TERT, TP53, CTNNB1, AXIN1, ARID1A, MET, FGF19, FGFR4, KDR, VEGFA, GPC3 — triaged for what can actually be aimed at them, alongside the trials, public datasets, literature and funding around the disease. Every figure below carries its source and retrieval date in the section it comes from.

12
drugs carry an FDA label naming hepatocellular carcinoma: Atezolizumab, Bevacizumab, Cabozantinib, Durvalumab, Ipilimumab, Lenvatinib and 6 more. This counts labels, not treatment — the disease is also treated with agents approved under broader indications
3
of the 11 genes above carry a drug that is approved in hepatocellular carcinoma itself — KDR, MET, VEGFA. Across all of them 157 drug entries reach these genes, 146 distinct once salt forms are merged
39
registered GPC3 cell-therapy trials in hepatocellular carcinoma, 20 active and 2 withdrawn. Counted from ClinicalTrials.gov across 5 synonyms, deduplicated by NCT id, interventional studies only — the query is published in the JSON beside this page so the number can be re-derived
5
targets carry an Open Targets tractability signal and have no clinical programme of any kind: TERT, CTNNB1, AXIN1, ARID1A, FGF19. GPC3 has cell-therapy trials, so it is undrugged rather than untouched
4,594
human GEO series match the disease; 307 survive on-topic filtering, and only 43 are patient cohorts of 100+ samples
825
Europe PMC full-text papers name GSE76427 — the highest accession-mention count in the set. A mention is not proof of reanalysis, so read it as reach rather than reuse
$263.2M
NIH obligations in FY2025, up 71% since 2013 — while distinct core projects went 392 to 463. Larger awards rather than more distinct core projects; core projects are not the same unit as laboratories

Target landscape

Open Targets · retrieved 2026-09-08 · weekly

11 genes recurrently implicated in hepatocellular carcinoma, triaged for whether anything can actually be aimed at them. The zeros are the informative rows.

Of 11 recurrently implicated genes, 8 carry any drug at all. That is a statement about these 11 gene targets, not about the disease: Hepatocellular carcinoma does have labelled therapy — 12 drugs, listed in the next section.

Two different questions

The table below asks what can be aimed at 11 recurrently implicated genes. That is narrower than what is approved for the disease, and narrower again than what hepatocellular carcinoma is actually treated with, which includes agents approved under broader indications. All three are on this page and they are kept apart deliberately.

GeneDrugsApproval, and whether it reached this diseaseOpen Targets tractabilitycomputed from protein features and literature — a signal that a modality is worth trying, not evidence that it worksCell therapy here
TERT 1 1 approvedImetelstatApproved in anemia, myelodysplastic syndrome. No hepatocellular carcinoma indication appears on these drugs’ labels.No hepatocellular carcinoma trial of any of these drugs antibody, other clinical modality, protein degrader, small molecule
TP53 8 Phase 3Alrizomadlin, Cenersen, Contusugene Ladenovec, Eprenetapopt, Idasanutlin, Navtemadlin, Siremadlin, Teprasiran2 trials, none active other clinical modality, protein degrader, small molecule
CTNNB1 1 Phase 2Pri-724No hepatocellular carcinoma trial of any of these drugs antibody, other clinical modality, protein degrader, small molecule
AXIN1 0 No drug antibody, protein degrader, small molecule
ARID1A 0 No drug protein degrader
MET 36 6 approvedAmivantamab, Cabozantinib, Cabozantinib S-Malate, Capmatinib, Crizotinib, TepotinibApproved in hepatocellular carcinoma: Cabozantinib.23 active of 60 hepatocellular carcinoma trials antibody, other clinical modality, protein degrader, small molecule
FGF19 0 No drug antibody
FGFR4 16 5 approvedErdafitinib, Futibatinib, Infigratinib, Nintedanib, Nintedanib EsylateApproved in urothelial carcinoma, urinary bladder carcinoma, biliary tract cancer and 7 other indications. No hepatocellular carcinoma indication appears on these drugs’ labels.2 active of 32 hepatocellular carcinoma trials antibody, other clinical modality, protein degrader, small molecule
KDR 70 19 approvedAxitinib, Cabozantinib, Cabozantinib S-Malate, Cediranib, Fruquintinib, Lenvatinib, Midostaurin, Nintedanib, Nintedanib Esylate, Pazopanib, Ramucirumab, Regorafenib, Rivoceranib, Sorafenib, Sunitinib, Sunitinib Malate, Surufatinib, Tivozanib, VandetanibApproved in hepatocellular carcinoma: Cabozantinib, Lenvatinib, Ramucirumab, Regorafenib, Sorafenib.158 active of 566 hepatocellular carcinoma trials antibody, other clinical modality, protein degrader, small molecule
VEGFA 13 8 approvedAbicipar Pegol, Aflibercept, Bevacizumab, Bevacizumab Gamma, Brolucizumab, Faricimab, Pegaptanib, RanibizumabApproved in hepatocellular carcinoma: Bevacizumab.105 active of 178 hepatocellular carcinoma trials antibody, other clinical modality, protein degrader, small molecule
GPC3 1 Phase 2Codrituzumab3 trials, none active antibody, protein degrader 20 active of 39 trials

Dataset evidence counts studies in the 307-study ranked set whose title or abstract names the gene; the bar is scaled to CTNNB1. Sources: Open Targets Platform and NCBI GEO, retrieved 2026-09-08. Clinical stage is the highest reached for any indication — see the per-drug indications noted in each row. Target-prioritisation reference only; not clinical or prescribing guidance.

What is actually approved here

openFDA drug labels · weekly

12 drugs carry an FDA label naming hepatocellular carcinoma: Atezolizumab, Bevacizumab, Cabozantinib, Durvalumab, Ipilimumab, Lenvatinib, Nivolumab, Pembrolizumab, Ramucirumab, Regorafenib, Sorafenib, Tremelimumab. Separately, 29 of the drugs returned for the genes in the table above are approved only for other diseases and reach hepatocellular carcinoma through trials, not through their labels.

12Labelled for hepatocellular carcinomaFDA INDICATIONS AND USAGE names the disease
29Approved, but for another diseasereturned for the genes in the table above
0Backbone agents listing itbroad cytotoxics whose labels name many tumours
20Active GPC3 cell-therapy trialsof 39 registered

Every label that names hepatocellular carcinoma

DrugRoleWhat the label says
AtezolizumabTECENTRIQ, Tecentriq HybrezaLabelled hereHepatocellular Carcinoma (HCC) in combination with bevacizumab for the treatment of adult patients with unresectable or metastatic HCC who have not received prior systemic therapy.
BevacizumabAvastinLabelled hereHepatocellular Carcinoma (HCC) in combination with atezolizumab for the treatment of patients with unresectable or metastatic HCC who have not received prior systemic therapy
CabozantinibCABOMETYXLabelled hereHepatocellular Carcinoma CABOMETYX is indicated for the treatment of patients with hepatocellular carcinoma (HCC) who have been previously treated with sorafenib.
DurvalumabIMFINZILabelled hereHepatocellular Carcinoma IMFINZI, in combination with tremelimumab-actl, is indicated for the treatment of adult patients with unresectable hepatocellular carcinoma (uHCC).
IpilimumabYERVOYLabelled hereHepatocellular Carcinoma • adult patients with unresectable or metastatic hepatocellular carcinoma (HCC) as first-line treatment in combination with nivolumab.
LenvatinibLenvimaLabelled hereHepatocellular Carcinoma (HCC) For the first-line treatment of patients with unresectable hepatocellular carcinoma (HCC).
NivolumabOPDIVO, OPDIVO QVANTIGLabelled hereHepatocellular Carcinoma (HCC) • adult patients with unresectable or metastatic hepatocellular carcinoma (HCC), as a first-line treatment in combination with ipilimumab.
PembrolizumabKEYTRUDA, KEYTRUDA QLEXLabelled hereHepatocellular Carcinoma KEYTRUDA is indicated for the treatment of patients with hepatocellular carcinoma (HCC) secondary to hepatitis B who have received prior systemic therapy other than a PD-1/PD-L1-containing regimen.
RamucirumabCYRAMZALabelled hereHepatocellular Carcinoma CYRAMZA, as a single agent, is indicated for the treatment of adults with hepatocellular carcinoma (HCC) who have an alpha fetoprotein (AFP) of ≥400 ng/mL and have been treated with sorafenib.
RegorafenibStivargaLabelled hereHepatocellular Carcinoma STIVARGA is indicated for the treatment of adult patients with hepatocellular carcinoma (HCC) who have been previously treated with sorafenib.
SorafenibNexavar, Sorafenib, Sorafenib TosylateLabelled hereHepatocellular Carcinoma NEXAVAR ® is indicated for the treatment of patients with unresectable hepatocellular carcinoma (HCC).
TremelimumabIMJUDOLabelled hereHepatocellular Carcinoma IMJUDO, in combination with durvalumab, is indicated for the treatment of adult patients with unresectable hepatocellular carcinoma (uHCC).
Ethiodized OilLIPIODOLNot a therapyLipiodol is an oil-based radio-opaque contrast agent indicated for: hysterosalpingography in adults lymphography in adult and pediatric patients selective hepatic intra-arterial use for imaging tumors in adults with known hepatocellular carcinoma (HCC) Lipiodol is an oil-based radiopaque contrast agent indicated for: hysterosalpingography in adults lymphography in adult and pediatric patients s...

24 labels match indications_and_usage:"hepatocellular carcinoma"; they collapse to 13 distinct molecules once salt forms, biosimilars and co-formulated hyaluronidase are merged. Diagnostic and contrast agents (Ethiodized Oil) are listed but are not treatments. Source: openFDA drug label API (api.fda.gov/drug/label.json), retrieved 2026-09-08. Labels change; this reflects the current label text, not the approval history. Not prescribing guidance.

Cell therapy against GPC3

ClinicalTrials.gov · retrieved 2026-09-08 · weekly

GPC3 is the busiest cell-therapy antigen in hepatocellular carcinoma: 39 registered trials, 20 still active, 2 withdrawn before enrolling anyone.

TrialPhaseStatusTitleLast update
NCT05620706no phaseRecruitingStudy of GPC-3 CAR-T Cells in Treating With Hepatocellular Carcinoma2022-11-22
NCT05926726no phaseRecruitingGPC3-directed CAR-T in the Treatment Amongst Subjects With Advanced Hepatocellular Carcinoma2023-07-03
NCT056529201/2RecruitingOri-C101Chimeric Antigen Receptor (CAR) Modified T Cells for the Treatment of HCC2024-04-03
NCT031985461RecruitingGPC3-CAR-T Cells for Immunotherapy of Cancer With GPC3 Expression2024-06-25
NCT065608271RecruitingCT011 Autologous CAR-T Cells in Patients With Hepatocellular Carcinoma at Risk of Recurrence After Surgical Resection2024-08-19
NCT064616241RecruitingClinical Trial of Autologous GPC3 CAR-T Cells (CBG166) Therapy for Advanced Hepatocellular Carcinoma2024-11-06
NCT069023891/2RecruitingA Clinical Study of Multi-target Hi-TCR-T Cells in the Treatment of Advanced Hepatocellular Carcinoma2025-09-03
NCT061982961RecruitingImmunotherapy For Adults With GPC3-Positive Solid Tumors Using IL-15 and IL-21 Armored GPC3-CAR T Cells2025-11-03
NCT051551891RecruitingA Study to Evaluate Safety and Efficacy of Armored CAR-T Cell Injection C-CAR031 in Advanced Hepatocellular Carcinoma2026-01-21
NCT071480501RecruitingImmunotherapy for Solid Tumor Malignancies in Pediatrics Using Interleukin-15 and -21 Armored Glypican-3-specific Chimeric Antigen Receptor T Cells2026-02-17

10 of 39 shown, most recently active first. Other antigens searched: AFP (6), CD147 (3), MUC1 (3), EpCAM (1). Source: ClinicalTrials.gov API v2, retrieved 2026-09-08. Trials are matched on the antigen named in the title or intervention, so a trial stating only a product code is missed.

Research momentum

PubMed MeSH · monthly

Every term below is a share of the hepatocellular carcinoma literature, not a count, because the field itself grew: 2015–2018 (n=6,000) against 2021–2025 (n=6,000). A topic whose papers doubled while the field doubled has not risen.

These are sample shares. The two windows hold 15,942 and 26,842 papers; MeSH terms were read from an evenly spaced sample of 6,000 and 6,000 of them, taken across the whole window rather than from its most recent papers. Percentages carry sampling error of roughly a percentage point and small differences between two terms are not meaningful.

Rising, with a real baseline

MeSH term2015–182021–25ChangeShare now
Machine Learning0.08%2.35%28.17×141 papers
Bevacizumab0.1%2.82%28.14×169 papers
Molecular Docking Simulation0.12%1.98%16.99×119 papers
Antibodies, Monoclonal, Humanized0.28%4.22%14.88×253 papers
Quinolines0.28%4.0%14.11×240 papers
Tumor Microenvironment1.45%11.5%7.93×690 papers
Gastrointestinal Microbiome0.15%0.98%6.55×59 papers
Immunotherapy0.97%5.8%6.0×348 papers
Nomograms0.45%2.63%5.85×158 papers
Progression-Free Survival0.33%1.7%5.1×102 papers

Cooling

MeSH term2015–182021–25ChangeShare now
Niacinamide3.38%0.25%0.07×15 papers
Survival Analysis5.28%0.42%0.08×25 papers
Immunohistochemistry3.02%0.33%0.11×20 papers
Gene Knockdown Techniques1.93%0.23%0.12×14 papers
Neoplasm Grading1.63%0.25%0.15×15 papers
Patient Selection1.52%0.25%0.16×15 papers

Biggest topics now

MeSH term2015–182021–25ChangeShare now
Liver Neoplasms97.23%99.77%1.03×5986 papers
Prognosis16.85%20.43%1.21×1226 papers
Gene Expression Regulation, Neoplastic18.02%19.85%1.1×1191 papers
Cell Proliferation17.45%16.3%0.93×978 papers
Biomarkers, Tumor11.73%12.92%1.1×775 papers
Treatment Outcome15.05%11.75%0.78×705 papers
Tumor Microenvironment1.45%11.5%7.93×690 papers
Antineoplastic Agents8.98%8.97%1.0×538 papers
Mice, Nude7.13%8.82%1.24×529 papers
Signal Transduction10.92%8.58%0.79×515 papers

Publication mix

Type2015–182021–25
Clinical Trial0.0%0.1%
Randomized Controlled Trial1.0%0.8%
Review8.1%9.9%
Meta-Analysis2.4%2.1%
Case Reports0.0%1.5%

Query: Carcinoma, Hepatocellular[MeSH Major Topic] NOT ("Cholangiocarcinoma"[MeSH] OR "Bile Duct Neoplasms"[MeSH] OR "Hepatoblastoma"[MeSH]). Terms need at least 12 papers in the recent window and, in the rising table, at least 5 in the earlier one — a term going from 1 paper to 12 is a large fold change and no evidence of anything. Ubiquitous descriptors (Humans, Animals, age bands) and the disease’s own term are dropped. Windows are read whole where they fit and sampled where they do not; the totals and the sample sizes are both in the JSON beside this page. Source: PubMed MeSH, retrieved 2026-09-08.

Funding

NIH RePORTER · quarterly

NIH obligations naming hepatocellular carcinoma, after removing the 241 records across all years that matched the search but are about something else. That filter is not cosmetic: without it this section reports another field’s funding as this disease’s.

$263.2MNIH obligations, FY2025from $154.4M in FY2013 · +71%
463distinct projects funded392 in FY2013
$281.7Mpeak year was FY2023obligations, all institutes
51%of FY2025 awards from NCI262 of 511

NIH obligations by fiscal year

$70M$141M$211M$282M13151719212325
YearObligationsAwardsDistinct projectsDropped as off-topic
FY2013$154.4M43039217
FY2014$150.7M41538119
FY2015$156.7M41837113
FY2016$158.1M42338818
FY2017$178.7M45140115
FY2018$224.1M55947110
FY2019$240.2M60051718
FY2020$232.6M57751419
FY2021$244.5M59853018
FY2022$265.4M63756421
FY2023$281.7M64057319
FY2024$268.8M61453923
FY2025$263.2M53246331

Where FY2025 money went

InstitutionObligationsAwards
Ut Southwestern Medical Center$15.0M23
Division Of Basic Sciences - Nci$11.5M11
Sanford Burnham Prebys Medical Discovery Institute$11.0M17
Johns Hopkins University$9.8M22
Baylor College Of Medicine$7.6M16
North Carolina State University Raleigh$7.4M0
Virginia Commonwealth University$7.0M14
University Of Pennsylvania$6.6M14
Northwestern University$6.2M0
University Of California Los Angeles$6.0M11

Text search hepatocellular carcinoma over project title, terms and abstract, per fiscal year. Awards are individual funding actions; distinct projects collapse them by core project number, so a multi-year grant counts once. The most recent year may be incomplete. Source: NIH RePORTER, retrieved 2026-09-08.

Public datasets, ranked

NCBI GEO + Europe PMC + iCite · weekly

4,594 human GEO series match hepatocellular carcinoma. Keyword relevance cannot tell a 2,606-sample patient cohort from a six-well cell-line experiment, so this ranking scores four things GEO does not expose: how often the accession is named in full-text papers, field-normalised citation impact, clinical annotation, and cohort type.

Composition of the 307-study ranked set

patient 139unspecified 91cell line 71xenograft 6
139 patient91 unspecified71 cell line6 xenograft200 carry clinical annotation125 carry survival43 patient cohorts ≥100 samples24,738 samples total

Established

high reuse, older
AccessionStudySamplesMentionsEurope PMCRCREvidence
GSE76427Microarray expression data for tumor and adjacent non-tumor tissues from hepatocellular carcinoma patients2017 · array1678256.0
patient cohortAPT 0.75survivalstagemolecular187 cites
GSE109211Molecular predictors of prevention of recurrence in hepatocellular carcinoma with sorafenib as adjuvant treatment in the phase 3 STORM trial2018 · array1402169.5
patient cohortAPT 0.75survivalstagemolecularVEGFA268 cites
GSE63898DNA methylation-based prognosis and epidrivers in hepatocellular carcinoma2015 · array39614711.8
patient cohortAPT 0.95survivalmolecular300 cites
GSE112790Comprehensive molecular characterization of liver cancer and inheritance of the phenotypic traits during tumor recurrence [tissue]2019 · array1981567.2
patient cohortAPT 0.75survivalmolecularCTNNB1197 cites
GSE164760Molecular characterization of hepatocellular carcinoma in patients with non-alcoholic steatohepatitis2021 · array17011710.6
patient cohortAPT 0.75molecularCTNNB1TERTTP53199 cites
GSE112679Genome-wide Mapping of 5-Hydroxymethylcytosines in Circulating Cell-free DNA as a Non-invasive Approach for Early Detection of Hepatocellular Carcinoma2019 · methylation2,60678.5
patient cohortAPT 0.95survivalstagemolecularAFP226 cites
GSE64041Gene expression profiling in paired human hepatocellular carcinoma and liver parenchyma biopsies and normal liver biopsies.2016 · array1252262.0
patient cohortAPT 0.5survivalstage65 cites
GSE121248Gene expression profiling of chronic hepatitis B induced HCC and adjacent-normal tissues2018 · array1073023.1
APT 0.75molecular152 cites

Recent

2022 onward, by score
AccessionStudySamplesMentionsEurope PMCRCREvidence
GSE193066Transcriptome profile of liver biopsy tissues from patients with non-alcoholic fatty liver disease (tissue validation set 1).2022 · sequencing164166.4
patient cohortAPT 0.95survivalmolecular98 cites
GSE174570Cabozantinib enhances anti-PD1 efficacy and elicits a neutrophil-based immune response in murine models: implications for human HCC2022 · array114185.0
patient cohortAPT 0.75survivalmolecular75 cites
GSE190967Multi-omics identifies the link between intratumor steatosis and exhausted tumor immune microenvironment in hepatocellular carcinoma2022 · sequencing113511.9
patient cohortAPT 0.75survival141 cites
GSE214846A novel risk score based on immune-related genes for hepatocellular carcinoma as a reliable prognostic biomarker and correlated with immune infiltration2022 · sequencing130291.4
patient cohortAPT 0.25survival22 cites
GSE242154Spatial immuno-oncology protein abundance profiles in hepatocellular carcinoma tissues from patients treated with bavituximab and pembrolizumab2024 · spatial25114.2
patient cohortAPT 0.75survivalstage36 cites
GSE243245Crosstalk between myeloid and B cells shapes the distinct microenvironments of primary and secondary liver cancer2023 · single-cell12323.8
APT 0.75survivalmolecular52 cites

Sources: NCBI GEO + Europe PMC + iCite, retrieved 2026-09-08. SubSeries are collapsed to one row per study by linked PMID. Of 723 series retrieved, 12 were dropped by the profile’s exclusion rules and 356 named the disease only in passing. The ranked set is a relevance-ranked sample, not a census, so the composition figures describe the sample only.

Where the gaps are

Derived from the sections above · recomputed on every refresh

Each card below is a disagreement between two of the tables on this page — a drug that exists but was never tried here, a target that looks tested and was not, a gene with no drug whose product has a busy clinical programme. They are computed from the same facts as the tables, so they cannot contradict them.

TERT

1 approved drug (Imetelstat) and no registered trial in hepatocellular carcinoma. The molecules exist; nobody has tested them here.

AXIN1

No drug, no trial, no clinical programme of any kind. Whatever the biology says, nothing has been built.

ARID1A

No drug, no trial, no clinical programme of any kind. Whatever the biology says, nothing has been built.

FGF19

No drug, no trial, no clinical programme of any kind. Whatever the biology says, nothing has been built.

GPC3

39 cell-therapy trials against GPC3, 20 active, and no approved product. The clinical activity is real and none of it has reached a label.

How a machine reads this page

Static

This page is written to be quoted correctly by a model as much as read by a person. The same facts are available as JSON at the sibling URL below, which is what to cite.

Fully server-rendered

Every figure is in the HTML at first byte. No JavaScript runs, no figure is fetched after load, and nothing on this page requires a renderer to see.

Every number carries a source

Each section names the API it came from and the date it was retrieved: Open Targets (2026-09-08), ClinicalTrials.gov (2026-09-08), openFDA (2026-09-08), NCBI GEO (2026-09-08), PubMed (2026-09-08), NIH RePORTER (2026-09-08).

Negatives stated explicitly

Where nothing exists for hepatocellular carcinoma — no drug, no trial, no approval — the page says so in those words rather than omitting the row. An absent row is unquotable; a stated negative is the finding.

Denominators, not just percentages

Every share is printed with the count and the total it came from, so a figure can be checked rather than taken.

The filters are published

3 exclusion patterns are applied to free text before anything is ranked, because HepG2 and Huh7 is used as a model system in hepatotoxicity screening, drug metabolism, and HCV virology. What was removed and why is stated in each section rather than silently applied.

{
  "disease": "Hepatocellular carcinoma",
  "mesh": "Carcinoma, Hepatocellular",
  "facts": "https://usebiotransfer.org/disease/hepatocellular-carcinoma.json",
  "methods": "https://usebiotransfer.org/methods/",
  "note": "Every figure on the page is in that JSON with its source and retrieval date. Quote from it rather than from the HTML."
}