Evidence map›Paper›PMID 35698292›Full record

ArticleCancer medicine2023

Idarubicin-Loaded DEB-TACE plus Lenvatinib versus Lenvatinib for patients with advanced hepatocellular carcinoma: A propensity score-matching analysis.

Wenzhe Fan, Bowen Zhu, Shufan Yue, Xinlin Zheng, Xinhua Zou, Fuliang Li, Liangliang Qiao, Yanqin Wu, Miao Xue, Hongyu Wang and 2 more

Open access · goldAbstract read
In one paragraph

Article in Cancer medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 12% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Clinical efficacy of lenvatinib, trans-arterial chemoembolization, and PD-1/L1 inhibitors in advanced hepatocellular carcinoma: a systematic review and network meta-analysis.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2024
    Pooled it
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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

12 authors at 3 institutions in 1 country.

Wenzhe FanDepartment of Interventional Oncology, Sun Yat-sen University First Affiliated Hospital, Guangzhou, China.
Bowen ZhuDepartment of Interventional Oncology, Sun Yat-sen University First Affiliated Hospital, Guangzhou, China.
Shufan YueDepartment of Ultrasonic, Sun Yat-sen University First Affiliated Hospital, Guangzhou, China.
Xinlin ZhengDepartment of Interventional Oncology, Sun Yat-sen University First Affiliated Hospital, Guangzhou, China.
Xinhua ZouDepartment of Interventional Oncology, Sun Yat-sen University First Affiliated Hospital, Guangzhou, China.
Fuliang LiLiver and Gall Surgical Department, Gaozhou People's Hospital, Gaozhou, China.
Liangliang QiaoDepartment of Oncology, Jinshazhou Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China.
Yanqin WuDepartment of Interventional Oncology, Sun Yat-sen University First Affiliated Hospital, Guangzhou, China.
Miao XueDepartment of Interventional Oncology, Sun Yat-sen University First Affiliated Hospital, Guangzhou, China.
Hongyu WangDepartment of Interventional Oncology, Sun Yat-sen University First Affiliated Hospital, Guangzhou, China.
Yiyang TangDepartment of Interventional Oncology, Sun Yat-sen University First Affiliated Hospital, Guangzhou, China.
Jiaping LiDepartment of Interventional Oncology, Sun Yat-sen University First Affiliated Hospital, Guangzhou, China.ORCID 0000-0003-2927-8877
Sun Yat-sen University · CNGaozhou People's Hospital · CNGuangzhou University of Chinese Medicine · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsTo investigate the efficacy and safety of lenvatinib and idarubicin-loaded drug-eluting beads transarterial chemoembolization (IDADEB-TACE) in primary advanced hepatocellular carcinoma (HCC).

methodsThis retrospective study included patients with primary advanced HCC who received either lenvatinib monotherapy or lenvatinib plus IDADEB-TACE as first-line treatment from September 2019 to September 2020 at three institutes. Overall survival (OS), time to progression (TTP), objective response rate (ORR), and adverse events were compared. Propensity score-matching was used to reduce the influence of confounding factors on the outcomes.

resultsThe study reviewed 118 patients who received lenvatinib plus IDADEB-TACE (LIDA group) and 182 who received lenvatinib alone (LEN group). After propensity score-matching, 78 pairs of patients remained. Compared to patients in the LEN group, those in the LIDA group had better post-treatment ORR (57.7% vs. 25.6%, p < 0.001, respectively), median OS and TTP (15.7 vs. 11.3 months, hazard ratio [HR] = 0.50, p < 0.001; 8.0 vs. 5.0 months, HR = 0.60, p = 0.003, respectively), 6- and 12-month OS rates (88.5% vs. 71.4%; 67.6% vs. 43.4%, respectively), and progression-free rates at 6 and 12 months (60.3% vs. 42.3%; 21.1% vs. 10.3%, respectively). Vascular invasion, α-fetoprotein level, and treatment type were independent OS predictors, and vascular invasion and treatment type were independent TTP predictors. Incidences of nausea/vomiting, fever, abdominal pain, and increased ALT/AST were higher in the LIDA group than in the LEN group.

conclusionsLenvatinib plus IDADEB-TACE is well-tolerated and more effective than lenvatinib monotherapy in patients with advanced HCC.

Indexed as

Antineoplastic AgentsCarcinoma, HepatocellularChemoembolization, TherapeuticLiver NeoplasmsAcetanilidesAcetatesAntibiotics, AntineoplasticHumansIdarubicinPhenylurea CompoundsPropensity ScoreQuinolinesRetrospective StudiesAcetanilidesAcetatesAntibiotics, AntineoplasticAntineoplastic AgentsIdarubicinlenvatinibLIDAPhenylurea CompoundsQuinolinescarcinomaschemoembolizationhepatocellularidarubicinlenvatinibtherapeutic

Identifiers

PMID35698292
PMCPMC9844616
OpenAlexW4282841484

What OpenQuestion holds

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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.