Evidence map›Paper›PMID 37188899›Full record

ReviewNature reviews. Clinical oncology2023

Cholangiocarcinoma - novel biological insights and therapeutic strategies.

Sumera I Ilyas, Silvia Affo, Lipika Goyal, Angela Lamarca, Gonzalo Sapisochin, Ju Dong Yang, Gregory J Gores

Registry-linked trialOpen access · greenAbstract readReview
In one paragraph

Review in Nature reviews. Clinical oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06662877 (Anlotinib Plus Nab-Paclitaxels and S-1 Versus FOLFOX for Patients with Advanced Biliary Tract Cancer As Second-Line Treatment), which is not on this map. Cited by 142 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
142citing papers in PubMed, 3 pooled it
57.8field-weighted citation impact, top 1% 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.

NCT06662877 phase2 / phase3not yet recruitingnot on this mapstarted 2024, after this paper: background citation

Anlotinib Plus Nab-Paclitaxels and S-1 Versus FOLFOX for Patients with Advanced Biliary Tract Cancer As Second-Line Treatment: a Phase 2/3, Multi-centric Double-stage Randomized Controlled Trial

TypeinterventionalSponsorSun Yat-sen UniversityRan2024 to 2029Enrolled206ConditionsBiliary Tract Cancer, Second Line Treatment, Chemotherapy, Tyrosine Kinase InhibitorArmsAlbumin-bound Paclitaxel + Tegafur Gimeracil Oteracil (S-1) + Anlotinib, Oxaliplatin + Leucovorin + Fluorouracil (FOLFOX regimen)
3 · Its place in the literature

Who cites it

142 citing papers in PubMed, 3 syntheses or guidelines pooled it, 182 citations in OpenAlex.

  1. Pooled it
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  4. Efficacy and Tolerability of Zenocutuzumab in AdvancedJournal of clinical oncology : official journal of the American Society of Clinical Oncology · 2026
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82 more citing papers are in PubMed but not listed here.

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

7 authors at 6 institutions in 4 countries.

Sumera I IlyasDivision of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN, USA.
Silvia AffoLiver, Digestive System and Metabolism Research, Institut d'Investigacions Biomediques August Pi i Sunyer (IDIBAPS), Barcelona, Spain.
Lipika GoyalDepartment of Medicine, Mass General Cancer Center, Harvard Medical School, Boston, MA, USA.
Angela LamarcaDepartment of Oncology, OncoHealth Institute, Fundación Jiménez Díaz University Hospital, Madrid, Spain.
Gonzalo SapisochinAjmera Transplant Program and HPB Surgical Oncology, Toronto General Hospital, University of Toronto, Toronto, Canada.
Ju Dong YangKarsh Division of Gastroenterology and Hepatology, Samuel Oschin Comprehensive Cancer Institute, Cedars-Sinai Medical Center, Los Angeles, CA, USA.ORCID 0000-0001-7834-9825
Gregory J GoresDivision of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN, USA. gores.gregory@mayo.edu.ORCID 0000-0003-3151-009X
Mayo Clinic · USCedars-Sinai Medical Center · USConsorci Institut D'Investigacions Biomediques August Pi I Sunyer · ESHarvard University · USUniversity of Manchester · GBUniversity of Toronto · CA

Funding

Tissue and Pathology ResourcesP50CA127003 · NCI · DANA-FARBER CANCER INST · PI EL-BARDEESY, NABEEL, SELLERS, WILLIAM R · 2007 to 2023
$33.2M
Project 4: ImmunovirotherapyP50CA210964 · NCI · MAYO CLINIC ROCHESTER · PI Rory Smoot · 2018 to 2026
$20.5M
The Pro-Tumor Immunologic Niche of the LiverK08CA236874 · NCI · MAYO CLINIC ROCHESTER · PI ILYAS, SUMERA I. · 2019 to 2023
$1.2M
NCI NIH HHS K08 CA236874NCI NIH HHS P50 CA127003NCI NIH HHS P50 CA210964
6 · The paper itself

Abstract

In the past 5 years, important advances have been made in the scientific understanding and clinical management of cholangiocarcinoma (CCA). The cellular immune landscape of CCA has been characterized and tumour subsets with distinct immune microenvironments have been defined using molecular approaches. Among these subsets, the identification of 'immune-desert' tumours that are relatively devoid of immune cells emphasizes the need to consider the tumour immune microenvironment in the development of immunotherapy approaches. Progress has also made in identifying the complex heterogeneity and diverse functions of cancer-associated fibroblasts in this desmoplastic cancer. Assays measuring circulating cell-free DNA and cell-free tumour DNA are emerging as clinical tools for detection and monitoring of the disease. Molecularly targeted therapy for CCA has now become a reality, with three drugs targeting oncogenic fibroblast growth factor receptor 2 (FGFR2) fusions and one targeting neomorphic, gain-of-function variants of isocitrate dehydrogenase 1 (IDH1) obtaining regulatory approval. By contrast, immunotherapy using immune-checkpoint inhibitors has produced disappointing results in patients with CCA, underscoring the requirement for novel immune-based treatment strategies. Finally, liver transplantation for early stage intrahepatic CCA under research protocols is emerging as a viable therapeutic option in selected patients. This Review highlights and provides in-depth information on these advances.

Indexed as

Bile Duct NeoplasmsCancer-Associated FibroblastsCholangiocarcinomaBile Ducts, IntrahepaticHumansImmunotherapyTumor Microenvironment

Identifiers

PMID37188899
PMCPMC10601496
OpenAlexW4376642614

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.