Evidence map›Paper›PMID 33479224›Full record

ReviewNature reviews. Disease primers2021

Hepatocellular carcinoma.

Josep M Llovet, Robin Kate Kelley, Augusto Villanueva, Amit G Singal, Eli Pikarsky, Sasan Roayaie, Riccardo Lencioni, Kazuhiko Koike, Jessica Zucman-Rossi, Richard S Finn

Erratum issued 10 registry-linked trialsOpen access · bronzeAbstract readReview
In one paragraph

Review in Nature reviews. Disease primers, 2021. 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 10 registered trials, which are not on this map. Cited by 4,184 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4,184citing papers in PubMed, 3 pooled it
553.7field-weighted citation impact, top 1% 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.

NCT05171166 phase2 / phase3terminatednot on this map

Neoadjuvant HAIC of TACE Plus Donafenib in BCLC B Stage Hepatocellular Carcinoma Out Up-to-seven: a Multi-center Randomized Controlled Trial.

TypeinterventionalSponsorPeking UniversityRan2021 to 2025Enrolled18ConditionsHepatocellular CarcinomaArmsHAIC, TACE, FOLFOX, cTACE or DEB-TACE, Donafenib
NCT05242237 unknown statusnot on this map

The Prognostic Value of Circulating Tumor Cells Isolated by a Novel Microfluidic Platform in Liver Cancer Patients

Typeobservational_patient_registrySponsorThe Second Affiliated Hospital of Chongqing Medical UniversityRan2021 to 2024Enrolled300ConditionsHepatocellular Carcinoma, Circulating Tumor Cell, Whole Genome Sequencing
NCT05278195 unknown statusnot on this mapstarted 2022, after this paper: background citation

Assessing the Prognosis of Transarterial Chemoembolization in Combination With PD-1/PD-L1 Inhibitors and Molecular Target Therapies(VEGF-TKI/Bevacizumab) for Hepatocellular Carcinoma by Using Clinical and Imaging Biomarkers

TypeobservationalSponsorZhongda HospitalRan2022 to 2023Enrolled300ConditionsHepatocellular Carcinoma
NCT05332496 completednot on this mapstarted 2022, after this paper: background citation

Efficacy and Safety of Transarterial Chemoembolization in Combination With PD-1/PD-L1 Inhibitors and Molecular Target Therapies(VEGF-TKI/Bevacizumab) for Intermediate Stage HCC

Typeobservational_patient_registrySponsorZhongda HospitalRan2022 to 2025Enrolled941ConditionsHepatocellular CarcinomaArmsPD-1/PD-L1 inhibitors+VEGF-TKI/bevacizumab, TACE
NCT05332821 completednot on this mapstarted 2022, after this paper: background citation

Efficacy and Safety of Transarterial Chemoembolization in Combination With PD-1/PD-L1 Inhibitors and Molecular Target Therapies(VEGF-TKI/Bevacizumab) for Advanced Stage HCC

Typeobservational_patient_registrySponsorZhongda HospitalRan2022 to 2024Enrolled1,244ConditionsHepatocellular CarcinomaArmsPD-1/PD-L1 inhibitors+VEGF-TKI/bevacizumab, TACE
NCT06096896 active not recruitingnot on this mapstarted 2023, after this paper: background citation

The Efficacy and Safety of EOB-MRI Guided Microwave Ablation for Early HCC: A Multicenter, Prospective, Observational Study

TypeobservationalSponsorShandong Provincial HospitalRan2023 to 2030Enrolled334ConditionsEarly Hepatocellular CarcinomaArmsMWA
NCT06355700 naunknown statusnot on this mapstarted 2023, after this paper: background citation

Hepatocellular Carcinoma Organoids to Explore Tumor Microenvironment and Test Treatment Efficacy - Hepatocellular Carcinoma Liver Organoids (HELIO)

TypeinterventionalSponsorFondazione Policlinico Universitario Agostino Gemelli IRCCSRan2023 to 2025Enrolled10ConditionsHepatocellular CarcinomaArmsLiver biopsy
NCT07265271 recruitingnot on this mapstarted 2025, after this paper: background citation

Project for Multi-Omics-Based Early Detection of Hepatocellular Carcinoma (PROMETHEA Study)

TypeobservationalSponsorCity of Hope Medical CenterRan2025 to 2028Enrolled600ConditionsHepatocellular Carcinoma (HCC)ArmsSmall RNA sequence, Rt-qPCR
NCT07493668 phase2recruitingnot on this mapstarted 2026, after this paper: background citation

A Phase 2, Multicenter, Randomized, Open-label Study Comparing Fostrox + Lenvatinib vs. Lenvatinib in Patients With Locally Advanced or Unresectable Advanced Hepatocellular Carcinoma (HCC) Who Have Received First-line Combination Immunotherapy

TypeinterventionalSponsorCHA UniversityRan2026 to 2029Enrolled80ConditionsHepatocellular Carcinoma (HCC)ArmsFostrox, Lenvatinib
NCT07774247 phase2not yet recruitingnot on this mapstarted 2026, after this paper: background citation

A Multicenter, Phase II Study to Evaluate the Safety and Efficacy of Atezolizumab, Bevacizumab, and Tocilizumab in Patients With Advanced Hepatocellular Carcinoma

TypeinterventionalSponsorCHA UniversityRan2026 to 2029Enrolled51ConditionsHepatocellular Carcinoma (HCC)ArmsAtezolizumab, Bevacizumab, Tocilizumab
3 · Its place in the literature

Who cites it

4,184 citing papers in PubMed, 3 syntheses or guidelines pooled it, 6,195 citations in OpenAlex.

  1. Pooled it
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  4. A Phase Ib/IIa Study of Fostrox in Combination with Lenvatinib as Second-line Therapy in Patients with Advanced Hepatocellular Carcinoma.Clinical cancer research : an official journal of the American Association for Cancer Research · 2026
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4,124 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 10 institutions in 6 countries.

Josep M LlovetMount Sinai Liver Cancer Program, Division of Liver Diseases, Tisch Cancer Institute, Icahn School of Medicine at Mount Sinai, New York, NY, USA. josep.llovet@mssm.edu.ORCID http://orcid.org/0000-0003-0547-2667
Robin Kate KelleyHelen Diller Family Comprehensive Cancer Center, University of California, San Francisco (UCSF), San Francisco, CA, USA.
Augusto VillanuevaMount Sinai Liver Cancer Program, Division of Liver Diseases, Tisch Cancer Institute, Icahn School of Medicine at Mount Sinai, New York, NY, USA.ORCID http://orcid.org/0000-0003-3585-3727
Amit G SingalDepartment of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
Eli PikarskyThe Lautenberg Center for Immunology and Cancer Research, IMRIC, The Hebrew University of Jerusalem, Jerusalem, Israel.
Sasan RoayaieWhite Plains Hospital Center for Cancer Care, Montefiore Health, White Plains, NY, USA.
Riccardo LencioniDepartment of Radiology, Pisa University School of Medicine, Pisa, Italy.
Kazuhiko KoikeThe University of Tokyo, Department of Gastroenterology, Tokyo, Japan.
Jessica Zucman-RossiCentre de Recherche des Cordeliers, Sorbonne Université, Inserm, USPC, Université Paris Descartes, Université Paris Diderot, Paris, France.ORCID http://orcid.org/0000-0002-5687-0334
Richard S FinnDepartment of Oncology, Geffen School of Medicine at UCLA, Los Angeles, CA, USA.
Hebrew University of Jerusalem · ILIcahn School of Medicine at Mount Sinai · USInserm · FRInstitució Catalana de Recerca i Estudis Avançats · ESThe University of Texas Southwestern Medical Center · USUniversity of California, Los Angeles · USUniversity of California, San Francisco · USUniversity of Pisa · ITUniversity of Tokyo Hospital · JPWhite Plains Hospital · US

Funding

THE TISCH CANCER INSTITUTE - CANCER CENTER SUPPORT GRANTP30CA196521 · NCI · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI Deanna L Benson · 2015 to 2026
$35.4M
Cancer Research UK C9380/A26813NCI NIH HHS P30 CA196521
6 · The paper itself

Abstract

Liver cancer remains a global health challenge, with an estimated incidence of >1 million cases by 2025. Hepatocellular carcinoma (HCC) is the most common form of liver cancer and accounts for ~90% of cases. Infection by hepatitis B virus and hepatitis C virus are the main risk factors for HCC development, although non-alcoholic steatohepatitis associated with metabolic syndrome or diabetes mellitus is becoming a more frequent risk factor in the West. Moreover, non-alcoholic steatohepatitis-associated HCC has a unique molecular pathogenesis. Approximately 25% of all HCCs present with potentially actionable mutations, which are yet to be translated into the clinical practice. Diagnosis based upon non-invasive criteria is currently challenged by the need for molecular information that requires tissue or liquid biopsies. The current major advancements have impacted the management of patients with advanced HCC. Six systemic therapies have been approved based on phase III trials (atezolizumab plus bevacizumab, sorafenib, lenvatinib, regorafenib, cabozantinib and ramucirumab) and three additional therapies have obtained accelerated FDA approval owing to evidence of efficacy. New trials are exploring combination therapies, including checkpoint inhibitors and tyrosine kinase inhibitors or anti-VEGF therapies, or even combinations of two immunotherapy regimens. The outcomes of these trials are expected to change the landscape of HCC management at all evolutionary stages.

Indexed as

Carcinoma, HepatocellularLiver NeoplasmsCombined Modality TherapyHumansImmunotherapySorafenibSorafenib

Identifiers

PMID33479224
PMCPMC13537433
OpenAlexW4210774372

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

and 4 more above

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.