Evidence map›Paper›PMID 37452107›Full record

ArticleJournal of gastroenterology2023

Adjuvant immune checkpoint inhibitors associated with higher recurrence-free survival in postoperative hepatocellular carcinoma (PREVENT): a prospective, multicentric cohort study.

Le Li, Pei-Sheng Wu, Xiu-Mei Liang, Kang Chen, Guan-Lan Zhang, Qi-Bin Su, Rong-Rui Huo, Rong-Wei Xie, Shan Huang, Liang Ma and 1 more

2 registry-linked trialsAbstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Journal of gastroenterology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 22 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 4 pooled it
–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.

NCT05221398 completednot on this map

Adjuvant Immune CheckPoint InhibitoRs Based ThErapy in PostoperatiVe HEpatocellular CarciNoma: a ProspecTive Real-world Study

TypeobservationalSponsorGuangxi Medical UniversityRan2019 to 2023Enrolled517ConditionsHepatocellular CarcinomaArmsImmune Checkpoint Inhibitors Based Adjuvant therapy, Active surveillance
NCT05910970 phase3unknown statusnot on this mapstarted 2024, after this paper: background citation

Adjuvant Tislelizumab With or Without Lenvatinib for Patients at High-risk of Hepatocellular Carcinoma Recurrence After Curative Resection or Ablation: a Multicentric, Prospective Study

TypeinterventionalSponsorGuangxi Medical UniversityRan2024 to 2025Enrolled200ConditionsHepatocellular Carcinoma, Recurrence, Immune Checkpoint InhibitorArmsAdjuvant tislelizumab plus lenvatinib, Adjuvant tislelizumab
3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 4 syntheses or guidelines 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

11 authors.

Le Li *Hepatobiliary Surgery Department, Guangxi Medical University Cancer Hospital, He Di Rd. #71, Nanning, 530021, China.
Pei-Sheng Wu *Hepatobiliary Surgery Department, the First People's Hospital of Qinzhou, Qinzhou, China.
Xiu-Mei Liang *Hepatobiliary Surgery Department, Guangxi Medical University Cancer Hospital, He Di Rd. #71, Nanning, 530021, China.
Kang ChenHepatobiliary Surgery Department, Guangxi Medical University Cancer Hospital, He Di Rd. #71, Nanning, 530021, China.
Guan-Lan ZhangHepatobiliary Surgery Department, Guangxi Medical University Cancer Hospital, He Di Rd. #71, Nanning, 530021, China.
Qi-Bin SuHepatobiliary Surgery Department, the First People's Hospital of Qinzhou, Qinzhou, China.
Rong-Rui HuoHepatobiliary Surgery Department, Guangxi Medical University Cancer Hospital, He Di Rd. #71, Nanning, 530021, China.
Rong-Wei XieHepatobiliary Surgery Department, Guangxi Medical University Cancer Hospital, He Di Rd. #71, Nanning, 530021, China.
Shan HuangHepatobiliary Surgery Department, Guangxi Medical University Cancer Hospital, He Di Rd. #71, Nanning, 530021, China.
Liang MaHepatobiliary Surgery Department, Guangxi Medical University Cancer Hospital, He Di Rd. #71, Nanning, 530021, China. malianggxyd@163.com.
Jian-Hong ZhongHepatobiliary Surgery Department, Guangxi Medical University Cancer Hospital, He Di Rd. #71, Nanning, 530021, China. zhongjianhong@gxmu.edu.cn.ORCID 0000-0002-1494-6396

Funding

Key Laboratory of Early Prevention and Treatment for Regional High Frequency Tumor (Guangxi Medical University), Ministry of Education GKE-ZZ202217National Natural Science Foundation of China 82060510National Natural Science Foundation of China 82260569Self-raised Scientific Research Fund of the Ministry of Health of Guangxi Province Z20191054Self-raised Scientific Research Fund of the Ministry of Health of Guangxi Province Z20200923Specific Research Project of Guangxi for Research Bases and Talents GuiKe AD22035057
6 · The paper itself

Abstract

backgroundAdjuvant therapy may improve survival of patients with hepatocellular carcinoma (HCC) after curative resection. This study compared safety and efficacy outcomes between patients at high risk of recurrence who received different types of adjuvant therapy or no such therapy after hepatic resection for HCC.

methodsRecurrence-free survival (RFS), overall survival, and adverse events were compared among patients who received adjuvant immune checkpoint inhibitors (ICIs) alone, ICIs with tyrosine kinase inhibitors (TKIs), or no adjuvant therapy between 13 March 2019 and 19 March 2022. This study was registered on ClinicalTrials.gov (NCT05221398).

resultsOf the 517 patients in final analysis, 432 (83.6%) received no adjuvant therapy, 53 (10.2%) received ICIs alone, and 32 (6.2%) received adjuvant ICIs and TKIs. During median follow-up of 34.0 months (IQR 27.8 to 41.6 months), RFS was significantly longer among patients who received either type of adjuvant therapy (25.2 months, 95%CI 16.4-34.0) than among those who received none (16.1 months, 95%CI 12.9-19.4), and this difference remained significant after propensity score matching (HR 0.52, 95%CI 0.35-0.76, P = 0.004). Overall survival was unaffected by either type of adjuvant therapy, while significant difference was observed between patients who received adjuvant therapy or not after propensity score matching (HR 0.31, 95%CI 0.17-0.59, P = 0.005). The rate of grade 3 or 4 adverse events was similar between the two types of adjuvant therapy.

conclusionsICIs alone or with TKIs may improve RFS of patients at high risk of HCC recurrence after curative resection.

Indexed as

Carcinoma, HepatocellularLiver NeoplasmsDisease-Free SurvivalHumansImmune Checkpoint InhibitorsProspective StudiesImmune Checkpoint InhibitorsAdjuvantHepatocellular carcinomaHigh riskImmune checkpoint inhibitorRecurrence-free survival

Identifiers

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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.