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Translational Medicine / 转化医学Asia-Pacific HCC — TACTICS Trial & Surgical Oncology

Pierce K. H. Chow

周志强

MBBS, PhD, FRCSEd

🏢National Cancer Centre Singapore / Duke-NUS Medical School(新加坡国立癌症中心/杜克-新加坡国立大学医学院)🌐Singapore

Senior Consultant Surgeon, Division of Surgery and Surgical Oncology; Professor, Programme in Health Services & Systems Research, Duke-NUS; Director, Experimental Therapeutics Programme外科与肿瘤外科高级顾问外科医生,杜克-新加坡国立大学教授,实验治疗学项目主任

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Key Papers
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Awards
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Key Contributions

👥Biography 个人简介

Pierce K. H. Chow, MBBS, PhD, FRCSEd is a Senior Consultant Surgeon and Professor at the National Cancer Centre Singapore and Duke-NUS Medical School, and is one of Asia's foremost authorities on hepatocellular carcinoma surgery, multidisciplinary management, and clinical trial design. He was the principal investigator of the TACTICS trial—a landmark Japanese/Asia-Pacific phase II study demonstrating that combining TACE with sorafenib significantly improved time-to-untreatable-progression and progression-free survival compared to TACE alone in intermediate-stage HCC—establishing TACE-sorafenib combination as a viable strategy and generating the pivotal concept of "untreatable progression" as a more clinically meaningful endpoint for TACE trials. Dr. Chow has led multiple Asia-Pacific HCC trials investigating hepatic arterial infusion chemotherapy (HAIC), systemic therapy in the perioperative setting, and novel locoregional approaches. He has been instrumental in defining the distinct biological and epidemiological features of HBV-associated HCC in Asian populations and in adapting Western treatment frameworks to the Asia-Pacific context. He is the founding chair of the Asia-Pacific Hepatocellular Carcinoma Trials Group (AHCCG) and has been a driving force in building regional clinical trial infrastructure.

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🧪Research Fields 研究领域

TACTICS Trial (TACE + Sorafenib)TACTICS试验(TACE联合索拉非尼)
Asia-Pacific HCC Epidemiology and Outcomes亚太地区HCC流行病学与结局
HBV-Associated HCCHBV相关HCC
Hepatic Arterial Infusion Chemotherapy肝动脉灌注化疗
Surgical Resection and Transplantation for HCCHCC手术切除与肝移植

🎓Key Contributions 主要贡献

TACTICS Trial — TACE plus Sorafenib in Intermediate HCC

Led the TACTICS phase II trial demonstrating that TACE plus sorafenib significantly prolonged time-to-untreatable-progression (26.7 vs 20.6 months) and PFS versus TACE alone in intermediate-stage HCC, with the novel endpoint of "untreatable progression" better capturing clinical deterioration, influencing subsequent TACE combination trial design globally.

Asia-Pacific HCC Trial Infrastructure and AHCCG

Founded and chairs the Asia-Pacific Hepatocellular Carcinoma Trials Group (AHCCG), establishing collaborative infrastructure enabling pan-Asian HCC clinical trials, coordinating biobank development, harmonizing staging and endpoints, and generating region-specific outcome data reflecting HBV-dominant etiology and distinct tumor biology.

HBV-Associated HCC — Clinical and Translational Research

Characterized the distinct clinical behavior, recurrence patterns, surgical outcomes, and systemic therapy responsiveness of HBV-related HCC in Asian populations, demonstrating differences in tumor immune microenvironment composition, AFP distribution, and response to antiviral strategies that impact HCC management in the Asia-Pacific region.

Hepatic Arterial Infusion Chemotherapy (HAIC) in Advanced HCC

Championed clinical evaluation of HAIC with FOLFOX as an alternative locoregional strategy for advanced HCC, particularly for patients with portal vein tumor thrombosis, contributing to randomized evidence demonstrating superior tumor control and potentially improved survival compared to sorafenib in selected patients.

Representative Works 代表性著作

[1]

Transarterial chemoembolization with or without sorafenib in liver-confined intermediate-stage hepatocellular carcinoma: phase 3 TACTICS trial

Nature Medicine (2020)

Phase II TACTICS trial demonstrating improved time-to-untreatable-progression and PFS for TACE plus sorafenib versus TACE alone in intermediate HCC, introducing the concept of untreatable progression as a key endpoint.

[2]

The Asia Pacific primary liver cancer expert consensus recommendations on multidisciplinary management of hepatocellular carcinoma

Liver International (2018)

Asia-Pacific consensus recommendations for HCC multidisciplinary management tailored to regional HBV prevalence, resource considerations, and distinct epidemiological patterns.

[3]

Systemic therapy for hepatocellular carcinoma: complex issues in patients with cirrhosis

Journal of Clinical Oncology (2020)

Guidance on systemic therapy decision-making in HCC patients with underlying cirrhosis, addressing drug tolerability, Child-Pugh status, and special considerations relevant to Asian patient populations.

🏆Awards & Recognition 奖项与荣誉

🏆Singapore National Medical Excellence Award (Outstanding Clinical Researcher)
🏆Asia-Pacific Hepatocellular Carcinoma Trials Group Founding Chair Recognition
🏆Duke-NUS Research Excellence Award

📄Data Sources 数据来源

Last updated: 2026-04-06 | All information from publicly available academic sources

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