Evidence map›Paper›PMID 37884523›Full record

Trial reportSignal transduction and targeted therapy2023

Camrelizumab (a PD-1 inhibitor) plus apatinib (an VEGFR-2 inhibitor) and hepatic artery infusion chemotherapy for hepatocellular carcinoma in Barcelona Clinic Liver Cancer stage C (TRIPLET): a phase II study.

Tian-Qi Zhang, Zhi-Jun Geng, Meng-Xuan Zuo, Ji-Bin Li, Jin-Hua Huang, Zi-Lin Huang, Pei-Hong Wu, Yang-Kui Gu

Registry-linked trialOpen access · goldAbstract readClinical Trial, Phase II
In one paragraph

Trial report in Signal transduction and targeted therapy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04191889 (A Prospective, Single-arm, Phase II Trial to Evaluate the Effectiveness and Safety of Hepatic Arterial Infusion Chemotherapy), which is not on this map. Cited by 104 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
104citing papers in PubMed, 7 pooled it
22.8field-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.

NCT04191889 phase2unknown statusnot on this map

A Prospective, Single-arm, Phase II Trial to Evaluate the Effectiveness and Safety of Hepatic Arterial Infusion Chemotherapy (HAIC) of Oxaliplatin, 5-fluorouracil and Leucovorin (mFOLFOX7) Combined With Apatinib-Mesylate Tablets and Camrelizumab for Injection for C-staged Hepatocellular Carcinoma in BCLC Classification.

TypeinterventionalSponsorSun Yat-sen UniversityRan2020 to 2025Enrolled47ConditionsC-staged Hepatocellular Carcinoma in BCLC ClassificationArmsHepatic Arterial Infusion combined with Apatinib and Camrelizumab
3 · Its place in the literature

Who cites it

104 citing papers in PubMed, 7 syntheses or guidelines pooled it, 112 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Pooled it
  8. Trial
  9. Trial
  10. Trial
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. Article

44 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Tian-Qi Zhang *Department of Minimally Invasive Interventional Therapy, Sun Yat-sen University Cancer Center, Guangzhou, P. R. China.
Zhi-Jun Geng *State Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Guangzhou, P. R. China.
Meng-Xuan Zuo *Department of Minimally Invasive Interventional Therapy, Sun Yat-sen University Cancer Center, Guangzhou, P. R. China.
Ji-Bin LiDepartment of Clinical Research, Sun Yat-sen University Cancer Center, Guangzhou, P. R. China.ORCID 0000-0001-7632-3648
Jin-Hua HuangDepartment of Minimally Invasive Interventional Therapy, Sun Yat-sen University Cancer Center, Guangzhou, P. R. China.
Zi-Lin HuangDepartment of Minimally Invasive Interventional Therapy, Sun Yat-sen University Cancer Center, Guangzhou, P. R. China.
Pei-Hong WuDepartment of Minimally Invasive Interventional Therapy, Sun Yat-sen University Cancer Center, Guangzhou, P. R. China. wuph@sysucc.org.cn.
Yang-Kui GuDepartment of Minimally Invasive Interventional Therapy, Sun Yat-sen University Cancer Center, Guangzhou, P. R. China. guyk@sysucc.org.cn.
Sun Yat-sen University · CN

Funding

Natural Science Foundation of Guangdong Province (Guangdong Natural Science Foundation) 2020A1515011539
6 · The paper itself

Abstract

Hepatic arterial infusion chemotherapy (HAIC) using a combination of oxaliplatin, fluorouracil, and leucovorin (FOLFOX) has shown promise for hepatocellular carcinoma (HCC) patients classified under Barcelona Clinic Liver Cancer (BCLC) stage C. In China, the combined therapy of camrelizumab and apatinib is now an approved first-line approach for inoperable HCC. This study (NCT04191889) evaluated the benefit of combining camrelizumab and apatinib with HAIC-FOLFOX for HCC patients in BCLC stage C. Eligible patients were given a maximum of six cycles of HAIC-FOLFOX, along with camrelizumab and apatinib, until either disease progression or intolerable toxicities emerged. The primary outcome measured was the objective response rate (ORR) based on the Response Evaluation Criteria in Solid Tumors (RECIST) v1.1. Thirty-five patients were enrolled. Based on RECIST v1.1 criteria, the confirmed ORR stood at 77.1% (95% CI: 59.9% to 89.6%), with a disease control rate of 97.1% (95% CI: 85.1% to 99.9%). The median progression-free survival was 10.38 months (95% CI: 7.79 to 12.45). Patient quality of life had a transient deterioration within four cycles of treatment, and generally recovered thereafter. The most frequent grade ≥3 or above treatment-related adverse events included reduced lymphocyte count (37.1%) and diminished neutrophil count (34.3%). The combination of camrelizumab, apatinib, and HAIC demonstrated encouraging results and manageable safety concerns for HCC at BCLC stage C.

Indexed as

Carcinoma, HepatocellularLiver NeoplasmsAntibodies, Monoclonal, HumanizedHepatic ArteryHumansImmune Checkpoint InhibitorsPyridinesQuality of LifeVascular Endothelial Growth Factor Receptor-2Antibodies, Monoclonal, HumanizedapatinibcamrelizumabImmune Checkpoint InhibitorsPyridinesVascular Endothelial Growth Factor Receptor-2

Identifiers

PMID37884523
PMCPMC10603153
OpenAlexW4387966733

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.