Evidence map›Paper›PMID 37814921›Full record

ArticleCancer medicine2023

Radiofrequency ablation combined with toripalimab for recurrent hepatocellular carcinoma: A prospective controlled trial.

Zhenyu Wen, Junxiao Wang, Bo Tu, Yane Liu, Yuqing Yang, Li Hou, Xiang Yang, Xiaoyan Liu, Hui Xie

Open access · goldAbstract readControlled Clinical Trial
In one paragraph

Article in Cancer medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
3.1field-weighted citation impact, top 8% 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

14 citing papers in PubMed, 15 citations in OpenAlex.

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  10. New insights into mechanisms and interventions of locoregional therapies for hepatocellular carcinoma.Chinese journal of cancer research = Chung-kuo yen cheng yen chiu · 2024
    Article
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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

9 authors at 3 institutions in 1 country.

Zhenyu WenDepartment of Public Health, Jilin University, Jilin, China.
Junxiao WangAerospace Medical Center, Aerospace Center Hospital, Beijing, China.
Bo TuDepartment of Infectious Diseases, Fifth Medical Center of Chinese PLA General Hospital, Beijing, China.
Yane LiuDepartment of Public Health, Jilin University, Jilin, China.
Yuqing YangDepartment of Public Health, Jilin University, Jilin, China.
Li HouDepartment of Oncology, Fifth Medical Center of Chinese PLA General Hospital, Beijing, China.
Xiang YangDepartment of Oncology, Fifth Medical Center of Chinese PLA General Hospital, Beijing, China.
Xiaoyan LiuDepartment of Hepatology, Fifth Medical Center of Chinese PLA General Hospital, Beijing, China.
Hui XieDepartment of Oncology, Fifth Medical Center of Chinese PLA General Hospital, Beijing, China.ORCID 0000-0003-4322-7267
Chinese PLA General Hospital · CNJilin University · CNAerospace Center Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe effectiveness and security of radiofrequency ablation (RFA) in combination with toripalimab (anti-PD-1) for the treatment of recurrent hepatocellular carcinoma (HCC) was studied in this article.

methodsTotal of 40 patients were enrolled in the study between September 2019 and November 2021. Data follow-up ends in April 2022. The study's main focus is on recurrence free survival (RFS), while the secondary objectives was safety. Chi-square tests, Kaplan-Meier, and Cox proportional hazards models were utilized to analyze the data.

resultsThe median follow-up period was 21.40 months, and the median RFS was 15.40 months in the group that received combination therapy, which was statistically significantly different (HR: 0.44, p = 0.04) compared with the RFA group (8.2 months). RFS rates (RFSr) at 6, 12 and 18 months in the combination therapy groups and RFA groups were 80% vs 65%, 62.7% vs 35% and 48.7% vs 18.8%, respectively. Between the two groups, significant difference of RFSr was found at 18 months (p = 0.04). No statistical differences were observed between the two groups in terms of safeness (p > 0.05). The subgroup analysis indicated that the combination of RFA and anti-PD-1 led to better RFS than RFA alone. Moreover, patients benefited more from combination therapy in the groups younger than 60 years (HR: 0.26, p = 0.018), male (HR: 0.32, p = 0.028) and Child-Pugh grade A (HR: 0.38, p = 0.032).

conclusionsCombining RFA with anti-PD-1 showed improved RFS and was deemed safe for patients with recurrent HCC who had previously undergone RFA treatment alone.

Indexed as

Carcinoma, HepatocellularLiver NeoplasmsRadiofrequency AblationAntibodies, Monoclonal, HumanizedFemaleHumansMaleMiddle AgedNeoplasm Recurrence, LocalProspective StudiesRetrospective StudiesTreatment OutcomeAntibodies, Monoclonal, Humanizedtoripalimabanti-PD-1prospective studyradiofrequency ablationrecurrent hepatocellular carcinomatoripalimab

Identifiers

PMID37814921
PMCPMC10652346
OpenAlexW4387473422

What OpenQuestion holds

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LicenceCC BY
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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.