Evidence map›Paper›PMID 36237309›Full record

ArticleFrontiers in oncology2022

Hepatic arterial infusion chemotherapy combined with PD-1 inhibitors and tyrosine kinase inhibitors for unresectable hepatocellular carcinoma: A tertiary medical center experience.

Laihui Luo, Yongqiang Xiao, Guoqing Zhu, Aihong Huang, Shengjiang Song, Tao Wang, Xian Ge, Jin Xie, Wei Deng, Zhigao Hu and 4 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in oncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 4 pooled it
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

30 citing papers in PubMed, 4 syntheses or guidelines pooled it, 35 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

14 authors at 2 institutions in 1 country.

Laihui LuoDepartment of General Surgery, The First Affiliated Hospital of Nanchang University, Nanchang, China.
Yongqiang XiaoDepartment of General Surgery, The First Affiliated Hospital of Nanchang University, Nanchang, China.
Guoqing ZhuDepartment of General Surgery, The First Affiliated Hospital of Nanchang University, Nanchang, China.
Aihong HuangDepartment of Infectious Disease, The First Affiliated Hospital of Nanchang University, Nanchang, China.
Shengjiang SongDepartment of General Surgery, The First Affiliated Hospital of Nanchang University, Nanchang, China.
Tao WangDepartment of Day Surgery Ward, The First Affiliated Hospital of Nanchang University, Nanchang, China.
Xian GeDepartment of Pathology, The First Affiliated Hospital of Nanchang University, Nanchang, China.
Jin XieDepartment of General Surgery, The First Affiliated Hospital of Nanchang University, Nanchang, China.
Wei DengDepartment of General Surgery, The First Affiliated Hospital of Nanchang University, Nanchang, China.
Zhigao HuDepartment of General Surgery, The First Affiliated Hospital of Nanchang University, Nanchang, China.
Wu WenDepartment of General Surgery, The First Affiliated Hospital of Nanchang University, Nanchang, China.
Haoran MeiDepartment of General Surgery, The First Affiliated Hospital of Nanchang University, Nanchang, China.
Renhua WanDepartment of General Surgery, The First Affiliated Hospital of Nanchang University, Nanchang, China.
Renfeng ShanDepartment of General Surgery, The First Affiliated Hospital of Nanchang University, Nanchang, China.
Nanchang University · CNFirst Affiliated Hospital of Nanchang University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Unresectable hepatocellular carcinoma (u-HCC) still accounts for the majority of newly diagnosed HCC which with poor prognosis. In the era of systemic therapy, combination therapy with programmed cell death protein-1 (PD-1) inhibitors and tyrosine kinase inhibitors (TKIs) has become mainstream. Hepatic arterial infusion chemotherapy (HAIC) as a local treatment has also shown a strong anti-tumor effect. This study aimed to investigate the efficacy and safety of HAIC, PD-1 inhibitors plus TKIs for u-HCC. Methods: This retrospective study included patients with initially u-HCC between October 2020 to April 2022 who had received at least one cycle of therapy with HAIC, PD-1 inhibitors plus TKIs. The primary outcome included overall response rate (ORR), the disease control rate (DCR), surgical conversion rate, progression-free survival (PFS) and treatment-related adverse events. Results: A total of 145 patients were included in the study. The median treatment cycle of HAIC and PD-1 inhibitors were 3 and 4, respectively. According to the modified RECIST criteria, the best ORR was 57.2% (83/145), 9 had achieved complete response (CR), DCR was 89.7% (130/145). Median time to achieve CR or PR was 65 days. Surgical conversion rate was 18.6% (27/145), seven patients (7/27,25.9%) achieved pathological complete response (pCR). The median follow-up was 12.5 months (4.5-20 months), and the median PFS was 9.7 months. Subgroup analysis showed that Child-pugh A patients had higher DCR (92.2% vs 79.3%, Conclusion: The triple combination therapy of HAIC and PD-1 inhibitors plus TKIs for patients with initially unresectable HCC exhibited satisfactory efficacy with tolerable toxicity.

Indexed as

conversion therapyhepatic arterial infusion chemotherapyprogrammed cell death protein-1tyrosine kinase inhibitorsunresectable hepatocellular carcinoma

Identifiers

PMID36237309
PMCPMC9552711
OpenAlexW4297383945

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.