Evidence map›Paper›PMID 36726082›Full record

ArticleBMC gastroenterology2023

Real-world systemic sequential therapy with regorafenib for recurrent hepatocellular carcinoma: analysis of 93 cases from a single center.

Qingwei Zhu, Wei Rao, Junyu Huo, Zixiang Li, Song Wang, Wensheng Qiu, Ge Guan, Yang Xin, Ning Fan, Jinzhen Cai and 1 more

Open access · goldAbstract read
In one paragraph

Article in BMC gastroenterology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.0field-weighted citation impact, top 25% 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

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
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

11 authors at 1 institution in 1 country.

Qingwei ZhuLiver Disease Center, The Affiliated Hospital of Qingdao University, No.59 Haier Road, Qingdao, 266003, Shandong, People's Republic of China.
Wei RaoLiver Disease Center, The Affiliated Hospital of Qingdao University, No.59 Haier Road, Qingdao, 266003, Shandong, People's Republic of China.
Junyu HuoLiver Disease Center, The Affiliated Hospital of Qingdao University, No.59 Haier Road, Qingdao, 266003, Shandong, People's Republic of China.
Zixiang LiDepartment of Interventional Medicine Cancer Hospital, The Affiliated Hospital of Qingdao University, Qingdao, 266003, Shandong, People's Republic of China.
Song WangDepartment of Interventional Medicine Cancer Hospital, The Affiliated Hospital of Qingdao University, Qingdao, 266003, Shandong, People's Republic of China.
Wensheng QiuTumor Hospital, The Affiliated Hospital of Qingdao University, Qingdao, 266003, Shandong, People's Republic of China.
Ge GuanLiver Disease Center, The Affiliated Hospital of Qingdao University, No.59 Haier Road, Qingdao, 266003, Shandong, People's Republic of China.
Yang XinLiver Disease Center, The Affiliated Hospital of Qingdao University, No.59 Haier Road, Qingdao, 266003, Shandong, People's Republic of China.
Ning FanLiver Disease Center, The Affiliated Hospital of Qingdao University, No.59 Haier Road, Qingdao, 266003, Shandong, People's Republic of China.
Jinzhen CaiLiver Disease Center, The Affiliated Hospital of Qingdao University, No.59 Haier Road, Qingdao, 266003, Shandong, People's Republic of China.
Liqun WuLiver Disease Center, The Affiliated Hospital of Qingdao University, No.59 Haier Road, Qingdao, 266003, Shandong, People's Republic of China. wulq5810@126.com.ORCID http://orcid.org/0000-0002-9682-5802
Qingdao University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRegorafenib is an oral multikinase inhibitor and became the first second-line systemic treatment for hepatocellular carcinoma (HCC) following the phase III RESORCE trial. This single-center study retrospectively analyzed the clinical data and follow-up results of patients with recurrent HCC treated with regorafenib and discussed the prognostic factors to provide guidance for clinical treatment.

methodsNinety-three recurrent HCC patients were enrolled in the research and follow up from December 2017 to December 2020. Clinical and pathological data were collected. SPSS software v26.0 was used (Chicago, IL, USA) for statistical analysis. A two-sided P < 0.05 was considered statistically significant.

resultsThe patients included 81 males and 12 females with a median age of 57 years. Eighty-seven patients had hepatitis B virus (HBV) infection. The objective response rate (ORR) was 14.0%, and the disease control rate (DCR) was 62.4%. The median overall survival (mOS) and median time to progression (mTTP) were 15.9 and 5.0 months. Multivariate analysis showed that Child-Pugh classification, the Eastern Cooperative Oncology Group performance status (ECOG PS), the neutrophil-to-lymphocyte ratio (NLR), combined treatment, and the time from first diagnosis of HCC to second-line treatment were independent factors affecting the prognosis of recurrent HCC patients.

conclusionsThis real-world study demonstrated similar findings to those of the RESORCE trial. Regorafenib could effectively improve the prognosis of patients after first-line treatment failure. Combination therapy under multidisciplinary treatment (MDT) team guidance could be effective in impeding tumor progression and improving the prognosis of recurrent HCC patients.

Indexed as

Carcinoma, HepatocellularLiver NeoplasmsFemaleHumansMaleMiddle AgedPhenylurea CompoundsPyridinesRetrospective StudiesSorafenibTreatment OutcomePhenylurea CompoundsPyridinesregorafenibSorafenibCombination therapyHepatocellular carcinomaReal-world researchRegorafenib

Identifiers

PMID36726082
PMCPMC9890826
OpenAlexW4318826669

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.