Evidence map›Paper›PMID 37440938›Full record

ArticleJournal of clinical and experimental hepatology

Safety and Efficacy of Atezolizumab-Bevacizumab in Real World: The First Indian Experience.

Anand V Kulkarni, Vamsi Krishna, Karan Kumar, Mithun Sharma, Bharat Patodiya, Arif Khan, Sameer Shaik, Ashirwad Pasumarthy, Prateek Chhabra, Pramod Kumar Da and 3 more

Open access · greenAbstract read
In one paragraph

Article in Journal of clinical and experimental hepatology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
7.1field-weighted citation impact, top 2% 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

25 citing papers in PubMed, 35 citations in OpenAlex.

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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

13 authors at 1 institution in 1 country.

Anand V KulkarniDepartment of Hepatology and Liver Transplantation, AIG Hospitals, Hyderabad India.
Vamsi KrishnaDepartment of Oncology, AIG Hospitals, Hyderabad India.
Karan KumarDepartment of Hepatology, Mahatma Gandhi Hospitals, Jaipur, India.
Mithun SharmaDepartment of Hepatology and Liver Transplantation, AIG Hospitals, Hyderabad India.
Bharat PatodiyaDepartment of Oncology, AIG Hospitals, Hyderabad India.
Arif KhanDepartment of Oncology, AIG Hospitals, Hyderabad India.
Sameer ShaikDepartment of Hepatology and Liver Transplantation, AIG Hospitals, Hyderabad India.
Ashirwad PasumarthyDepartment of Radiology, AIG Hospitals, Hyderabad India.
Prateek ChhabraDepartment of Hepatology and Liver Transplantation, AIG Hospitals, Hyderabad India.
Pramod Kumar DaDepartment of Hepatology and Liver Transplantation, AIG Hospitals, Hyderabad India.
Vivek A SaraswatDepartment of Hepatology, Mahatma Gandhi Hospitals, Jaipur, India.
Padaki N RaoDepartment of Hepatology and Liver Transplantation, AIG Hospitals, Hyderabad India.
Duvvur N ReddyDepartment of Hepatology and Liver Transplantation, AIG Hospitals, Hyderabad India.
Gandhi Medical College & Hospital · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Atezolizumab-bevacizumab (atezo/bev) combination is a recommended first-line systemic therapy for unresectable hepatocellular carcinoma (uHCC). There are no studies from India reporting the safety and efficacy of this drug in real-world settings where most patients present in an advanced stage. Methods: In this retrospective study from two centers in India, we included patients with uHCC who received atezo/bev as first-line systemic therapy. Comparison of overall survival (OS) among the different Child-Turcotte-Pugh (CTP) classes was the primary objective, while progression-free survival (PFS), radiologic response, and adverse events to the therapy were secondary objectives. Results: The median age of the 67 patients who received atezo/bev therapy was 61 (29-82) years, and 86% were males. Nonalcoholic steatohepatitis (55.2%) was the commonest cause of cirrhosis, and most patients belonged to BCLC-C (74.6%%). There were 24 patients in CTP A, 36 in CTP B, and 7 in CTP C. The median OS was 12 (95%CI, 8.16-15.83) months in the cohort. The median OS in CTP class A, B, and C was 21 (95%CI, 0-42.06) months, 9 (95%CI, 5.46-12.53) months, and 4 (95%CI, 2.14-5.85) months, respectively ( Conclusions: Atezolizumab-bevacizumab is safe and effective in uHCC in real-world settings. Candidate selection is of utmost importance in treating uHCC with atezolizumab-bevacizumab to achieve a good response. Current evidence strongly suggests limited use of atezolizumab-bevacizumab in patients with CTP C, and such individuals should not be considered for this combination therapy.

Indexed as

HCCoverall survivalprogression-free survival

Identifiers

PMID37440938
PMCPMC10333935
OpenAlexW4319872581

What OpenQuestion holds

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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.