Evidence map›Paper›PMID 34541612›Full record

Trial reportJournal of cancer research and clinical oncology2022

Gadoxetic acid uptake as a molecular imaging biomarker for sorafenib resistance in patients with hepatocellular carcinoma: a post hoc analysis of the SORAMIC trial.

Osman Öcal, Daniel Rössler, Antonio Gasbarrini, Thomas Berg, Heinz-Josef Klümpen, Irene Bargellini, Bora Peynircioglu, Otto van Delden, Christian Schulz, Kerstin Schütte and 6 more

Open access · hybridAbstract readClinical Trial
In one paragraph

Trial report in Journal of cancer research and clinical oncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.6field-weighted citation impact, top 33% 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

6 citing papers in PubMed, 7 citations in OpenAlex.

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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

16 authors at 12 institutions in 5 countries.

Osman Öcal *Department of Radiology, University Hospital, Ludwig Maximilian University of Munich, Marchioninistrasse 15, 81377, Munich, Germany.
Daniel Rössler *Department of Medicine II, University Hospital, LMU Munich, Munich, Germany.
Antonio GasbarriniFondazione Policlinico Gemelli IRCCS, Università' Cattolica del Sacro Cuore, Roma, Italy.
Thomas BergKlinik Und Poliklinik Für Gastroenterologie, Sektion Hepatologie, Universitätsklinikum Leipzig, Leipzig, Germany.
Heinz-Josef KlümpenDepartment of Medical Oncology, Amsterdam University Medical Centers, University of Amsterdam, Amsterdam, The Netherlands.
Irene BargelliniDepartment of Vascular and Interventional Radiology, University Hospital of Pisa, Pisa, Italy.
Bora PeynirciogluDepartment of Radiology, Hacettepe University, Ankara, Turkey.
Otto van DeldenDepartment of Radiology and Nuclear Medicine, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands.
Christian SchulzDepartment of Medicine II, University Hospital, LMU Munich, Munich, Germany.
Kerstin SchütteDepartment of Internal Medicine and Gastroenterology, Niels-Stensen-Kliniken Marienhospital, Osnabrück, Germany.
Roberto IezziFondazione Policlinico Universitario A. Gemelli IRCCS, UOC Di Radiologia, Dipartimento Di Diagnostica Per Immagini, Radioterapia Oncologica ed Ematologia, Roma, Italy.
Maciej PechDepartments of Radiology and Nuclear Medicine, University of Magdeburg, Magdeburg, Germany.
Peter MalfertheinerDepartment of Medicine II, University Hospital, LMU Munich, Munich, Germany.
Bruno SangroLiver Unit, Clínica Universidad de Navarra-IDISNA and CIBEREHD, Pamplona, Spain.
Jens RickeDepartment of Radiology, University Hospital, Ludwig Maximilian University of Munich, Marchioninistrasse 15, 81377, Munich, Germany.
Max SeidenstickerDepartment of Radiology, University Hospital, Ludwig Maximilian University of Munich, Marchioninistrasse 15, 81377, Munich, Germany. max.seidensticker@med.uni-muenchen.de.ORCID http://orcid.org/0000-0002-2481-5410
LMU Klinikum · DELudwig-Maximilians-Universität München · DEAgostino Gemelli University Polyclinic · ITAmsterdam UMC Location University of Amsterdam · NLAmsterdam University Medical Centers · NLAzienda Ospedaliera Universitaria Pisana · ITCentro de Investigación Biomédica en Red · ESHacettepe University · TRMarienhospital Osnabrück · DEUniversità Cattolica del Sacro Cuore · ITUniversity Hospital Leipzig · DEUniversity Hospital Magdeburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeGadoxetic acid uptake on hepatobiliary phase MRI has been shown to correlate with ß-catenin mutation in patients with HCC, which is associated with resistance to certain therapies. This study aimed to evaluate the prognostic value of gadoxetic acid uptake on hepatobiliary phase MRI in patients with advanced HCC receiving sorafenib.

methods312 patients with available baseline hepatobiliary phase MRI images received sorafenib alone or following selective internal radiation therapy (SIRT) within SORAMIC trial. The signal intensity of index tumor and normal liver parenchyma were measured on the native and hepatobiliary phase MRI images, and relative tumor enhancement higher than relative liver enhancement were accepted as high gadoxetic acid uptake, and its prognostic value was assessed using univariate and multivariate Cox proportional hazard models.

resultsThe median OS of the study population was 13.4 (11.8-14.5) months. High gadoxetic acid uptake was seen in 51 (16.3%) patients, and none of the baseline characteristics was associated with high uptake. In univariate analysis, high gadoxetic acid uptake was significantly associated with shorter overall survival (10.7 vs. 14.0 months, p = 0.005). Multivariate analysis confirmed independent prognostic value of high gadoxetic acid uptake (HR, 1.7 [1.21-2.3], p = 0.002), as well as Child-Pugh class (p = 0.033), tumor diameter (p = 0.002), and ALBI grade (p = 0.015).

conclusionIn advanced HCC patients receiving sorafenib (alone or combined with SIRT), high gadoxetic acid uptake of the tumor on pretreatment MRI, a surrogate of ß-catenin mutation, correlates with shorter survival. Gadoxetic acid uptake status might serve in treatment decision-making process.

Indexed as

Carcinoma, HepatocellularLiver NeoplasmsBiomarkersCateninsContrast MediaGadolinium DTPAHumansMagnetic Resonance ImagingMolecular ImagingRetrospective StudiesSorafenibBiomarkersCateninsContrast MediaGadolinium DTPAgadolinium ethoxybenzyl DTPASorafenibGadoxetic acidHepatocellular carcinomaRadioembolizationSorafenibß-CateninWNT

Identifiers

PMID34541612
PMCPMC9349099
OpenAlexW3199207836

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.