Evidence map›Paper›PMID 37496817›Full record

ArticleJGH open : an open access journal of gastroenterology and hepatology2023

Factors associated with the response to atezolizumab/bevacizumab combination therapy for hepatocellular carcinoma.

Yoshihiko Yano, Atsushi Yamamoto, Takuya Mimura, Saeko Kushida, Seiya Hirohata, Seitetsu Yoon, Hirotaka Hirano, Soo Ki Kim, Yuri Hatazawa, Kenji Momose and 14 more

Open access · goldAbstract read
In one paragraph

Article in JGH open : an open access journal of gastroenterology and hepatology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 24% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
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

24 authors at 10 institutions in 2 countries.

Yoshihiko YanoDivision of Gastroenterology Kobe University Graduate School of Medicine Kobe Japan.ORCID https://orcid.org/0000-0002-5177-7480
Atsushi YamamotoDivision of Gastroenterology Kobe University Graduate School of Medicine Kobe Japan.
Takuya MimuraHyogo Prefectural Hyogo Cancer Center Akashi Japan.
Saeko KushidaHyogo Prefectural Hyogo Cancer Center Akashi Japan.
Seiya HirohataHyogo Prefectural Kakogawa Medical Center Kakogawa Japan.
Seitetsu YoonHyogo Prefectural Kakogawa Medical Center Kakogawa Japan.
Hirotaka HiranoYodogawa Christian Hospital Osaka Japan.
Soo Ki KimKobe Asahi Hospital Kobe Japan.
Yuri HatazawaKonan Medical Center Kobe Japan.
Kenji MomoseOsaka Saiseikai Nakatsu Hospital Osaka Japan.
Hiroki HayashiKitaharima Medical Center Ono Japan.
Takuo KadoAkashi Medical Center Akashi Japan.
Katsuhisa NishiHyogo Prefectural Awaji Medical Center Sumoto Japan.
Hidenori TanakaSanda City Hospital Sanda Japan.
Takanori MatsuuraDivision of Gastroenterology Kobe University Graduate School of Medicine Kobe Japan.
Ryutaro YoshidaDivision of Gastroenterology Kobe University Graduate School of Medicine Kobe Japan.
Naoki AsajiDivision of Gastroenterology Kobe University Graduate School of Medicine Kobe Japan.
Eiichiro YasutomiDivision of Gastroenterology Kobe University Graduate School of Medicine Kobe Japan.
Yuuki ShiomiDivision of Gastroenterology Kobe University Graduate School of Medicine Kobe Japan.
Akihiro MinamiDivision of Gastroenterology Kobe University Graduate School of Medicine Kobe Japan.
Shohei KomatsuDivision of Hepato-Biliary-Pancreatic Surgery Kobe University Graduate School of Medicine Kobe Japan.
Takumi FukumotoDivision of Hepato-Biliary-Pancreatic Surgery Kobe University Graduate School of Medicine Kobe Japan.
Yoshihide UedaDivision of Gastroenterology Kobe University Graduate School of Medicine Kobe Japan.
Yuzo KodamaDivision of Gastroenterology Kobe University Graduate School of Medicine Kobe Japan.
Kobe University · JPEdogawa Hospital · JPHyogo Prefectural Cancer Center · JPAkashi Medical Center · JPHyogo Prefectural Awaji Medical Center · JPKobe Asahi Hospital · JPSaiseikai Nakatsu Hospital · JPSanden (Japan) · JPTokyo-Kita Medical Center · JPYodogawa Christian Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Aim: The purpose of this study was to analyze factors associated with the overall survival (OS) of atezolizumab/bevacizumab combination therapy for advanced hepatocellular carcinoma (aHCC). We also assessed the OS of patients with ineffective therapy and those who discontinued treatment owing to adverse events (AEs). Methods: This retrospective multicenter study involved 139 patients with aHCC who received atezolizumab/bevacizumab combination therapy between November 2020 and September 2022. Results: The median duration of treatment was 136.5 days, and the median observation period was 316 days. The overall response rate was 40%, and the disease control rate was 78% according to mRECIST criteria. Grade ≥2 AEs occurred in 63 patients (43%) and led to treatment discontinuation in 16 patients. Multivariate analysis revealed that treatment response and occurrence of grade ≥2 AEs after therapy, as well as low level of albumin-bilirubin (ALBI) grade and low level of des-gamma carboxy prothrombin (DCP) before therapy, were extracted as factors that contributed to OS. Log-rank tests with the Kaplan-Meier method showed significant differences in OS among these factors. The OS of patients who discontinued owing to AEs was significantly shorter than that of other patients. Conclusion: Not only factors before therapy but also treatment response and the appearance of AEs are involved in OS for atezolizumab/bevacizumab combination therapy. Although the development of AEs also contributed to OS, appropriate management of AEs is important to avoid discontinuing treatment with this combination.

Indexed as

adverse eventhepatocellular carcinomaimmune checkpoint inhibitor

Identifiers

PMID37496817
PMCPMC10366485
OpenAlexW4380877826

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.