Evidence map›Paper›PMID 37184216›Full record

Trial reportCancer medicine2023

Low-energy amplitude-modulated electromagnetic field exposure: Feasibility study in patients with hepatocellular carcinoma.

Fernanda Capareli, Frederico Costa, Jack A Tuszynski, Micelange C Sousa, Yone de C Setogute, Pablo D Lima, Luciana Carvalho, Elizabeth Santos, Brenda P Gumz, Jorge Sabbaga and 10 more

Registry-linked trialAbstract readClinical Trial
In one paragraph

Trial report in Cancer medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01686412 (Determination of Autonomic Responses to Exposure to Electromagnetic Fields With Low Energy Modulated Frequency in Patients With Breast and Advanced Hepatocellular Cancer.), which is not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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.

NCT01686412 nacompletednot on this map

Determination of Autonomic Responses to Exposure to Electromagnetic Fields With Low Energy Modulated Frequency in Patients With Breast and Advanced Hepatocellular Cancer.

TypeinterventionalSponsorHospital Sirio-LibanesRan2012 to 2015Enrolled60ConditionsHepatocellular Carcinoma, Breast CancerArmsElectromagnetic Fields of Low Energy (EEFLE)
3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Trial
  2. Synergistic mitigation of endotoxin-induced liver injury by low-frequency PMF and 27.12 MHz RF-EMF: a multi-biomarker experimental study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026
    Article
  3. Review
  4. Review
  5. Article
  6. Review
  7. 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

20 authors.

Fernanda CapareliOncology Department, Hospital Sírio-Libanês, São Paulo, Brazil.
Frederico CostaOncology Department, Hospital Sírio-Libanês, São Paulo, Brazil.ORCID 0000-0001-6651-3261
Jack A TuszynskiAutem Medical LLC, Hanover, New Hampshire, USA.
Micelange C SousaOncology Department, Hospital Sírio-Libanês, São Paulo, Brazil.
Yone de C SetoguteOncology Department, Hospital Sírio-Libanês, São Paulo, Brazil.
Pablo D LimaOncology Department, Hospital Sírio-Libanês, São Paulo, Brazil.
Luciana CarvalhoOncology Department, Hospital Sírio-Libanês, São Paulo, Brazil.
Elizabeth SantosOncology Department, Hospital Sírio-Libanês, São Paulo, Brazil.
Brenda P GumzOncology Department, Hospital Sírio-Libanês, São Paulo, Brazil.
Jorge SabbagaOncology Department, Hospital Sírio-Libanês, São Paulo, Brazil.
Tiago B de CastriaMemorial Sloan Kettering Cancer Center, New York, New York, USA.
Denis L JardimOncology Department, Hospital Sírio-Libanês, São Paulo, Brazil.
Daniela FreitasOncology Department, Hospital Sírio-Libanês, São Paulo, Brazil.
Natally HorvatMemorial Sloan Kettering Cancer Center, New York, New York, USA.
Regis O F BezerraRadiology Department, Hospital Sírio-Libanês, São Paulo, Brazil.
Leonardo TestagrossaPathology Department, Hospital Sírio-Libanês, São Paulo, Brazil.
Tiago CostaSanta Casa de São Paulo School of Medical Sciences, São Paulo, Brazil.
Tatiana ZanescoOncology Department, Hospital Sírio-Libanês, São Paulo, Brazil.
Antonio F IemmaInstitute of Mathematics and Statistics, University of São Paulo, São Paulo, Brazil.
Ghassan K Abou-AlfaMemorial Sloan Kettering Cancer Center, New York, New York, USA.ORCID 0000-0002-1522-8054

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

backgroundPatients with advanced hepatocellular carcinoma (HCC) and poor liver function lack effective systemic therapies. Low-energy electromagnetic fields (EMFs) can influence cell biological processes via non-thermal effects and may represent a new treatment option.

methodsThis single-site feasibility trial enrolled patients with advanced HCC, Child-Pugh A and B, Eastern Cooperative Oncology Group 0-2. Patients underwent 90-min amplitude-modulated EMF exposure procedures every 2-4 weeks, using the AutEMdev (Autem Therapeutics). Patients could also receive standard care. The primary endpoints were safety and the identification of hemodynamic variability patterns. Exploratory endpoints included health-related quality of life (HRQoL), overall survival (OS). and objective response rate (ORR) using RECIST v1.1.

resultsSixty-six patients with advanced HCC received 539 AutEMdev procedures (median follow-up, 30 months). No serious adverse events occurred during procedures. Self-limiting grade 1 somnolence occurred in 78.7% of patients. Hemodynamic variability during EMF exposure was associated with specific amplitude-modulation frequencies. HRQoL was maintained or improved among patients remaining on treatment. Median OS was 11.3 months (95% confidence interval [CI]: 6.0, 16.6) overall (16.0 months [95% CI: 4.4, 27.6] and 12.0 months [6.4, 17.6] for combination therapy and monotherapy, respectively). ORR was 24.3% (32% and 17% for combination therapy and monotherapy, respectively).

conclusionAutEMdev EMF exposure has an excellent safety profile in patients with advanced HCC. Hemodynamic alterations at personalized frequencies may represent a surrogate of anti-tumor efficacy. NCT01686412.

Indexed as

Carcinoma, HepatocellularLiver NeoplasmsElectromagnetic FieldsFeasibility StudiesHumansQuality of LifeEMFhemodynamicshepatocellular carcinomalow-frequency electromagnetic fieldssafety

Identifiers

PMID37184216
PMCPMC10278519

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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.