A healthy liver:

uHCC Health Liver Icon
  • Breaks down nutrients the body needs
  • Filters waste and toxins from the blood
  • Helps digest food and absorb nutrients
  • Stores energy for later use
  • Supports healthy blood flow and blood clotting
  • Helps fight infections

Because liver cancer and its treatments can affect how your liver works, your doctor will work with you to monitor your liver health throughout your treatment journey.

Importance of managing liver health during uHCC treatment

If you’re being treated for uHCC, taking care of your liver is especially important. Your doctor will check on your liver health regularly as you go through treatment. Here are some ways you can help manage your liver health:

  • Apple Fruit Icon

    Eat a balanced diet

  • Water Bottle Icon

    Drink lots of water

  • Avoid Alcohol and Tobacco Icon

    Avoid alcohol and tobacco

    • Manage Other Health Conditions Icon

      Manage other health conditions, like diabetes or hepatitis. Talk to your doctor about additional health conditions before and during your treatment

    • Consult Doctor Before Medication Icon

      Only take medications after talking to your doctor

If you're considering making changes to your diet or activity level, be sure to talk to your doctor first. Remember to talk to your doctor if you have any concerns regarding your liver health as you go through treatment.

How doctors check liver health

Your doctor may do certain tests to see how the liver is working. These tests help track your liver health. Two of the most common liver health scoring tools are the Child-Pugh Score and the ALBI Grade (Albumin-Bilirubin Grade).

Child-Pugh Score

This scoring system looks at 5 key areas to understand how well your liver is functioning:

uHCC Blood Test Tube Icon

Bilirubin: a substance in your blood linked to liver health

Albumin: a protein made by your liver

INR: shows how well your blood clots

Fluid in the Abdomen Icon

Fluid in the abdomen: extra fluid in your stomach area

Brain Function Icon

Brain function: conditions that disrupt your brain from working (encephalopathy)

Based on these results, your liver is given a Child-Pugh Score:

  • A = Best liver function
  • B = Moderate liver problems
  • C = Severe liver damage

Your doctor may do these tests to see how well your liver is working.

ALBI Grade (Albumin-Bilirubin Grade)

Albumin and Bilirubin Blood Test Tube Icon

The ALBI Grade uses just 2 blood tests (albumin and bilirubin) to provide a score that reflects liver health:

  • Grade 1 = Best liver health
  • Grade 2 = Moderate liver health
  • Grade 3 = Poor liver health

These tools help doctors track liver health for patients with liver conditions.

Questions to ask your doctor:

  • Questions IconWhy is it important to track my liver health?
  • Questions IconWhat do Child-Pugh Scores or ALBI Grades say about my liver health?
  • Questions IconHow will my doctor and I manage my liver health while on treatment?
See more questions to
guide your next appointment

Starting on treatment gives you a different mindset because you realize that there is hope. —Mickey, diagnosed with uHCC

Watch Mickey's story
Learn about the results of IMFINZI + IMJUDO for uHCC
See the clinical trial results

Important Safety Information

What is the most important information I should know about IMFINZI® (durvalumab) and IMJUDO® (tremelimumab-actl)?

IMFINZI and IMJUDO are medicines that may treat certain cancers by working with your immune system. IMFINZI and IMJUDO can cause your immune system to attack normal organs and tissues in any area of your body and can affect the way they work. These problems can sometimes become severe or life-threatening and can lead to death. You can have more than one of these problems at the same time. These problems may happen anytime during treatment or even after your treatment has ended.

What are IMFINZI and IMJUDO?

IMFINZI is a prescription medicine used in combination with IMJUDO to treat adults with a type of liver cancer that cannot be removed by surgery (unresectable hepatocellular carcinoma or uHCC).

It is not known if IMFINZI and IMJUDO are safe and effective in children.

Call or see your healthcare provider right away if you develop any new or worsening signs or symptoms, including:

  • Lung Problems Icon

    Lung problems: cough, shortness of breath, and chest pain

  • Intestinal Problems Icon

    Intestinal problems: diarrhea (loose stools) or more frequent bowel movements than usual; stools that are black, tarry, sticky, or have blood or mucus; and severe stomach-area (abdomen) pain or tenderness

  • uHCC Liver Problem Icon

    Liver problems: yellowing of your skin or the whites of your eyes, severe nausea or vomiting, pain on the right side of your stomach area (abdomen), dark urine (tea colored), and bleeding or bruising more easily than normal

  • uHCC Hormone Gland Problems Icon

    Hormone gland problems: headaches that will not go away or unusual headaches; eye sensitivity to light; eye problems; rapid heartbeat; increased sweating; extreme tiredness; weight gain or weight loss; feeling more hungry or thirsty than usual; urinating more often than usual; hair loss; feeling cold; constipation; your voice gets deeper; dizziness or fainting; and changes in mood or behavior, such as decreased sex drive, irritability, or forgetfulness

  • uHCC Kidney Problems Icon

    Kidney problems: decrease in your amount of urine, blood in your urine, swelling of your ankles, and loss of appetite

  • uHCC Skin Problems Icon

    Skin problems: rash; itching; skin blistering or peeling; painful sores or ulcers in mouth or nose, throat, or genital area; fever or flu-like symptoms; and swollen lymph nodes

  • uHCC Pancreas Problems Icon

    Pancreas problems: pain in your upper stomach area (abdomen), severe nausea or vomiting, and loss of appetite

  • uHCC Patient Icon

    Problems can also happen in other organs and tissues. These are not all of the signs and symptoms of immune system problems that can happen with IMFINZI and IMJUDO. Call or see your healthcare provider right away for any new or worsening signs or symptoms, which may include: Chest pain, irregular heartbeats, shortness of breath or swelling of ankles; confusion, sleepiness, memory problems, changes in mood or behavior, stiff neck, balance problems; tingling or numbness of the arms or legs; double vision, blurry vision, sensitivity to light, eye pain, changes in eye sight; persistent or severe muscle pain or weakness, muscle cramps, joint pain, joint stiffness or swelling; and low red blood cells and bruising

  • uHCC Patient Icon

    Infusion reactions that can sometimes be severe or life-threatening. Signs and symptoms of infusion reactions may include: chills or shaking, itching or rash, flushing, shortness of breath or wheezing, dizziness, feel like passing out, fever, and back or neck pain

  • Immune System Rejecting a Transplanted Organ Icon

    Rejection of a transplanted organ or tissue. Your healthcare provider should tell you what signs and symptoms you should report and monitor you depending on the type of organ or tissue transplant that you have had

  • uHCC Complications Icon

    Complications, including graft-versus-host disease (GVHD), in people who have received a bone marrow (stem cell) transplant that uses donor stem cells (allogeneic). These complications can be serious and can lead to death. These complications may happen if you underwent transplantation either before or after being treated with IMFINZI. Your healthcare provider will monitor you for these complications

Getting medical treatment right away may help keep these problems from becoming more serious. Your healthcare provider will check you for these problems during your treatment with IMFINZI and IMJUDO. Your healthcare provider may treat you with corticosteroid or hormone replacement medicines. Your healthcare provider may also need to delay or completely stop treatment with IMFINZI and IMJUDO if you have severe side effects

Before you receive IMFINZI and IMJUDO, tell your healthcare provider about all of your medical conditions, including if you:

  • have immune system problems such as Crohn's disease, ulcerative colitis, or lupus
  • have received an organ or tissue transplant, including corneal transplant
  • have received or plan to receive a stem cell transplant that uses donor stem cells (allogeneic)
  • have received radiation treatment to your chest area
  • have a condition that affects your nervous system, such as myasthenia gravis or Guillain-Barré syndrome
  • are pregnant or plan to become pregnant. IMFINZI and IMJUDO can harm your unborn baby

    • Females who are able to become pregnant:

    • Your healthcare provider will give you a pregnancy test before you start treatment with IMFINZI and IMJUDO.
    • You should use an effective method of birth control during your treatment and for 3 months after the last dose of IMFINZI and IMJUDO. Talk to your healthcare provider about birth control methods that you can use during this time.
    • Tell your healthcare provider right away if you become pregnant or think you may be pregnant during treatment with IMFINZI and IMJUDO.
  • are breastfeeding or plan to breastfeed. It is not known if IMFINZI and IMJUDO pass into your breast milk. Do not breastfeed during treatment and for 3 months after the last dose of IMFINZI and IMJUDO.

Tell your healthcare provider about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements.

What are the possible side effects of IMFINZI and IMJUDO?

IMFINZI and IMJUDO can cause serious side effects (see above).

The most common side effects of IMFINZI and IMJUDO in adults with unresectable hepatocellular carcinoma (uHCC) include rash, diarrhea, feeling tired, itchiness, muscle or bone pain, and stomach (abdominal) pain.

Tell your healthcare provider if you have any side effect that bothers you or that does not go away. These are not all the possible side effects of IMFINZI and IMJUDO. Ask your healthcare provider or pharmacist for more information.

Call your doctor for medical advice about side effects. You may report side effects related to AstraZeneca productsReport side effects related to AstraZeneca products. If you prefer to report these to the FDA, either visit www.FDA.gov/medwatch or call 1-800-FDA-1088.

Call your doctor for medical advice about side effects. You may report side effects related to AstraZeneca productsReport side effects related to AstraZeneca products. If you prefer to report these to the FDA, either visit www.FDA.gov/medwatch or call 1-800-FDA-1088.

What are IMFINZI and IMJUDO?

IMFINZI is a prescription medicine used in combination with IMJUDO to treat adults with a type of liver cancer that cannot be removed by surgery (unresectable hepatocellular carcinoma or uHCC).

It is not known if IMFINZI and IMJUDO are safe and effective in children.

Please see Full Prescribing Information including Medication Guide for IMFINZI and IMJUDO.

What are IMFINZI and IMJUDO?

Important Safety Information

What is the most important information I should know about IMFINZI® (durvalumab) and IMJUDO® (tremelimumab-actl)?

IMFINZI and IMJUDO are medicines that may treat certain cancers by working with your immune system. IMFINZI and IMJUDO can...

IMFINZI is a medicine that may treat...

Read full Important Safety Information

Important Safety Information

What are IMFINZI and IMJUDO?

Minimize Expand

IMFINZI is a prescription medicine used in combination with IMJUDO to treat adults with a type of liver cancer that cannot be removed by surgery (unresectable hepatocellular carcinoma or uHCC).

What is the most important information I should know about IMFINZI® (durvalumab) and IMJUDO® (tremelimumab-actl)?

IMFINZI is a medicine that may treat certain cancers by work...

IMFINZI and IMJUDO are medicines that...

Read full Important Safety Information