Evidence map›Paper›PMID 33859646›Full record

ReviewFrontiers in immunology2021

Lessons From Immune Checkpoint Inhibitor Trials in Hepatocellular Carcinoma.

Raphael Mohr, Fabian Jost-Brinkmann, Burcin Özdirik, Joeri Lambrecht, Linda Hammerich, Sven H Loosen, Tom Luedde, Münevver Demir, Frank Tacke, Christoph Roderburg

Abstract readReview
In one paragraph

Review in Frontiers in immunology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

22 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
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  5. A Metrology Informatics Investigation of Conversion Therapy in Hepatocellular Carcinoma: 2014-2023.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2025
    Article
  6. Frontiers in immunology · 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

10 authors.

Raphael MohrDepartment of Hepatology and Gastroenterology, Charité University Medicine Berlin, Berlin, Germany.
Fabian Jost-BrinkmannDepartment of Hepatology and Gastroenterology, Charité University Medicine Berlin, Berlin, Germany.
Burcin ÖzdirikDepartment of Hepatology and Gastroenterology, Charité University Medicine Berlin, Berlin, Germany.
Joeri LambrechtDepartment of Hepatology and Gastroenterology, Charité University Medicine Berlin, Berlin, Germany.
Linda HammerichDepartment of Hepatology and Gastroenterology, Charité University Medicine Berlin, Berlin, Germany.
Sven H LoosenClinic for Gastroenterology, Hepatology and Infectious Diseases, University Hospital Düsseldorf, Düsseldorf, Germany.
Tom LueddeClinic for Gastroenterology, Hepatology and Infectious Diseases, University Hospital Düsseldorf, Düsseldorf, Germany.
Münevver DemirDepartment of Hepatology and Gastroenterology, Charité University Medicine Berlin, Berlin, Germany.
Frank TackeDepartment of Hepatology and Gastroenterology, Charité University Medicine Berlin, Berlin, Germany.
Christoph RoderburgDepartment of Hepatology and Gastroenterology, Charité University Medicine Berlin, Berlin, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The implementation of immune checkpoint inhibitors (ICI) into the clinical management of different malignancies has largely changed our understanding of cancer treatment. After having proven efficacy in different tumor entities such as malignant melanoma and lung cancer, ICI were intensively tested in the setting of hepatocellular carcinoma (HCC). Here they could achieve higher and more durable response rates compared to tyrosine-kinase inhibitors (TKI), that were sole standard of care for the last decade. Most recently, ICI treatment was approved in a first line setting of HCC, for cases not suitable for curative strategies. However, only a subset of patients benefits from ICI therapy, while others experience rapid tumor progression, worsening of liver function and poor prognosis. Efforts are being made to find immune characteristics that predict tumor responsiveness to ICI, but no reliable biomarker could be identified so far. Nevertheless, data convincingly demonstrate that combination therapies (such as dual inhibition of PD-L1 and VEGF) are more effective than the application of single agents. In this review, we will briefly recapitulate the current algorithms for systemic treatment, discuss available results from checkpoint inhibitor trials and give an outlook on future directions of immunotherapy in HCC.

Indexed as

Angiogenesis InhibitorsAntineoplastic Agents, ImmunologicalAntineoplastic Combined Chemotherapy ProtocolsB7-H1 AntigenCarcinoma, HepatocellularChemotherapy, AdjuvantDisease ProgressionDrug Resistance, NeoplasmHepatectomyHumansImmune Checkpoint InhibitorsLiverLiver NeoplasmsNeoadjuvant TherapyProgression-Free SurvivalProtein Kinase InhibitorsAngiogenesis InhibitorsAntineoplastic Agents, ImmunologicalB7-H1 AntigenCD274 protein, humanImmune Checkpoint InhibitorsProtein Kinase InhibitorsVascular Endothelial Growth Factor AVEGFA protein, humancheckpoint inhibitor treatmentclinical trialshepatocellular carcinomaimmunotherapyliver cirrhosis

Identifiers

PMID33859646
PMCPMC8042255

What OpenQuestion holds

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Registered trials

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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.