Hepatocellular carcinoma (HCC) is the most common type of primary liver cancer, ranking as the sixth most frequently diagnosed cancer and the third leading cause of cancer-related deaths worldwide, primarily attributed to its late-stage diagnosis, limited therapeutic options, and poor prognosis.1-3 While tyrosine kinase inhibitors (TKIs) and anti-vascular endothelial growth factor (anti-VEGF) therapies are commonly used, their long-term efficacy is limited and clinical benefits are restricted to a subset of patients.2,3 Nivolumab, a programmed cell death protein 1 (PD-1) immune checkpoint inhibitor, and ipilimumab, a cytotoxic T-lymphocyte-associated antigen 4 (CTLA-4) inhibitor, are monoclonal antibodies that are proven to enhance antitumor immune response.3,4 The United States (US) Food and Drug Administration (FDA) recently approved their combination for treating unresectable or metastatic HCC in patients who have not received prior systemic therapy, based on the results of phase 3 CheckMate 9DW trial.3