Evidence map›Paper›PMID 34424422›Full record

ReviewCurrent treatment options in oncology2021

Immunotherapy in Hepatocellular Carcinoma.

Claudia A M Fulgenzi, Thomas Talbot, Sam M Murray, Marianna Silletta, Bruno Vincenzi, Alessio Cortellini, David J Pinato

Open access · hybridAbstract readReview
In one paragraph

Review in Current treatment options in oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
3.2field-weighted citation impact, top 6% 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

25 citing papers in PubMed, 40 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Review
  6. Review
  7. Article
  8. Article
  9. Progression patterns and therapeutic sequencing following immune checkpoint inhibition for hepatocellular carcinoma: An international observational study.Liver international : official journal of the International Association for the Study of the Liver · 2023
    Observational
  10. Article
  11. Article
  12. Review
  13. Review
  14. Review
  15. Review
  16. Article
  17. Review
  18. Review
  19. Hepatocellular Carcinoma in Chronic Viral Hepatitis: Where Do We Stand?International journal of molecular sciences · 2022
    Review
  20. Article
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 4 institutions in 2 countries.

Claudia A M FulgenziDivision of Medical Oncology, Policlinico Universitario Campus Bio-Medico, Rome, Italy.
Thomas TalbotDepartment of Surgery & Cancer, Hammersmith Hospital, Imperial College London, Hammersmith Campus, Du Cane Road, W120HS, London, UK.
Sam M MurrayDepartment of Infectious Disease, Faculty of Medicine, Hammersmith Hospital, Imperial College London, W12 0NN, London, UK.
Marianna SillettaDivision of Medical Oncology, Policlinico Universitario Campus Bio-Medico, Rome, Italy.
Bruno VincenziDivision of Medical Oncology, Policlinico Universitario Campus Bio-Medico, Rome, Italy.
Alessio CortelliniDepartment of Surgery & Cancer, Hammersmith Hospital, Imperial College London, Hammersmith Campus, Du Cane Road, W120HS, London, UK.
David J PinatoDepartment of Surgery & Cancer, Hammersmith Hospital, Imperial College London, Hammersmith Campus, Du Cane Road, W120HS, London, UK. david.pinato@imperial.ac.uk.ORCID 0000-0002-3529-0103
Campus Bio Medico University Hospital · ITHammersmith Hospital · GBUniversità degli Studi del Piemonte Orientale “Amedeo Avogadro” · ITUniversity of L'Aquila · IT

Funding

Wellcome Trust PS3416
6 · The paper itself

Abstract

opinion statementPatients with hepatocellular carcinoma (HCC) have been traditionally deprived from highly effective systemic therapy options in the past decades. The multi-targeted tyrosine kinase inhibitor sorafenib, approved in 2008, remained the only treatment option for advanced HCC for over a decade. A number of molecularly targeted therapies such as lenvatinib, regorafenib, cabozantinib, and ramucirumab have significantly widened treatment options in patients with advanced HCC. However, emergence of resistance and long-term toxicity from treatment are barriers to long-term survivorship. Immunotherapy is at the focus of intense research efforts in HCC. Whilst targeting of programmed cell death 1 (PD-1) and cytotoxic T lymphocyte 4 (CTLA-4) is associated with radiologically measurable disease-modulating effects in HCC, monotherapies fell short of demonstrating evidence of significant survival extension in advanced disease. Atezolizumab and bevacizumab were the first immunotherapy regimen to demonstrate clear superiority in improving the survival of patients with unresectable HCC compared to sorafenib, paving the way for immunotherapy combinations. As the treatment landscape of HCC rapidly evolves, with immunotherapy integrating within early- and intermediate-stage disease treatment algorithms, lack of level 1 evidence on sequencing of therapeutic strategies and lack of head-to-head comparisons across immunotherapy combinations will affect prescribing of immunotherapy in routine practice. In the absence of predictive biomarkers, choice of immunotherapy over kinase inhibitors will continue to remain an empirical exercise, guided by balancing anti-tumour efficacy with toxicity considerations in the individual patient.

Indexed as

Antineoplastic Agents, ImmunologicalAntineoplastic Combined Chemotherapy ProtocolsB7-H1 AntigenCarcinoma, HepatocellularCTLA-4 AntigenHumansImmune Checkpoint InhibitorsLiver NeoplasmsNeoadjuvant TherapyProgrammed Cell Death 1 ReceptorProtein Kinase InhibitorsVascular Endothelial Growth Factor AAntineoplastic Agents, ImmunologicalB7-H1 AntigenCD274 protein, humanCTLA-4 AntigenImmune Checkpoint InhibitorsPDCD1 protein, humanProgrammed Cell Death 1 ReceptorProtein Kinase InhibitorsVascular Endothelial Growth Factor AVEGFA protein, humanCTLA-4HCCImmunotherapyPD-1VEGF

Identifiers

PMID34424422
PMCPMC8382645
OpenAlexW3195864634

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.