Evidence map›Paper›PMID 35978604›Full record

ArticleLiver cancer2022

Final Results of TACTICS: A Randomized, Prospective Trial Comparing Transarterial Chemoembolization Plus Sorafenib to Transarterial Chemoembolization Alone in Patients with Unresectable Hepatocellular Carcinoma.

Masatoshi Kudo, Kazuomi Ueshima, Masafumi Ikeda, Takuji Torimura, Nobukazu Tanabe, Hiroshi Aikata, Namiki Izumi, Takahiro Yamasaki, Shunsuke Nojiri, Keisuke Hino and 17 more

Registry-linked trialOpen 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. It is linked to trial NCT01217034 (Phase II Study), which is not on this map. Cited by 97 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
97citing papers in PubMed, 6 pooled it
16.2field-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.

NCT01217034 phase2unknown statusnot on this map

Phase II Study: Transcatheter Arterial Chemoembolization Therapy In Combination With Sorafenib (TACTICS)

TypeinterventionalSponsorKindai UniversityRan2010 to 2018Enrolled228ConditionsHepatocellular Carcinoma, Unresectable Hepatocellular Carcinoma, Carcinoma, Hepatocellular, Liver NeoplasmArmsTACE with sorafenib, TACE alone
3 · Its place in the literature

Who cites it

97 citing papers in PubMed, 6 syntheses or guidelines pooled it, 121 citations in OpenAlex.

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37 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

27 authors at 20 institutions in 2 countries.

Masatoshi KudoDepartment of Gastroenterology and Hepatology, Kindai University Faculty of Medicine, Osaka, Japan.
Kazuomi UeshimaDepartment of Gastroenterology and Hepatology, Kindai University Faculty of Medicine, Osaka, Japan.
Masafumi IkedaDepartment of Hepatobiliary and Pancreatic Oncology, National Cancer Center Hospital East, Kashiwa, Japan.
Takuji TorimuraDivision of Gastroenterology, Department of Medicine, Kurume University School of Medicine, Fukuoka, Japan.
Nobukazu TanabeDepartment of Gastroenterology, National Hospital Organization Sendai Medical Center, Sendai, Japan.
Hiroshi AikataDepartment of Gastroenterology and Metabolism, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan.
Namiki IzumiDepartment of Gastroenterology and Hepatology, Musashino Red Cross Hospital, Tokyo, Japan.
Takahiro YamasakiDepartment of Gastroenterology and Hepatology, Yamaguchi University Graduate School of Medicine, Yamaguchi, Japan.
Shunsuke NojiriDepartment of Gastroenterology and Metabolism, Nagoya City University Graduate School of Medical Science, Nagoya, Japan.
Keisuke HinoDepartment of Hepatology and Pancreatology, Kawasaki Medical School, Okayama, Japan.
Hidetaka TsumuraDepartment of Grastroenterological Oncology, Hyogo Cancer Center, Hyogo, Japan.
Teiji KuzuyaDepartment of Gastroenterology and Hepatology, Fujita Health University School of Medicine, Toyoake, Japan.
Norio IsodaDivision of Gastroenterology, Department of Medicine, Jichi Medical University, Tochigi, Japan.
Michihisa MoriguchiDepartment of Molecular Gastroenterology and Hepatology, Kyoto Prefectural University of Medicine Graduate School of Medical Science, Kyoto, Japan.
Hajime AinoDivision of Gastroenterology, Department of Medicine, Social Insurance Tagawa Hospital, Fukuoka, Japan.
Akio IdoDepartment of Gastroenterology and Hepatology, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan.
Naoto KawabeDepartment of Gastroenterology and Hepatology, Fujita Health University School of Medicine, Toyoake, Japan.
Kazuhiko NakaoDepartment of Gastroenterology and Hepatology, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.
Yoshiyuki WadaDepartment of Hepato-Biliary-Pancreatic Surgery, National Hospital Organization Kyushu Medical Center, Fukuoka, Japan.
Sadahisa OgasawaraDepartment of Gastroenterology, Graduate School of Medicine, Chiba University, Chiba, Japan.
Kenichi YoshimuraMedical Center for Translational and Clinical Research, Hiroshima University Hospital, Hiroshima, Japan.
Takuji OkusakaDepartment of Hepatobiliary and Pancreatic Oncology, National Cancer Center Hospital, Tokyo, Japan.
Junji FuruseDepartment of Medical Oncology, Kyorin University Faculty of Medicine, Tokyo, Japan.
Norihiro KokudoNational Center for Global Health and Medicine, Tokyo, Japan.
Kiwamu OkitaShunan Memorial Hospital, Yamaguchi, Japan.
Philip James JohnsonDepartment of Molecular and Clinical Medicine, University of Liverpool, Liverpool, United Kingdom.
Yasuaki AraiDepartment of Diagnostic Radiology, National Cancer Center, Tokyo, Japan.
Fujita Health University · JPKindai University · JPChiba University · JPFukuoka Hospital · JPHiroshima University · JPHiroshima University Hospital · JPHyogo Prefectural Cancer Center · JPJichi Medical University · JPKagoshima University · JPKawasaki Medical School · JPKurume University · JPKyorin University · JPKyoto Prefectural University of Medicine · JPMusashino Red Cross Hospital · JPNagasaki University · JPNagoya City University · JPNational Cancer Center Hospital East · JPNational Center for Global Health and Medicine · JPNational Kyushu Medical Center · JPSendai Medical Center · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Several clinical trials comparing the efficacy and safety of transarterial chemoembolization (TACE) plus molecular-targeted agents versus TACE alone revealed no clinical benefits in progression-free survival (PFS) or overall survival (OS). Here, we report the final OS analysis from the TACTICS trial, which previously demonstrated significant improvement in PFS with TACE plus sorafenib in patients with unresectable hepatocellular carcinoma (HCC) (NCT01217034). Methods: Patients with unresectable HCC were randomized to a TACE plus sorafenib group ( Results: At the cut-off date of July 31, 2020, 131 OS events were observed. The median OS was 36.2 months with TACE plus sorafenib and 30.8 months with TACE alone (hazard ratio [HR] = 0.861; 95% confidence interval [CI], 0.607-1.223; Conclusions: In TACTICS trial, TACE plus sorafenib did not show significant OS benefit over TACE alone; however, clinical meaningful OS prolongation and significantly improved PFS was observed. Thus, the TACE plus sorafenib can be considered a choice of treatment in intermediate-stage HCC, especially in patients with high tumor burden. Trial Registration: NCT01217034.

Indexed as

Hepatocellular carcinomaOverall survivalSorafenibTransarterial chemoembolizationUp-to-7 criteria

Identifiers

PMID35978604
PMCPMC9294961
OpenAlexW4211239810

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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.