Evidence map›Paper›PMID 28640364›Full record

Trial reportCancer2017

A phase 2 study of the efficacy and biomarker on the combination of transarterial chemoembolization and axitinib in the treatment of inoperable hepatocellular carcinoma.

Stephen L Chan, Winnie Yeo, Frankie Mo, Anthony W H Chan, Jane Koh, Leung Li, Edwin P Hui, Charing C N Chong, Paul B S Lai, Tony S K Mok and 1 more

2 registry-linked trialsOpen access · bronzeAbstract readClinical Trial, Phase II
PubMed Publisher
In one paragraph

Trial report in Cancer, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 17% 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.

NCT01352728 phase2completednot on this map

A Phase II Study of Transarterial Chemoembolisation and Axitinib for the Treatment of Unresectable Hepatocellular Carcinoma

TypeinterventionalSponsorChinese University of Hong KongRan2011 to 2018Enrolled50ConditionsHepatocellular CarcinomaArmsAxitinib
NCT04873895 phase1terminatednot on this mapstarted 2022, after this paper: background citation

Phase 1B Study of Hepatic Chemoembolization Plus Axitinib and Hydroxychlorquine for Liver-Dominant Metastatic Adenocarcinoma Of The Colon And Rectum

TypeinterventionalSponsorAbramson Cancer Center at Penn MedicineRan2022 to 2024Enrolled5ConditionsColorectal Neoplasms MalignantArmsAxitinib 5 MG, Hydroxychloroquine Pill, trans arterial chemoembolization
3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.

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  16. Precise delivery of obeticholic acidActa pharmaceutica Sinica. B · 2020
    Article
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  19. Recent progress in treatment of hepatocellular carcinoma.American journal of cancer research · 2020
    Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 1 institution in 2 countries.

Stephen L ChanState Key Laboratory of Oncology in South China, Hong Kong.ORCID http://orcid.org/0000-0001-8998-5480
Winnie YeoState Key Laboratory of Oncology in South China, Hong Kong.
Frankie MoState Key Laboratory of Oncology in South China, Hong Kong.
Anthony W H ChanState Key Laboratory of Oncology in South China, Hong Kong.ORCID http://orcid.org/0000-0002-1771-163X
Jane KohSir YK Pao Center for Cancer, Department of Clinical Oncology, Hong Kong Cancer Institute and Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong.
Leung LiSir YK Pao Center for Cancer, Department of Clinical Oncology, Hong Kong Cancer Institute and Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong.
Edwin P HuiState Key Laboratory of Oncology in South China, Hong Kong.
Charing C N ChongDepartment of Surgery, The Chinese University of Hong Kong, Hong Kong.
Paul B S LaiDepartment of Surgery, The Chinese University of Hong Kong, Hong Kong.
Tony S K MokState Key Laboratory of Oncology in South China, Hong Kong.
Simon C H YuDepartment of Imaging and Interventional Radiology, The Chinese University of Hong Kong, Hong Kong.
Chinese University of Hong Kong · HK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA surge of vascular endothelial growth factor (VEGF) after transarterial chemoembolization (TACE) may contribute to tumor progression. Axitinib is a potent antiangiogenic agent with main activity against VEGF receptors 1 to 3. To the authors' knowledge, its role in combination with TACE for the treatment of patients with inoperable hepatocellular carcinoma (HCC) is unclear.

methodsA phase 2 clinical trial (ClinicalTrials.gov identifier NCT01352728) was conducted to evaluate the combination treatment. Patients with inoperable HCC who were potential candidates for TACE initiated treatment with axitinib at a dose of 5 mg twice daily and were evaluated for the need for TACE every 8 weeks. Axitinib was withheld 24 hours before TACE, and resumed 24 hours afterward when fulfilling predefined criteria. Radiologic assessment was conducted every 8 weeks. The primary endpoint was the 2-year overall survival (OS) rate.

resultsA total of 50 patients were recruited from March 2011 to April 2014. The mean age of the patients was 61.8 years, and 46 patients (92%) had hepatitis B infection. The Barcelona Clinic Liver Cancer stage B/C percentage was 76% (38 cases)/24% (12 cases). The 2-year OS rate was 43.7%, and the median OS was 18.8 months in the intention-to-treat population. Among the evaluable population (44 patients), 40.9% (18 patients) and 27.3% (12 patients) achieved complete and partial responses, respectively. Common grade 3 or above axitinib-related complications included hand-foot skin reaction (14%) and hypertension (24%). The presence of hypertension during treatment was found to be an independent prognosticator (hazard ratio, 0.563; P = .0073) suggestive of a contributory role of axitinib to efficacy.

conclusionsThe combination of axitinib and TACE was potentially efficacious for patients with inoperable HCC with a high radiologic response rate. Cancer 2017;123:3977-85. © 2017 American Cancer Society.

Indexed as

AgedAlanine TransaminaseAlkaline PhosphataseAntineoplastic AgentsAxitinibBilirubinCarcinoma, HepatocellularChemoembolization, TherapeuticDisease-Free SurvivalDisease ProgressionFemaleHumansImidazolesIndazolesInternational Normalized RatioLiver NeoplasmsAlanine TransaminaseAlkaline PhosphataseAntineoplastic AgentsAxitinibBilirubinImidazolesIndazolesProtein Kinase InhibitorsReceptors, Vascular Endothelial Growth Factorcancerdrug developmenthypertensioninterventional radiologyliver

Identifiers

PMID28640364
OpenAlexW2713187733

What OpenQuestion holds

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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.