Evidence map›Paper›PMID 27678348›Full record

ReviewWorld journal of gastroenterology2016

Challenges of advanced hepatocellular carcinoma.

Stefano Colagrande, Andrea L Inghilesi, Sami Aburas, Gian G Taliani, Cosimo Nardi, Fabio Marra

Registry-linked trialOpen access · hybridAbstract readReview
In one paragraph

Review in World journal of gastroenterology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06007846 (A Prospective Cohort Study of Single Agent Memantine in Patients With Child-Pugh Score ≥ B7 Cirrhosis and Hepatocellular Carcinoma), which is not on this map. Cited by 96 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
96citing papers in PubMed, 2 pooled it
7.7field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06007846 phase2 / phase3recruitingnot on this mapstarted 2023, after this paper: background citation

A Prospective Cohort Study of Single Agent Memantine in Patients With Child-Pugh Score ≥ B7 Cirrhosis and Hepatocellular Carcinoma

TypeinterventionalSponsorInova Health Care ServicesRan2023 to 2026Enrolled12ConditionsHepatocellular Carcinoma, CirrhosisArmsNamenda
3 · Its place in the literature

Who cites it

96 citing papers in PubMed, 2 syntheses or guidelines pooled it, 187 citations in OpenAlex.

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36 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Stefano ColagrandeStefano Colagrande, Gian Giacomo Taliani, Cosimo Nardi, Dipartimento di Scienze Biomediche Sperimentali e Cliniche, University of Florence, I-50134 Florence, Italy.
Andrea L InghilesiStefano Colagrande, Gian Giacomo Taliani, Cosimo Nardi, Dipartimento di Scienze Biomediche Sperimentali e Cliniche, University of Florence, I-50134 Florence, Italy.
Sami AburasStefano Colagrande, Gian Giacomo Taliani, Cosimo Nardi, Dipartimento di Scienze Biomediche Sperimentali e Cliniche, University of Florence, I-50134 Florence, Italy.
Gian G TalianiStefano Colagrande, Gian Giacomo Taliani, Cosimo Nardi, Dipartimento di Scienze Biomediche Sperimentali e Cliniche, University of Florence, I-50134 Florence, Italy.
Cosimo NardiStefano Colagrande, Gian Giacomo Taliani, Cosimo Nardi, Dipartimento di Scienze Biomediche Sperimentali e Cliniche, University of Florence, I-50134 Florence, Italy.
Fabio MarraStefano Colagrande, Gian Giacomo Taliani, Cosimo Nardi, Dipartimento di Scienze Biomediche Sperimentali e Cliniche, University of Florence, I-50134 Florence, Italy.
University of Florence · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hepatocellular carcinoma (HCC) is an aggressive malignancy, resulting as the third cause of death by cancer each year. The management of patients with HCC is complex, as both the tumour stage and any underlying liver disease must be considered conjointly. Although surveillance by imaging, clinical and biochemical parameters is routinely performed, a lot of patients suffering from cirrhosis have an advanced stage HCC at the first diagnosis. Advanced stage HCC includes heterogeneous groups of patients with different clinical condition and radiological features and sorafenib is the only approved treatment according to Barcelona Clinic Liver Cancer. Since the introduction of sorafenib in clinical practice, several phase III clinical trials have failed to demonstrate any superiority over sorafenib in the frontline setting. Loco-regional therapies have also been tested as first line treatment, but their role in advanced HCC is still matter of debate. No single agent or combination therapies have been shown to impact outcomes after sorafenib failure. Therefore this review will focus on the range of experimental therapeutics for patients with advanced HCC and highlights the successes and failures of these treatments as well as areas for future development. Specifics such as dose limiting toxicity and safety profile in patients with liver dysfunction related to the underlying chronic liver disease should be considered when developing therapies in HCC. Finally, robust validated and reproducible surrogate end-points as well as predictive biomarkers should be defined in future randomized trials.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsBiomarkers, TumorCarcinoma, HepatocellularClinical Trials as TopicHumansLiverLiver NeoplasmsNeoplasm MetastasisNiacinamidePhenylurea CompoundsPortal VeinSorafenibThrombosisBiomarkers, TumorNiacinamidePhenylurea CompoundsSorafenibAdvanced hepatocellular carcinoma managementAdvanced hepatocellular carcinoma second line therapiesBarcelona Clinic Liver CancerModified Response Evaluation Criteria in Solid TumorsPortal vein thrombosisSorafenib

Identifiers

PMID27678348
PMCPMC5016365
OpenAlexW2516849910

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.