Evidence map›Paper›PMID 34414124›Full record

ArticleLiver cancer2021

Real-Life Clinical Data of Cabozantinib for Unresectable Hepatocellular Carcinoma.

Francesco Tovoli, Vincenzo Dadduzio, Stefania De Lorenzo, Lorenza Rimassa, Gianluca Masi, Massimo Iavarone, Fabio Marra, Ingrid Garajova, Maria Pia Brizzi, Bruno Daniele and 15 more

Open access · goldAbstract read
In one paragraph

Article in Liver cancer, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
5.1field-weighted citation impact, top 3% 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

29 citing papers in PubMed, 48 citations in OpenAlex.

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  2. [Chinese expert consensus on the use of standardized second-line drugs for primary hepatocellular carcinoma].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2026
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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

25 authors at 14 institutions in 1 country.

Francesco TovoliDivision of Internal Medicine, Hepatobiliary and Immunoallergic Diseases, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.
Vincenzo DadduzioMedical Oncology Unit 1, Istituto Oncologico Veneto, IRCCS, Padova, Italy.
Stefania De LorenzoMedical Oncology, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.
Lorenza RimassaDepartment of Biomedical Sciences, Humanitas University, Pieve Emanuele, Milan, Italy.
Gianluca MasiDepartment of Medical Oncology, Pisa University Hospital, Pisa, Italy.
Massimo IavaroneDivision of Gastroenterology and Hepatology, Foundation IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
Fabio MarraDepartment of Experimental and Clinical Medicine, University of Florence, Florence, Italy.
Ingrid GarajovaMedical Oncology Unit, University Hospital of Parma, Parma, Italy.
Maria Pia BrizziMedical Oncology Unit, A.O.U. S. Luigi Gonzaga, Orbassano, Italy.
Bruno DanieleU.O.C. Oncologia, Ospedale del Mare, Napoli, Italy.
Franco TrevisaniSemeiotica Medica, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.
Carlo MessinaOncology Unit, Santa Chiara Hospital, Trento, Italy.
Francesco Di ClementeUnità Operativa Semplice Dipartimentale (UOSD) "Oncologia medica" del Valdarno, Montevarchi, Italy.
Sara PiniDivision of Oncology, AUSL Romagna, Rimini, Italy.
Giuseppe CabibboSection of Gastroenterology & Hepatology, Department of Health Promotion Sciences Maternal and Infant Care, Internal Medicine and Medical Specialties, PROMISE, University of Palermo, Palermo, Italy.
Alessandro GranitoDivision of Internal Medicine, Hepatobiliary and Immunoallergic Diseases, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.
Mario Domenico RizzatoMedical Oncology Unit 1, Istituto Oncologico Veneto, IRCCS, Padova, Italy.
Vittorina ZagonelMedical Oncology Unit 1, Istituto Oncologico Veneto, IRCCS, Padova, Italy.
Giovanni BrandiMedical Oncology, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.
Tiziana PressianiMedical Oncology and Hematology Unit, Humanitas Cancer Center, IRCCS Humanitas Research Hospital, Rozzano, Milan, Italy.
Piera FedericoU.O.C. Oncologia, Ospedale del Mare, Napoli, Italy.
Caterina VivaldiDepartment of Medical Oncology, Pisa University Hospital, Pisa, Italy.
Irene BergnaDivision of Gastroenterology and Hepatology, Foundation IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
Claudia CampaniDepartment of Experimental and Clinical Medicine, University of Florence, Florence, Italy.
Fabio PiscagliaDivision of Internal Medicine, Hepatobiliary and Immunoallergic Diseases, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.
Azienda USL di Bologna · ITAzienda Ospedaliera Universitaria Pisana · ITFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico · ITIstituto Oncologico Veneto · ITUniversity of Florence · ITAzienda Unità Sanitaria Locale Della Romagna · ITHumanitas University · ITIRCCS Humanitas Research Hospital · ITMedica (Italy) · ITOspedale San Luigi Gonzaga · ITOspedale Santa Chiara · ITUniversity of Padua · ITUniversity of Palermo · ITUniversity of Parma · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionCabozantinib has been approved by the European Medicine Agency (EMA) for hepatocellular carcinoma (HCC) previously treated with sorafenib. Cabozantinib is also being tested in combination with immune checkpoint inhibitors in the frontline setting. Real-life clinical data of cabozantinib for HCC are still lacking. Moreover, the prognostic factors for HCC treated with cabozantinib have not been investigated.

methodsWe evaluated clinical data and outcome of HCC patients who received cabozantinib in the legal context of named patient use in Italy.

resultsNinety-six patients from 15 centres received cabozantinib. All patients had preserved liver function (Child-Pugh A), mostly with an advanced HCC (77.1%) in a third-line setting (75.0%). The prevalence of performance status (PS) > 0, macrovascular invasion (MVI), extrahepatic spread, and alpha-fetoprotein (AFP) >400 ng/mL was 50.0, 30.2, 67.7, and 44.8%, respectively. Median overall survival (OS) and progression-free survival were 12.1 (95% confidence interval 9.4-14.8) and 5.1 (3.3-6.9) months, respectively. Most common treatment-related adverse events (AEs) were fatigue (67.7%), diarrhoea (54.2%), anorexia (45.8%), HFSR (43.8%), weight loss (24.0%), and hypertension (24.0%). Most common treatment-related Grade 3-4 AEs were fatigue (6.3%), HFSR (6.3%), and increased aminotransferases (6.3%). MVI, ECOG-PS > 0, and AFP >400 ng/mL predicted a worse OS. Discontinuation for intolerance and no new extrahepatic lesions at the progression were associated with better outcomes.

conclusionsIn a real-life Western scenario (mostly in a third-line setting), cabozantinib efficacy and safety data were comparable with those reported in its registration trial. Data regarding the prognostic factors might help in patient selection and design of clinical trials.

Indexed as

CabozantinibHepatocellular carcinomaOutcomeSorafenibTyrosine kinase inhibitors

Identifiers

PMID34414124
PMCPMC8339460
OpenAlexW3166646448

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.