Evidence map›Paper›PMID 36790032›Full record

ArticleCancer medicine2023

Effectiveness and safety of lenvatinib plus anti-programmed death-1 antibodies in patients with hepatocellular carcinoma: A real-world cohort study.

Ming-Hao Xu, Cheng Huang, Mei-Ling Li, Xiao-Dong Zhu, Chang-Jun Tan, Jian Zhou, Jia Fan, Hui-Chuan Sun, Ying-Hao Shen

Open access · goldAbstract read
In one paragraph

Article in Cancer medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 pooled it
2.0field-weighted citation impact, top 13% 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

10 citing papers in PubMed, 2 syntheses or guidelines pooled it, 10 citations in OpenAlex.

  1. Pooled it
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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

9 authors at 1 institution in 1 country.

Ming-Hao XuDepartment of Liver Surgery, Zhongshan Hospital, Fudan University, Shanghai, China.ORCID 0000-0001-5656-8090
Cheng HuangDepartment of Liver Surgery, Zhongshan Hospital, Fudan University, Shanghai, China.
Mei-Ling LiDepartment of Liver Surgery, Zhongshan Hospital, Fudan University, Shanghai, China.
Xiao-Dong ZhuDepartment of Liver Surgery, Zhongshan Hospital, Fudan University, Shanghai, China.
Chang-Jun TanDepartment of Liver Surgery, Zhongshan Hospital, Fudan University, Shanghai, China.
Jian ZhouDepartment of Liver Surgery, Zhongshan Hospital, Fudan University, Shanghai, China.ORCID 0000-0002-2118-1117
Jia FanDepartment of Liver Surgery, Zhongshan Hospital, Fudan University, Shanghai, China.ORCID 0000-0001-5158-629X
Hui-Chuan SunDepartment of Liver Surgery, Zhongshan Hospital, Fudan University, Shanghai, China.ORCID 0000-0003-3761-7058
Ying-Hao ShenDepartment of Liver Surgery, Zhongshan Hospital, Fudan University, Shanghai, China.ORCID 0000-0001-6476-0648
Sun Yat-sen University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveLenvatinib plus anti-programmed death-1 (anti-PD-1) antibody combinations have shown potent anti-tumor effect in phase I/II trials in advanced or unresectable hepatocellular carcinoma (HCC), but real-world data are limited.

methodsTo investigate the effectiveness and safety of lenvatinib plus anti-PD-1 antibodies in a real-world cohort, we retrospectively evaluated 210 patients with unresectable or advanced HCC treated with these regimens between October 2018 and February 2022.

resultsThe objective response rate and disease control rate per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 were 28.1% and 75.2%. Median overall survival (OS) and progression-free survival (PFS) in the overall cohort were 17.2 and 8.4 months, respectively. Median OS and PFS of patients receiving first-line treatment reached 18.9 and 9.6 months. Median OS was significantly longer in patients with Child-Pugh class A versus B (18.8 vs. 5.9 months, respectively), as was median PFS (9.1 vs. 4.4 months). Patients with albumin-bilirubin (ALBI) grade 1 versus grade 2/3 also had significantly greater median OS (23.5 vs. 13.4 months). Treatment-related adverse events (AEs) occurred in 79.5% of patients. Patients with ALBI grade 2/3 had a higher rate of grade 3/4 AEs than patients with ALBI grade 1 (57.5% vs. 38.5%).

conclusionLenvatinib combined with anti-PD-1 antibody therapy was effective in patients with sufficient liver function reserve. Further study is needed to improve therapeutic efficacy and AE management in patients with Child-Pugh class B or ALBI grade 2/3.

Indexed as

Carcinoma, HepatocellularLiver NeoplasmsAlbuminsBilirubinCohort StudiesHumansPhenylurea CompoundsQuinolinesRetrospective StudiesAlbuminsBilirubinlenvatinibPhenylurea CompoundsQuinolinesALBI gradeanti-PD-1 antibodyChild-Pugh classhepatocellular carcinomalenvatinib

Identifiers

PMID36790032
PMCPMC10166966
OpenAlexW4320856995

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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.