Evidence map›Paper›PMID 34572944›Full record

ReviewCancers2021

How Immunotherapy Has Changed the Continuum of Care in Hepatocellular Carcinoma.

Giulia Martini, Davide Ciardiello, Fernando Paragliola, Valeria Nacca, Walter Santaniello, Fabrizio Urraro, Maria Stanzione, Marco Niosi, Marcello Dallio, Alessandro Federico and 5 more

Abstract readReview
In one paragraph

Review in Cancers, 2021. 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
–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

6 citing papers in PubMed.

  1. Review
  2. Article
  3. Efficacy and safety of anti-PD-1 monotherapyTherapeutic advances in medical oncology · 2023
    Article
  4. Article
  5. Review
  6. 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

15 authors.

Giulia MartiniOncologia Medica, Dipartimento di Medicina di Precisione, Università degli Studi della Campania "L. Vanvitelli", 80100 Naples, Italy.
Davide CiardielloOncologia Medica, Dipartimento di Medicina di Precisione, Università degli Studi della Campania "L. Vanvitelli", 80100 Naples, Italy.
Fernando ParagliolaOncologia Medica, Dipartimento di Medicina di Precisione, Università degli Studi della Campania "L. Vanvitelli", 80100 Naples, Italy.
Valeria NaccaOncologia Medica, Dipartimento di Medicina di Precisione, Università degli Studi della Campania "L. Vanvitelli", 80100 Naples, Italy.
Walter SantanielloChirurgia Epatobiliare e Trapianto di Fegato, A.O.R.N. Antonio Cardarelli, 80100 Naples, Italy.
Fabrizio UrraroRadiologia, Dipartimento di Medicina di Precisione, Università degli Studi della Campania "L. Vanvitelli", 80100 Naples, Italy.ORCID 0000-0003-2284-0855
Maria StanzioneMalattie Infettive, Dipartimento di Salute Mentale e Fisica e Medicina Preventiva, Università degli Studi della Campania "L. Vanvitelli", 80100 Naples, Italy.
Marco NiosiEpato-Gastroenterologia, Dipartimento di Medicina di Precisione, Università degli Studi della Campania "L. Vanvitelli", 80100 Naples, Italy.
Marcello DallioEpato-Gastroenterologia, Dipartimento di Medicina di Precisione, Università degli Studi della Campania "L. Vanvitelli", 80100 Naples, Italy.ORCID 0000-0003-4153-815X
Alessandro FedericoEpato-Gastroenterologia, Dipartimento di Medicina di Precisione, Università degli Studi della Campania "L. Vanvitelli", 80100 Naples, Italy.ORCID 0000-0002-0885-0793
Francesco SelvaggiDipartimento di Scienze Mediche e Chirurgiche Avanzate, Università degli Studi della Campania "L. Vanvitelli", 80100 Naples, Italy.
Carminia Maria Della CorteOncologia Medica, Dipartimento di Medicina di Precisione, Università degli Studi della Campania "L. Vanvitelli", 80100 Naples, Italy.
Stefania NapolitanoOncologia Medica, Dipartimento di Medicina di Precisione, Università degli Studi della Campania "L. Vanvitelli", 80100 Naples, Italy.
Fortunato CiardielloOncologia Medica, Dipartimento di Medicina di Precisione, Università degli Studi della Campania "L. Vanvitelli", 80100 Naples, Italy.
Erika MartinelliOncologia Medica, Dipartimento di Medicina di Precisione, Università degli Studi della Campania "L. Vanvitelli", 80100 Naples, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hepatocellular carcinoma (HCC) is one of the leading causes of death worldwide. The use of local treatment, such as surgical resection, liver transplant, and local ablation, has improved the survival of patients with HCC detected at an early stage. Until recently, the treatment of patients with metastatic disease was limited to the use of the multikinase inhibitor (MKI) sorafenib with a marginal effect on survival outcome. New target approaches, such as the oral MKI lenvatinib in first-line treatment and regorafenib, ramucirumab, and cabozantinib in later lines of therapy, have demonstrated efficacy in patients with preserved liver function (Child-Pugh class A) and good performance status. On the other hand, the implementation of immune checkpoint inhibitors directed against PD-1 (nivolumab and pembrolizumab), PD-L1 (atezolizumab), and anti-CTLA4 (ipilimumab) in the management of advanced HCC has strongly changed the continuum of care of HCC. Future research should include the evaluation of molecular biomarkers that can help patient selection and provide new insight on potential combined approaches. In this review, we provide an overview of the clinical evidence of the use of immune checkpoint inhibitors in HCC, and discuss how immunotherapy has been implemented into the continuum of HCC care.

Indexed as

AFPbiomarkersHCCimmune checkpoint inhibitorsmultimodal treatment

Identifiers

PMID34572944
PMCPMC8466991

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.