Evidence map›Paper›PMID 32271494›Full record

Trial reportThe oncologist2020

A Multicenter Phase II Study of Second-Line Axitinib for Patients with Advanced Hepatocellular Carcinoma Failing First-Line Sorafenib Monotherapy.

Zhong-Zhe Lin, Bang-Bin Chen, Yi-Ping Hung, Po-Hsiang Huang, Ying-Chun Shen, Yu-Yun Shao, Chih-Hung Hsu, Ann-Lii Cheng, Rheun-Chuan Lee, Yee Chao and 1 more

Open access · bronzeAbstract readClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in The oncologist, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
2.2field-weighted citation impact, top 11% 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

13 citing papers in PubMed, 24 citations in OpenAlex.

  1. Article
  2. Advancements in second-line treatment research for hepatocellular carcinoma.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2025
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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

11 authors at 4 institutions in 1 country.

Zhong-Zhe LinDepartment of Medical Oncology, National Taiwan University Cancer Center, Taipei, Taiwan.
Bang-Bin ChenDepartment of Radiology, National Taiwan University Hospital, Taipei, Taiwan.
Yi-Ping HungDepartment of Oncology, Taipei Veterans General Hospital, Taipei, Taiwan.
Po-Hsiang HuangDepartment of Oncology, National Taiwan University Hospital, Taipei, Taiwan.
Ying-Chun ShenDepartment of Medical Oncology, National Taiwan University Cancer Center, Taipei, Taiwan.
Yu-Yun ShaoDepartment of Oncology, National Taiwan University Hospital, Taipei, Taiwan.
Chih-Hung HsuDepartment of Medical Oncology, National Taiwan University Cancer Center, Taipei, Taiwan.
Ann-Lii ChengDepartment of Medical Oncology, National Taiwan University Cancer Center, Taipei, Taiwan.
Rheun-Chuan LeeDepartment of Radiology, Taipei Veterans General Hospital, Taipei, Taiwan.
Yee ChaoDepartment of Oncology, Taipei Veterans General Hospital, Taipei, Taiwan.
Chiun HsuDepartment of Medical Oncology, National Taiwan University Cancer Center, Taipei, Taiwan.
National Taiwan University · TWNational Taiwan University Hospital · TWNational Yang Ming Chiao Tung University · TWTaipei Veterans General Hospital · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

lessons learnedFor patients with advanced hepatocellular carcinoma after failure of first-line sorafenib monotherapy, second-line axitinib provides modest efficacy with tolerable toxicity. The discrepant tumor responses and survival outcomes in trials using axitinib as salvage therapy highlight the importance of optimal patient selection with the aid of clinical biomarkers.

backgroundMultikinase inhibitors have been effective treatment for hepatocellular carcinoma (HCC). This multicenter phase II study explored the efficacy and safety of second-line axitinib for advanced HCC.

methodsPatients with advanced HCC and Child-Pugh A liver function, experiencing progression on first-line sorafenib monotherapy, were eligible. Axitinib 5 mg twice daily was given continuously with allowed dose escalation. Tumor assessment was performed according to RECIST version 1.1. The primary endpoint was rate of disease control.

resultsFrom April 2011 to March 2016, 45 patients were enrolled. Thirty-seven patients (82%) tested positive for hepatitis B surface antigen. The disease control rate was 62.2%, and the response rate was 6.7%, according to RECIST criteria. Median progression-free survival (PFS) and overall survival (OS) were 2.2 months and 10.1 months, respectively. Treatment-related adverse events were compatible with previous reports of axitinib.

conclusionSecond-line axitinib has moderate activity and acceptable toxicity for patients with advanced HCC after failing the first-line sorafenib monotherapy.

Indexed as

Antineoplastic AgentsCarcinoma, HepatocellularLiver NeoplasmsAxitinibHumansNiacinamidePhenylurea CompoundsSorafenibTreatment OutcomeAntineoplastic AgentsAxitinibNiacinamidePhenylurea CompoundsSorafenib

Identifiers

PMID32271494
PMCPMC7485356
OpenAlexW3015811391

What OpenQuestion holds

Textmetadata
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.