Evidence map›Paper›PMID 35864269›Full record

ArticleJournal of cancer research and clinical oncology2023

Ipilimumab and nivolumab in advanced hepatocellular carcinoma after failure of prior immune checkpoint inhibitor-based combination therapies: a multicenter retrospective study.

Daniel Roessler, Osman Öcal, Alexander B Philipp, Daniel Markwardt, Stefan Munker, Julia Mayerle, Leonie S Jochheim, Katharina Hammer, Christian M Lange, Andreas Geier and 4 more

Open access · hybridAbstract readMulticenter Study
In one paragraph

Article in Journal of cancer research and clinical oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
4.6field-weighted citation impact, top 4% 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

29 citing papers in PubMed, 38 citations in OpenAlex.

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  12. [Chinese expert consensus on the use of standardized second-line drugs for primary hepatocellular carcinoma].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2026
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  15. Hepatocellular carcinoma: Epidemiology, diagnosis and treatment.JHEP reports : innovation in hepatology · 2025
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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

14 authors at 3 institutions in 1 country.

Daniel RoesslerDepartment of Medicine II, University Hospital, LMU Munich, Marchioninistrasse 15, 81377, Munich, Bavaria, Germany. daniel.roessler@med.uni-muenchen.de.ORCID http://orcid.org/0000-0002-5652-5987
Osman ÖcalDepartment of Radiology, University Hospital, LMU Munich, Munich, Germany.
Alexander B PhilippDepartment of Medicine II, University Hospital, LMU Munich, Marchioninistrasse 15, 81377, Munich, Bavaria, Germany.
Daniel MarkwardtDepartment of Medicine II, University Hospital, LMU Munich, Marchioninistrasse 15, 81377, Munich, Bavaria, Germany.
Stefan MunkerDepartment of Medicine II, University Hospital, LMU Munich, Marchioninistrasse 15, 81377, Munich, Bavaria, Germany.
Julia MayerleDepartment of Medicine II, University Hospital, LMU Munich, Marchioninistrasse 15, 81377, Munich, Bavaria, Germany.
Leonie S JochheimDepartment for Gastroenterology and Hepatology, University Hospital Essen, University Duisburg-Essen, Duisburg, Germany.
Katharina HammerDepartment of Medicine II, University Hospital, LMU Munich, Marchioninistrasse 15, 81377, Munich, Bavaria, Germany.
Christian M LangeDepartment of Medicine II, University Hospital, LMU Munich, Marchioninistrasse 15, 81377, Munich, Bavaria, Germany.
Andreas GeierDivision of Hepatology, Department of Medicine II, University Hospital Würzburg, Würzburg, Germany.
Max SeidenstickerDepartment of Radiology, University Hospital, LMU Munich, Munich, Germany.
Florian P ReiterDivision of Hepatology, Department of Medicine II, University Hospital Würzburg, Würzburg, Germany.
Enrico N De ToniDepartment of Medicine II, University Hospital, LMU Munich, Marchioninistrasse 15, 81377, Munich, Bavaria, Germany.
Najib Ben KhaledDepartment of Medicine II, University Hospital, LMU Munich, Marchioninistrasse 15, 81377, Munich, Bavaria, Germany.
LMU Klinikum · DEUniversitätsklinikum Würzburg · DEUniversity of Duisburg-Essen · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionImmune checkpoint inhibitor (ICI)-based regimens are transforming the landscape of hepatocellular carcinoma (HCC) treatment. We describe the effect of combined ipilimumab and nivolumab in patients with advanced HCC after the failure of prior ICI-based combination treatments.

methodsThe clinical course of patients with advanced HCC who received combined ipilimumab and nivolumab after prior ICI-based combination therapies was assessed. Progression-free survival (PFS), overall response rate (ORR) and disease control rate (DCR) per RECIST v1.1 and mRECIST, overall survival (OS), and safety were analyzed.

resultsOf 109 patients treated with atezolizumab and bevacizumab or other ICI-based combination treatments, ten patients received subsequent therapy with ipilimumab and nivolumab. The majority of patients had Barcelona Clinic Liver Cancer (BCLC) Stage C (80%) HCC and a preserved liver function as defined by Child-Pugh A (80%). At a median follow-up of 15.3 months, ORR for ipilimumab and nivolumab was 30% with a DCR of 40%. Median PFS was 2.9 months and the median OS was 7.4 months.

conclusionThis retrospective study demonstrates that combined ipilimumab and nivolumab can be effective and tolerable after prior ICI-based combination therapies and provides a rationale for the prospective clinical evaluation of this treatment sequencing.

Indexed as

Carcinoma, HepatocellularLiver NeoplasmsAntineoplastic Combined Chemotherapy ProtocolsHumansImmune Checkpoint InhibitorsIpilimumabNivolumabProspective StudiesRetrospective StudiesImmune Checkpoint InhibitorsIpilimumabNivolumabAtezolizumabBevacizumabHepatocellular carcinomaImmune checkpoint inhibitorsIpilimumabNivolumab

Identifiers

PMID35864269
PMCPMC10314839
OpenAlexW4286493879

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.