Evidence map›Paper›PMID 34616489›Full record

ArticleTherapeutic advances in medical oncology2021

ALBI score and outcomes in patients with hepatocellular carcinoma:

Arndt Vogel, Philippe Merle, Chris Verslype, Richard S Finn, Andrew X Zhu, Ann-Lii Cheng, Stephen Lam Chan, Thomas Yau, Baek-Yeol Ryoo, Jennifer Knox and 7 more

Abstract read
In one paragraph

Article in Therapeutic advances in medical oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

12 citing papers in PubMed.

  1. Article
  2. Article
  3. Immunometabolic Targets in CD8Liver cancer · 2025
    Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
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  12. Review
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

17 authors.

Arndt VogelDepartment of Gastroenterology, Hepatology and Endocrinology, Hannover Medical School, Carl-Neubergstrasse 1, Hannover, 30625, Germany.
Philippe MerleHôpital de la Croix-Rousse, Hospices Civils de Lyon, Lyon, France.
Chris VerslypeKatholieke Universiteit Leuven and University Hospitals Leuven and Leuven Cancer Institute, Leuven, Belgium.
Richard S FinnDavid Geffen School of Medicine at the University of California, Los Angeles, Los Angeles, CA, USA.
Andrew X ZhuMassachusetts General Hospital Cancer Center and Harvard Medical School, Boston, MA, USA.
Ann-Lii ChengNational Taiwan University Hospital and National Taiwan University Cancer Center, Zhongzheng District, Taipei.
Stephen Lam ChanState Key Laboratory of Translational Oncology, Department of Clinical Oncology, Sir YK Pao Centre for Cancer, The Chinese University of Hong Kong, Hong Kong.
Thomas YauThe University at Hong Kong, People's Republic of China, Hong Kong.
Baek-Yeol RyooAsan Medical Center, University of Ulsan College of Medicine, Songpa-gu, Seoul, South Korea.
Jennifer KnoxMcCain Center for Pancreatic Cancer, University of Toronto, Toronto, ON, Canada.
Bruno DanieleOspedale del Mare, Naples, Italy.
Shukui QinCancer Center of People's Liberation Army, Jinling Hospital, Nanjing, China.
Ziwen WeiMerck & Co., Inc., Kenilworth, NJ, USA.
Yanna MitevaMerck & Co., Inc., Kenilworth, NJ, USA.
Usha MalhotraMerck & Co., Inc., Kenilworth, NJ, USA.
Abby B SiegelMerck & Co., Inc., Kenilworth, NJ, USA.
Masatoshi KudoFaculty of Medicine, Kindai University, Osaka-Sayama, Osaka, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsThis post hoc analysis evaluated albumin/bilirubin (ALBI) score, an objective measure of liver function, in patients receiving pembrolizumab plus best supportive care (BSC) compared with placebo plus BSC in the KEYNOTE-240 study.

methodsPatients with confirmed hepatocellular carcinoma (HCC) and progression after/intolerance to sorafenib, Child-Pugh class A liver function, and Eastern Cooperative Oncology Group performance status of 0-1 were randomly assigned 2:1 to pembrolizumab 200 mg or placebo intravenously every 3 weeks plus BSC for ⩽35 cycles or until confirmed progression/unacceptable toxicity. Outcomes were assessed by ALBI grade.

resultsOf 413 patients, at baseline 116 had an ALBI grade 1 score (pembrolizumab,

conclusionPembrolizumab did not adversely impact liver function compared with placebo in patients with HCC, as measured by changes in ALBI scores. A trend toward improved overall survival was observed with pembrolizumab in both ALBI grade groups.

Indexed as

albumin-bilirubin scorehepatocellular carcinomaliver functionPD-1 inhibitorpembrolizumab

Identifiers

PMID34616489
PMCPMC8488519

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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.