Evidence map›Paper›PMID 31185950›Full record

Trial reportBMC cancer2019

A prospective clinical trial on sorafenib treatment of hepatocellular carcinoma before liver transplantation.

Malin Sternby Eilard, Mats Andersson, Peter Naredi, Charalampos Geronymakis, Per Lindnér, Christian Cahlin, William Bennet, Magnus Rizell

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in BMC cancer, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
2.8field-weighted citation impact, top 9% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

  1. Pooled it
  2. Observational
  3. Review
  4. Article
  5. Review
  6. Article
  7. Review
  8. Article
  9. Neo-Adjuvant Use of Sorafenib for Hepatocellular Carcinoma Awaiting Liver Transplantation.Transplant international : official journal of the European Society for Organ Transplantation · 2022
    Observational
  10. Neoadjuvant Therapy for Hepatocellular Carcinoma.Journal of hepatocellular carcinoma · 2022
    Review
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
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

8 authors at 1 institution in 1 country.

Malin Sternby EilardTransplantation Center, Sahlgrenska University Hospital, Gothenburg, 413 45, Gothenburg, Sweden. malin.sternby.eilard@gu.se.ORCID http://orcid.org/0000-0002-5274-7726
Mats AnderssonDepartment of Radiology, Sahlgrenska University Hospital and Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.ORCID http://orcid.org/0000-0001-6008-219X
Peter NarediDepartment of Surgery, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.ORCID http://orcid.org/0000-0002-5652-0422
Charalampos GeronymakisDepartment of Radiology, Sahlgrenska University Hospital and Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.ORCID http://orcid.org/0000-0002-1899-1768
Per LindnérTransplantation Center, Sahlgrenska University Hospital, Gothenburg, 413 45, Gothenburg, Sweden.
Christian CahlinTransplantation Center, Sahlgrenska University Hospital, Gothenburg, 413 45, Gothenburg, Sweden.
William BennetTransplantation Center, Sahlgrenska University Hospital, Gothenburg, 413 45, Gothenburg, Sweden.
Magnus RizellTransplantation Center, Sahlgrenska University Hospital, Gothenburg, 413 45, Gothenburg, Sweden.ORCID http://orcid.org/0000-0001-9791-5247
Sahlgrenska University Hospital · SE

Funding

Bayer HealthCare 15559/2010
6 · The paper itself

Abstract

backgroundPatients with hepatocellular carcinoma waiting for liver transplantation are commonly treated with locoregional treatments, such as TACE and ablation, to prevent tumor progression and dropout and to improve long-term outcome after transplantation. We wanted to prospectively assess feasibility of systemic antitumor treatment with sorafenib as neoadjuvant treatment for hepatocellular carcinoma while waiting for liver transplantation, evaluating tolerability, toxicity and posttransplant morbidity. We also wanted to evaluate perfusion CT parameters to assess tumor properties and response early after start of sorafenib treatment in patients with early hepatocellular carcinoma.

methodsTwelve patients assigned for liver transplantation due to hepatocellular carcinoma, within the UCSF and who fulfilled other criteria, were included January 2012-August 2014. After baseline evaluation, sorafenib treatment was started. Treatment was evaluated by perfusion CT at 1, 4 and 12 weeks and thereafter every 8 weeks. Toxicity and quality of life was assessed at 1 and 4 weeks and every 4 weeks thereafter during treatment. Treatment was stopped when patients were prioritized on the transplantation waiting list or when intolerable side effects or tumor progress warranted other treatments. Posttransplant morbidity after 90 days was registered according to Clavien-Dindo.

resultsBaseline perfusion CT parameters in the tumors predicted the outcome according to RECIST/mRECIST at three months, but no change in CTp parameters was detected as a result of sorafenib. Sorafenib as neoadjuvant treatment was associated with intolerability and dose reductions. Therefore the prerequisites for evaluation of the sorafenib effect on both CT parameters and tumor response were impaired.

conclusionsThis study failed to show changes in CTp parameters during sorafenib treatment. Despite the curative treatment intention, tolerability of neoadjuvant sorafenib treatment before liver transplantation was inadequate in this study.

trial registrationEudraCT number: 2010-024306-36 (date 2011-04-07).

Indexed as

Liver TransplantationAdultAgedAntineoplastic AgentsBlood Flow VelocityCarcinoma, HepatocellularDrug ToleranceFemaleFollow-Up StudiesHumansLiver NeoplasmsMaleMiddle AgedNeoadjuvant TherapyPilot ProjectsProspective StudiesAntineoplastic AgentsSorafenibFeasibilityHepatocellular carcinomaLiver cancerLiver transplantationNeoadjuvantPerfusion CTSorafenib

Identifiers

PMID31185950
PMCPMC6560824
OpenAlexW2953067331

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.