Evidence map›Paper›PMID 33510460›Full record

ReviewNature reviews. Gastroenterology & hepatology2021

Locoregional therapies in the era of molecular and immune treatments for hepatocellular carcinoma.

Josep M Llovet, Thierry De Baere, Laura Kulik, Philipp K Haber, Tim F Greten, Tim Meyer, Riccardo Lencioni

Registry-linked trialAbstract readReview
PubMed Publisher
In one paragraph

Review in Nature reviews. Gastroenterology & hepatology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07487662 (TACE or Ablation Combined With Sintilimab and Ipilimumab N01 as Neoadjuvant Therapy for Resectable Hepatocellular Carcinoma With Intermediate-High Recurrence Risk), which is not on this map. Cited by 619 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
619citing papers in PubMed, 6 pooled it
84.0field-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.

NCT07487662 phase2not yet recruitingnot on this mapstarted 2026, after this paper: background citation

TACE or Ablation Combined With Sintilimab and Ipilimumab N01 as Neoadjuvant Therapy for Resectable Hepatocellular Carcinoma With Intermediate-High Recurrence Risk: A Multicenter, Multigroup, Randomized, Phase Ⅱ Exploratory Clinical Trial

TypeinterventionalSponsorSun Yat-sen UniversityRan2026 to 2028Enrolled105ConditionsHepato Cellular Carcinoma (HCC)Armssintilimab, ipilimumab N01, Lenvatinib, TACE, ablation
3 · Its place in the literature

Who cites it

619 citing papers in PubMed, 6 syntheses or guidelines pooled it, 970 citations in OpenAlex.

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559 more citing papers are in PubMed but not listed here.

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

7 authors at 7 institutions in 5 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@mountsinai.org.ORCID http://orcid.org/0000-0003-0547-2667
Thierry De BaereRadiology Department Gustave Roussy Cancer Center, Vilejuif, France.
Laura KulikDivision of Gastroenterology and Hepatology, Surgery and Interventional Radiology in Northwestern University, Chicago, IL, USA.
Philipp K HaberMount Sinai Liver Cancer Program, Division of Liver Diseases, Tisch Cancer Institute, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Tim F GretenGastrointestinal Malignancy Section, Thoracic and Gastrointestinal Oncology Branch, Center for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, MD, USA.ORCID http://orcid.org/0000-0002-0806-2535
Tim MeyerDeptartment of Oncology, University College London Cancer Institute, London, UK.
Riccardo LencioniDepartment of Radiology, University of Pisa School of Medicine, Pisa, Italy.
Icahn School of Medicine at Mount Sinai · USInstitució Catalana de Recerca i Estudis Avançats · ESNational Institutes of Health · USNorthwestern University · USThe Royal Free Hospital · GBUniversité Paris-Saclay · FRUniversity of Pisa · IT

Funding

THE TISCH CANCER INSTITUTE - CANCER CENTER SUPPORT GRANTP30CA196521 · NCI · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI Ramon E Parsons · 2015 to 2026
$35.4M
Clinical protocols for the treatment of GI cancerZIABC011343 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI GRETEN, TIM · 2010 to 2025
$4.8M
Cancer Research UK 26813Cancer Research UK C9380/A26813Department of HealthNCI NIH HHS P30 CA196521
6 · The paper itself

Abstract

Hepatocellular carcinoma (HCC) is the fourth leading cause of cancer-related mortality and has an increasing incidence worldwide. Locoregional therapies, defined as imaging-guided liver tumour-directed procedures, play a leading part in the management of 50-60% of HCCs. Radiofrequency is the mainstay for local ablation at early stages and transarterial chemoembolization (TACE) remains the standard treatment for intermediate-stage HCC. Other local ablative techniques (microwave ablation, cryoablation and irreversible electroporation) or locoregional therapies (for example, radioembolization and sterotactic body radiation therapy) have been explored, but have not yet modified the standard therapies established decades ago. This understanding is currently changing, and several drugs have been approved for the management of advanced HCC. Molecular therapies dominate the adjuvant trials after curative therapies and combination strategies with TACE for intermediate stages. The rationale for these combinations is sound. Local therapies induce antigen and proinflammatory cytokine release, whereas VEGF inhibitors and tyrosine kinase inhibitors boost immunity and prime tumours for checkpoint inhibition. In this Review, we analyse data from randomized and uncontrolled studies reported with ablative and locoregional techniques and examine the expected effects of combinations with systemic treatments. We also discuss trial design and benchmarks to be used as a reference for future investigations in the dawn of a promising new era for HCC treatment.

Indexed as

RadiosurgeryAblation TechniquesAntineoplastic AgentsAntineoplastic Combined Chemotherapy ProtocolsCarcinoma, HepatocellularChemotherapy, AdjuvantClinical Trials as TopicEmbolization, TherapeuticEnzyme InhibitorsHumansImmunotherapyLiver NeoplasmsNeoadjuvant TherapyNeoplasm StagingRadiotherapy, AdjuvantResearch DesignAntineoplastic AgentsEnzyme Inhibitors

Identifiers

PMID33510460
OpenAlexW3121807241

What OpenQuestion holds

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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.