Evidence map›Paper›PMID 35978602›Full record

ArticleLiver cancer2022

Objective Response by mRECIST to Initial Lenvatinib Therapy Is an Independent Factor Contributing to Deep Response in Hepatocellular Carcinoma Treated with Lenvatinib-Transcatheter Arterial Chemoembolization Sequential Therapy.

Hidekatsu Kuroda, Takayoshi Oikawa, Masashi Ninomiya, Masashi Fujita, Kazumichi Abe, Kazuo Okumoto, Tomohiro Katsumi, Wataru Sato, Go Igarashi, Chikara Iino and 9 more

Open access · goldAbstract read
In one paragraph

Article in Liver cancer, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed
5.5field-weighted citation impact, top 3% 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

36 citing papers in PubMed, 43 citations in OpenAlex.

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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

19 authors at 8 institutions in 1 country.

Hidekatsu KurodaDivision of Hepatology, Department of Internal Medicine, Iwate Medical University, Iwate, Japan.
Takayoshi OikawaDivision of Hepatology, Department of Internal Medicine, Iwate Medical University, Iwate, Japan.
Masashi NinomiyaDivision of Gastroenterology, Tohoku University Graduate School of Medicine, Sendai, Japan.
Masashi FujitaDepartment of Gastroenterology, Fukushima Medical University School of Medicine, Fukushima, Japan.
Kazumichi AbeDepartment of Gastroenterology, Fukushima Medical University School of Medicine, Fukushima, Japan.
Kazuo OkumotoDepartment of Gastroenterology, Yamagata University Faculty of Medicine, Yamagata, Japan.
Tomohiro KatsumiDepartment of Gastroenterology, Yamagata University Faculty of Medicine, Yamagata, Japan.
Wataru SatoDepartment of Gastroenterology, Graduate School of Medicine, Akita University, Akita, Japan.
Go IgarashiDepartment of Gastroenterology, Hirosaki University Graduate School of Medicine, Hirosaki, Japan.
Chikara IinoDepartment of Gastroenterology, Hirosaki University Graduate School of Medicine, Hirosaki, Japan.
Tetsu EndoDepartment of Gastroenterology, Hirosaki University Graduate School of Medicine, Hirosaki, Japan.
Nobukazu TanabeDepartment of Gastroenterology, National Hospital Organisation Sendai Medical Center, Sendai, Japan.
Hiroshi NumaoDepartment of Gastroenterology, Aomori Prefectural Central Hospital, Aomori, Japan.
Shinsaku FukudaDepartment of Gastroenterology, Hirosaki University Graduate School of Medicine, Hirosaki, Japan.
Katsunori IijimaDepartment of Gastroenterology, Graduate School of Medicine, Akita University, Akita, Japan.
Atsushi MasamuneDivision of Gastroenterology, Tohoku University Graduate School of Medicine, Sendai, Japan.
Hiromasa OhiraDepartment of Gastroenterology, Fukushima Medical University School of Medicine, Fukushima, Japan.
Yoshiyuki UenoDepartment of Gastroenterology, Yamagata University Faculty of Medicine, Yamagata, Japan.
Yasuhiro TakikawaDivision of Hepatology, Department of Internal Medicine, Iwate Medical University, Iwate, Japan.
Hirosaki University · JPFukushima Medical University · JPIwate Medical University · JPYamagata University · JPAkita University · JPTohoku University · JPAomori Prefectural Central Hospital · JPSendai Medical Center · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: There is limited information regarding the benefits of Lenvatinib-transcatheter arterial chemoembolization (LEN-TACE) sequential therapy for unresectable hepatocellular carcinoma (u-HCC). We compared the efficacy and safety of LEN-TACE sequential therapy to LEN monotherapy and investigated the factors contributing to the LEN-TACE sequential therapy deep response. Methods: We enrolled a multicenter cohort of 247 patients with u-HCC treated with LEN between 2018 and 2020. Propensity score matching identified 63 matching pairs of patients with well-balanced characteristics. We retrospectively compared the clinical outcomes, including overall survival (OS), progression-free survival (PFS), and incidence of adverse events (AEs), between the LEN-TACE and LEN monotherapy groups. Additionally, we evaluated the tumor response, change in albumin-bilirubin (ALBI) score, factors affecting PFS and OS, and independent predictors contributing to the LEN-TACE sequential therapy deep response. In this study, at eight weeks after resumption of LEN after initial TACE, "deep response" was defined as achieving complete response or partial response (PR) on modified Response Evaluation Criteria in Solid Tumors (mRECIST), and at least a 30% decrease in the sum of diameters of target lesions, taking the baseline sum diameters as the reference. Results: The OS and PFS in the LEN-TACE group were significantly higher than those in the LEN monotherapy group ( Conclusions: LEN-TACE sequential therapy may provide more clinical benefits than LEN monotherapy in u-HCC patients who responded to initial LEN treatment. Objective response according to mRECIST to initial LEN is an independent factor contributing to LEN-TACE sequential therapy deep response.

Indexed as

Hepatocellular carcinomaLenvatinib-transcatheter arterial chemoembolization sequential therapyModified RECISTObjective response

Identifiers

PMID35978602
PMCPMC9294936
OpenAlexW4213096024

What OpenQuestion holds

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Registered trials

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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.