Real-World Evidence from the GUIDANCE001 Study: Triple Conversion Therapy vs. TACE Alone in Unresectable HCC
Hepatocellular carcinoma (HCC) is a major global health burden and a leading cause of cancer-related mortality. Curative hepatectomy is often not feasible due to advanced disease or insufficient liver function. Transarterial chemoembolization (TACE) remains the standard treatment for patients in the intermediate stage, and in some guidelines, even for advanced stages. However, the landscape has evolved with the introduction of tyrosine kinase inhibitors (TKIs) and immune checkpoint inhibitors (ICIs). While these therapies have shown clinical efficacy individually or in dual combinations, the benefit of combining all three modalities—TACE, TKIs, and ICIs—as a "triple conversion therapy" had not been validated in large, real-world cohorts until the GUIDANCE001 study.









