Evidence map›Paper›PMID 34764464›Full record

ReviewNature reviews. Clinical oncology2022

Immunotherapies for hepatocellular carcinoma.

Josep M Llovet, Florian Castet, Mathias Heikenwalder, Mala K Maini, Vincenzo Mazzaferro, David J Pinato, Eli Pikarsky, Andrew X Zhu, Richard S Finn

5 registry-linked trialsAbstract readReview
PubMed Publisher
In one paragraph

Review in Nature reviews. Clinical oncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 5 registered trials, which are not on this map. Cited by 1,188 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1,188citing papers in PubMed, 3 pooled it
151.1field-weighted citation impact, top 1% 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.

NCT05543304 unknown statusnot on this map

Predicting Response to Systemic Therapies for Hepatocellular Carcinoma(HCC) Based on Clinical Variables and Radiomics Data With Machine Learning Methods

TypeobservationalSponsorFirst Affiliated Hospital of Wenzhou Medical UniversityRan2018 to 2024Enrolled200ConditionsHepatocellular Carcinoma Non-resectable, Effect of DrugArmsradiological evaluation
NCT05879328 unknown statusnot on this map

Liver Transplantation in Patients With Partial or Complete Response After Atezolizumab Plus Bevacizumab for Intermediate-advanced Stage Hepatocellular Carcinoma: the ImmunoXXL Study

TypeobservationalSponsorFondazione IRCCS Istituto Nazionale dei Tumori, MilanoRan2022 to 2024Enrolled12ConditionsHepatocellular CarcinomaArmsLiver Transplantation
NCT05913583 unknown statusnot on this mapstarted 2023, after this paper: background citation

Correlation Between Exposure to Immune Checkpoint Inhibitors Before Liver Transplantation for Hepatocellular Carcinoma and Post-transplant Graft Rejection

TypeobservationalSponsorSun Yat-Sen Memorial Hospital of Sun Yat-Sen UniversityRan2023 to 2023Enrolled160ConditionsGraft Rejection, Hepatocellular Carcinoma, Immunotherapy, Immune Checkpoint InhibitorArmsImmune checkpoint inhibitor
NCT06841172 phase3recruitingnot on this mapstarted 2025, after this paper: background citation

Continuation of First-line Therapy With Radiotherapy for Oligoprogression Versus Early Switch to Second-line Therapy in Oligoprogressive Hepatocellular Carcinoma (CROSS): a Multi-center, Randomized, Controlled, Open-label, Phase Ⅲ Trial

TypeinterventionalSponsorShandong Cancer Hospital and InstituteRan2025 to 2028Enrolled132ConditionsOligoProgressive Metastatic Disease, Hepatocellular Carcinoma (HCC), Radiotherapy, Systemic TherapyArmsradiotherapy, Systemic therapy (Continuation of current first-line systemic therapy), Systemic therapy (Early switch to second-line systemic therapy)
NCT07430501 not yet recruitingnot on this mapstarted 2026, after this paper: background citation

AcceleRating the Translation of Virtual Twins Towards a pErsonalised Management of Steatotic Liver Patients

TypeobservationalSponsorHospital Universitari Vall d'Hebron Research InstituteRan2026 to 2027Enrolled7,720ConditionsMetabolic Dysfunction-Associated Steatotic Liver DiseaseArmsData recollection
3 · Its place in the literature

Who cites it

1,188 citing papers in PubMed, 3 syntheses or guidelines pooled it, 1,729 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. A Phase Ib/IIa Study of Fostrox in Combination with Lenvatinib as Second-line Therapy in Patients with Advanced Hepatocellular Carcinoma.Clinical cancer research : an official journal of the American Association for Cancer Research · 2026
    Trial
  5. Trial
  6. Article
  7. Review
  8. The Immune Checkpoint Inhibitors Journey: From Early Promise to Lasting Impact.Journal of immunotherapy and precision oncology · 2026
    Review
  9. Article
  10. Article
  11. Review
  12. Impact of PD-1 Inhibitor Timing Relative to Locoregional Therapy on Outcomes in uHCC Treated With Lenvatinib-Based Triple Therapy.Liver international : official journal of the International Association for the Study of the Liver · 2026
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. Article

1,128 more citing papers are in PubMed but not listed here.

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

9 authors at 9 institutions in 6 countries.

Josep M LlovetMount Sinai Liver Cancer Program, Division of Liver Diseases, Tisch Cancer Institute, Icahn School of Medicine at Mount Sinai, New York, NY, USA. josep.llovet@mountsinai.org.ORCID http://orcid.org/0000-0003-0547-2667
Florian CastetTranslational Research in Hepatic Oncology, Liver Unit, IDIBAPS, Hospital Clinic, University of Barcelona, Barcelona, Spain.
Mathias HeikenwalderDivision of Chronic Inflammation and Cancer, German Cancer Research Centre Heidelberg (DKFZ), Heidelberg, Germany.
Mala K MainiDivision of Infection & Immunity, Institute of Immunity & Transplantation, University College London, London, UK.ORCID http://orcid.org/0000-0001-6384-1462
Vincenzo MazzaferroDepartment of Oncology and Hemato-Oncology, University of Milan, Milan, Italy.
David J PinatoDepartment of Surgery & Cancer, Imperial College London, Hammersmith Hospital, London, UK.
Eli PikarskyThe Lautenberg Center for Immunology and Cancer Research, IMRIC, The Hebrew University of Jerusalem, Jerusalem, Israel.ORCID http://orcid.org/0000-0003-4186-7105
Andrew X ZhuMassachusetts General Hospital Cancer Center, Boston, MA, USA.
Richard S FinnRonald Reagan University of California, Los Angeles (UCLA) Medical Center, Los Angeles, CA, USA.
Consorci Institut D'Investigacions Biomediques August Pi I Sunyer · ESGerman Cancer Research Center · DEHebrew University of Jerusalem · ILInstitució Catalana de Recerca i Estudis Avançats · ESMassachusetts General Hospital · USUniversità degli Studi del Piemonte Orientale “Amedeo Avogadro” · ITUniversity College London · GBUniversity of California, Los Angeles · USUniversity of Milan · IT

Funding

The Role of KLF6 in Hepatic FibrosisR01DK056621 · NIDDK · MOUNT SINAI SCHOOL OF MEDICINE OF NYU · PI FRIEDMAN, SCOTT L. · 2000 to 2019
$6.2M
Hepatic stellate cells in NASH fibrosis and HCCR01DK128289 · NIDDK · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI SCOTT L. FRIEDMAN · 2021 to 2026
$2.6M
Cancer Research UK 26603Cancer Research UK 26813Cancer Research UK C57701/A26137NIDDK NIH HHS R01 DK056621NIDDK NIH HHS R01 DK128289Wellcome Trust PS3416
6 · The paper itself

Abstract

Liver cancer, more specifically hepatocellular carcinoma (HCC), is the second leading cause of cancer-related death and its incidence is increasing globally. Around 50% of patients with HCC receive systemic therapies, traditionally sorafenib or lenvatinib in the first line and regorafenib, cabozantinib or ramucirumab in the second line. In the past 5 years, immune-checkpoint inhibitors have revolutionized the management of HCC. The combination of atezolizumab and bevacizumab has been shown to improve overall survival relative to sorafenib, resulting in FDA approval of this regimen. More recently, durvalumab plus tremelimumab yielded superior overall survival versus sorafenib and atezolizumab plus cabozantinib yielded superior progression-free survival. In addition, pembrolizumab monotherapy and the combination of nivolumab plus ipilimumab have received FDA Accelerated Approval in the second-line setting based on early efficacy data. Despite these major advances, the molecular underpinnings governing immune responses and evasion remain unclear. The immune microenvironment has crucial roles in the development and progression of HCC and distinct aetiology-dependent immune features have been defined. Inflamed and non-inflamed classes of HCC and genomic signatures have been associated with response to immune-checkpoint inhibitors, yet no validated biomarker is available to guide clinical decision-making. This Review provides information on the immune microenvironments underlying the response or resistance of HCC to immunotherapies. In addition, current evidence from phase III trials on the efficacy, immune-related adverse events and aetiology-dependent mechanisms of response are described. Finally, we discuss emerging trials assessing immunotherapies across all stages of HCC that might change the management of this disease in the near future.

Indexed as

Carcinoma, HepatocellularLiver NeoplasmsHumansImmune Checkpoint InhibitorsImmunotherapySorafenibTumor MicroenvironmentImmune Checkpoint InhibitorsSorafenib

Identifiers

PMID34764464
OpenAlexW3212903603

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.