Evidence map›Paper›PMID 32210440›Full record

Trial reportPloS one2020

Biomarkers and overall survival in patients with advanced hepatocellular carcinoma treated with TGF-βRI inhibitor galunisertib.

Gianluigi Giannelli, Armando Santoro, Robin K Kelley, Ed Gane, Valerie Paradis, Ann Cleverly, Claire Smith, Shawn T Estrem, Michael Man, Shuaicheng Wang and 4 more

Erratum issued Registry-linked trialOpen access · goldAbstract readClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT01246986 (Phase 2 Study of LY2157299 in Patients With Hepatocellular Carcinoma), which is not on this map. Cited by 39 papers.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed
4.8field-weighted citation impact, top 4% 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.

NCT01246986 phase2completednot on this map

Phase 2 Study of LY2157299 in Patients With Hepatocellular Carcinoma

TypeinterventionalSponsorEli Lilly and CompanyRan2011 to 2019Enrolled204ConditionsCarcinoma, HepatocellularArmsLY2157299, Sorafenib, Ramucirumab
3 · Its place in the literature

Who cites it

39 citing papers in PubMed, 55 citations in OpenAlex.

  1. Review
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  7. Article
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  11. mAdvanced science (Weinheim, Baden-Wurttemberg, Germany) · 2024
    Article
  12. Review
  13. Review
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  15. New and Old Key Players in Liver Cancer.International journal of molecular sciences · 2023
    Review
  16. Context-dependent TGFβ family signalling in cell fate regulation.Nature reviews. Molecular cell biology · 2023
    Review
  17. Review
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  19. Review
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 8 institutions in 5 countries.

Gianluigi GiannelliNational Institute of Gastroenterology, "s. De Bellis" Research Hospital, Castellana Grotte, Bari, Italy.
Armando SantoroHumanitas Clinical Institute, Milano, Italy.
Robin K KelleyHelen Diller Family Comprehensive Cancer Center, University of California, San Francisco, California, United States of America.
Ed GaneAuckland City Hospital, Auckland, New Zealand.
Valerie ParadisBeaujon Hospital, Clichy, France.
Ann CleverlyEli Lilly and Company, Windlesham, Surrey, United Kingdom.
Claire SmithEli Lilly and Company, Windlesham, Surrey, United Kingdom.
Shawn T EstremEli Lilly and Company, Indianapolis, Indiana, United States of America.
Michael ManEli Lilly and Company, Indianapolis, Indiana, United States of America.
Shuaicheng WangBioStat Solutions, Inc., Frederick, Maryland, United States of America.
Michael M LahnEli Lilly and Company, Indianapolis, Indiana, United States of America.
Eric RaymondParis Saint-Joseph Hospital Center, Paris, France.
Karim A BenhadjiEli Lilly and Company, Indianapolis, Indiana, United States of America.
Sandrine FaivreParis Saint-Joseph Hospital Center, Paris, France.
Eli Lilly (United States) · USEli Lilly (United Kingdom) · GBHôpital Paris Saint-Joseph · FRAuckland City Hospital · NZGastroenterology Hospital "Saverio de Bellis" · ITHôpital Beaujon · FRHumanitas University · ITUniversity of California, San Francisco · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTransforming growth factor beta (TGF-β) signalling is involved in the development of hepatocellular carcinoma (HCC). We followed changes in biomarkers during treatment of patients with HCC with the TGF-βRI/ALK5 inhibitor galunisertib.

methodsThis phase 2 study (NCT01246986) enrolled second-line patients with advanced HCC into one of two cohorts of baseline serum alpha-fetoprotein (AFP): Part A (AFP ≥1.5x ULN) or Part B (AFP <1.5x ULN). Baseline and postbaseline levels of AFP, TGF-β1, E-cadherin, selected miRNAs, and other plasma proteins were monitored.

resultsThe study enrolled 149 patients (Part A, 109; Part B, 40). Median OS was 7.3 months in Part A and 16.8 months in Part B. Baseline AFP, TGF-β1, E-cadherin, and an additional 16 plasma proteins (such as M-CSF, IL-6, ErbB3, ANG-2, neuropilin-1, MIP-3 alpha, KIM-1, uPA, IL-8, TIMP-1, ICAM-1, Apo A-1, CA-125, osteopontin, tetranectin, and IGFBP-1) were found to correlate with OS. In addition, a range of miRs were found to be associated with OS. In AFP responders (21% of patients in Part A with decrease of >20% from baseline) versus non-responders, median OS was 21.5 months versus 6.8 months (p = 0.0015). In TGF-β1 responders (51% of all patients) versus non-responders, median OS was 11.2 months versus 5.3 months (p = 0.0036).

conclusionsConsistent with previous findings, both baseline levels and changes from baseline of circulating AFP and TGF-β1 function as prognostic indicators of survival. Future trials are needed to confirm and extend these results.

Indexed as

AdultAgedAged, 80 and overalpha-FetoproteinsAntigens, CDBiomarkers, TumorCadherinsCarcinoma, HepatocellularCohort StudiesFemaleHumansLiver NeoplasmsMaleMicroRNAsMiddle AgedPrognosisAFP protein, humanalpha-FetoproteinsAntigens, CDBiomarkers, TumorCadherinsCDH1 protein, humanLY-2157299MicroRNAsPyrazolesQuinolinesReceptor, Transforming Growth Factor-beta Type ITGFB1 protein, humanTGFBR1 protein, humanTransforming Growth Factor beta1

Identifiers

PMID32210440
PMCPMC7094874
OpenAlexW3012985540

What OpenQuestion holds

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LicenceCC BY
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.