Evidence map›Paper›PMID 35454881›Full record

ArticleCancers2022

Sorafenib Versus Lenvatinib-Based Sequential Systemic Therapy for Advanced Hepatocellular Carcinoma: A Real-World Analysis.

Catherine Leyh, Ursula Ehmer, Daniel Roessler, Alexander B Philipp, Florian P Reiter, Petia Jeliazkova, Leonie S Jochheim, Matthias Jeschke, Janina Hammig, Johannes M Ludwig and 3 more

Open access · goldAbstract read
In one paragraph

Article in Cancers, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.0field-weighted citation impact, top 27% 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

5 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. 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

13 authors at 4 institutions in 1 country.

Catherine LeyhDepartment for Gastroenterology and Hepatology, University Duisburg-Essen, 45141 Essen, Germany.
Ursula EhmerDepartment of Internal Medicine II, Klinikum Rechts der Isar, Technische Universität München, 81675 Munich, Germany.
Daniel RoesslerDepartment of Internal Medicine II, LMU University Hospital Munich, 81377 Munich, Germany.ORCID 0000-0002-5652-5987
Alexander B PhilippDepartment of Internal Medicine II, LMU University Hospital Munich, 81377 Munich, Germany.ORCID 0000-0002-0215-9977
Florian P ReiterDepartment of Medicine II, Division of Hepatology, University Hospital Würzburg, 97080 Würzburg, Germany.
Petia JeliazkovaDepartment of Internal Medicine II, Klinikum Rechts der Isar, Technische Universität München, 81675 Munich, Germany.
Leonie S JochheimDepartment for Gastroenterology and Hepatology, University Duisburg-Essen, 45141 Essen, Germany.
Matthias JeschkeDepartment for Gastroenterology and Hepatology, University Duisburg-Essen, 45141 Essen, Germany.
Janina HammigDepartment for Gastroenterology and Hepatology, University Duisburg-Essen, 45141 Essen, Germany.
Johannes M LudwigInstitute of Diagnostic and Interventional Radiology and Neuroradiology, University Duisburg-Essen, 45141 Essen, Germany.
Jens M TheysohnInstitute of Diagnostic and Interventional Radiology and Neuroradiology, University Duisburg-Essen, 45141 Essen, Germany.ORCID 0000-0001-5869-7929
Andreas GeierDepartment of Medicine II, Division of Hepatology, University Hospital Würzburg, 97080 Würzburg, Germany.
Christian M LangeDepartment for Gastroenterology and Hepatology, University Duisburg-Essen, 45141 Essen, Germany.
University of Duisburg-Essen · DELMU Klinikum · DETUM Klinikum · DEUniversitätsklinikum Würzburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The optimal treatment sequence of tyrosine kinase inhibitor (TKI)-based therapy in patients with hepatocellular carcinoma (HCC) remains unclear. Therefore, sequential systemic therapy after first-line therapy with sorafenib or lenvatinib was compared in a retrospective real-world cohort. In total, 164 patients with HCC were included. Child B cirrhosis was present in 26 patients (16.5%), whereas 132 patients (83.5%) had preserved liver function. In total, 72 patients (44%) discontinued systemic therapy after first-line therapy while 51 (31%) and 31 (19%) patients received 2 or more treatment lines. Most notably, median overall survival (mOS) was influenced by liver functional status and patient performance status at the beginning of first-line therapy. Patients receiving a sequential therapy regimen had significantly longer mOS compared to patients that discontinued systemic therapy after omitting first-line treatment. The choice of the initial TKI did not impact mOS. A clear deterioration of liver function could be observed during the course of TKI-based treatment.

Indexed as

hepatocellular carcinomasystemic therapytyrosine-kinase inhibitor

Identifiers

PMID35454881
PMCPMC9025688
OpenAlexW4224140219

What OpenQuestion holds

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LicenceCC BY
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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.