Evidence map›Paper›PMID 36765554›Full record

ArticleCancers2023

Changes in Serum Growth Factors during Resistance to Atezolizumab Plus Bevacizumab Treatment in Patients with Unresectable Hepatocellular Carcinoma.

Zijian Yang, Goki Suda, Osamu Maehara, Masatsugu Ohara, Tomoka Yoda, Takashi Sasaki, Risako Kohya, Sonoe Yoshida, Shunichi Hosoda, Yoshimasa Tokuchi and 9 more

Abstract read
In one paragraph

Article in Cancers, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–field-weighted citation impact
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

15 citing papers in PubMed.

  1. Review
  2. Article
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  4. Article
  5. Article
  6. Article
  7. Review
  8. Review
  9. Article
  10. Recent Progress in Systemic Therapy for Advanced Hepatocellular Carcinoma.International journal of molecular sciences · 2024
    Review
  11. Review
  12. Article
  13. Review
  14. Review
  15. Article
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.

Zijian YangDepartment of Gastroenterology and Hepatology, Graduate School of Medicine, Hokkaido University, Sapporo 001-0021, Japan.
Goki SudaDepartment of Gastroenterology and Hepatology, Graduate School of Medicine, Hokkaido University, Sapporo 001-0021, Japan.
Osamu MaeharaLaboratory of Molecular and Cellular Medicine, Faculty of Pharmaceutical Sciences, Hokkaido University, Sapporo 001-0021, Japan.
Masatsugu OharaDepartment of Gastroenterology and Hepatology, Graduate School of Medicine, Hokkaido University, Sapporo 001-0021, Japan.ORCID 0000-0002-4366-3184
Tomoka YodaDepartment of Gastroenterology and Hepatology, Graduate School of Medicine, Hokkaido University, Sapporo 001-0021, Japan.
Takashi SasakiDepartment of Gastroenterology and Hepatology, Graduate School of Medicine, Hokkaido University, Sapporo 001-0021, Japan.
Risako KohyaDepartment of Gastroenterology and Hepatology, Graduate School of Medicine, Hokkaido University, Sapporo 001-0021, Japan.
Sonoe YoshidaDepartment of Gastroenterology and Hepatology, Graduate School of Medicine, Hokkaido University, Sapporo 001-0021, Japan.
Shunichi HosodaDepartment of Gastroenterology and Hepatology, Graduate School of Medicine, Hokkaido University, Sapporo 001-0021, Japan.
Yoshimasa TokuchiDepartment of Gastroenterology and Hepatology, Graduate School of Medicine, Hokkaido University, Sapporo 001-0021, Japan.
Takashi KitagatayaDepartment of Gastroenterology and Hepatology, Graduate School of Medicine, Hokkaido University, Sapporo 001-0021, Japan.
Kazuharu SuzukiDepartment of Gastroenterology and Hepatology, Graduate School of Medicine, Hokkaido University, Sapporo 001-0021, Japan.
Naoki KawagishiDepartment of Gastroenterology and Hepatology, Graduate School of Medicine, Hokkaido University, Sapporo 001-0021, Japan.
Masato NakaiDepartment of Gastroenterology and Hepatology, Graduate School of Medicine, Hokkaido University, Sapporo 001-0021, Japan.
Takuya ShoDepartment of Gastroenterology and Hepatology, Graduate School of Medicine, Hokkaido University, Sapporo 001-0021, Japan.
Mitsuteru NatsuizakaDepartment of Gastroenterology and Hepatology, Graduate School of Medicine, Hokkaido University, Sapporo 001-0021, Japan.ORCID 0000-0002-1819-1955
Koji OgawaDepartment of Gastroenterology and Hepatology, Graduate School of Medicine, Hokkaido University, Sapporo 001-0021, Japan.
Shunsuke OhnishiLaboratory of Molecular and Cellular Medicine, Faculty of Pharmaceutical Sciences, Hokkaido University, Sapporo 001-0021, Japan.ORCID 0000-0003-1194-4149
Naoya SakamotoDepartment of Gastroenterology and Hepatology, Graduate School of Medicine, Hokkaido University, Sapporo 001-0021, Japan.

Funding

Japan Agency for Medical Research and Development JP22fk0310501, JP22fk0210072, JP22fk0310518, JP22fk0210103, JP22fk0210113, JP22fk0210064, JP22fk0210066, JP22fk0210104, JP22fk0210111, JP22fk0210112, JP22fk0310524, and JP22fk0210067
6 · The paper itself

Abstract

The possible mechanisms of resistance to atezolizumab/bevacizumab for unresectable HCC, and the subsequent response to these therapies, remain underexplored. The sequential changes in serum growth factors, including VEGF-A, VEGF-C, VEGF-D, ANG-2, FGF-19, HGF, and EGF during atezolizumab/bevacizumab for unresectable HCC were evaluated in 46 patients. Patients who experienced PD after CR, PR, or SD to atezolizumab/bevacizumab were evaluated. A total of 4, 9, 19, and 14 patients showed CR, PR, SD, and PD, respectively. Of 32 patients with disease control, 28 experienced PD after CR, PR, or SD with atezolizumab/bevacizumab. Baseline growth factor levels were similar between patients with or without disease control and those with or without an objective response. Growth factor changes between the baseline and the best overall response points (BOR) for patients with disease control showed that FGF-19 significantly increased and ANG2 significantly decreased at the BOR. Growth factor changes between the BOR and the PD point in 28 patients who experienced PD after disease control showed that VEGF-D and ANG2 significantly increased at the PD point compared with that at the BOR. Summarily, increased serum VEGF-D and ANG-2 levels might contribute to developing resistance to atezolizumab/bevacizumab for unresectable HCC and might be target molecules in subsequent salvage therapies.

Indexed as

angiopoietin-2atezolizumabbevacizumabhepatocellular carcinomaimmune checkpoint inhibitormechanismprogressive diseaseresistanceVEGF-D

Identifiers

PMID36765554
PMCPMC9913372

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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.