Evidence map›Paper›PMID 38577725›Full record

ArticleCancer reports (Hoboken, N.J.)2024

Clinical usefulness of newly developed prognostic predictive score for atezolizumab plus bevacizumab for hepatocellular carcinoma.

Hideko Ohama, Atsushi Hiraoka, Toshifumi Tada, Masashi Hirooka, Kazuya Kariyama, Takeshi Hatanaka, Joji Tani, Koichi Takaguchi, Masanori Atsukawa, Ei Itobayashi and 35 more

Open access · goldAbstract read
In one paragraph

Article in Cancer reports (Hoboken, N.J.), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
3.7field-weighted citation impact, top 6% 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

8 citing papers in PubMed, 10 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

45 authors at 20 institutions in 1 country.

Hideko OhamaEhime Prefectural Central Hospital, Gastroenterology Center, Matsuyama, Ehime, Japan.ORCID 0000-0002-1882-824X
Atsushi HiraokaEhime Prefectural Central Hospital, Gastroenterology Center, Matsuyama, Ehime, Japan.ORCID 0000-0003-1989-0480
Toshifumi TadaDepartment of Internal Medicine, Japanese Red Cross Himeji Hospital, Himeji, Hyogo, Japan.ORCID 0000-0002-0976-6761
Masashi HirookaDepartment of Gastroenterology and Metabology, Ehime University Graduate School of Medicine, Toon, Ehime, Japan.
Kazuya KariyamaDepartment of Hepatology, Okayama City Hospital, Okayama, Japan.ORCID 0000-0003-3996-7502
Takeshi HatanakaDepartment of Gastroenterology, Gunma Saiseikai Maebashi Hospital, Maebashi, Gunma, Japan.ORCID 0000-0003-3656-285X
Joji TaniDepartment of Gastroenterology and Hepatology, Kagawa University, Takamatsu, Kagawa, Japan.ORCID 0000-0001-8801-2505
Koichi TakaguchiDepartment of Hepatology, Kagawa Prefectural Central Hospital, Takamatsu, Kagawa, Japan.
Masanori AtsukawaDivision of Gastroenterology and Hepatology, Department of Internal Medicine, Nippon Medical School, Tokyo, Japan.ORCID 0000-0003-3374-7111
Ei ItobayashiDepartment of Gastroenterology, Asahi General Hospital, Chiba, Japan.
Takashi NishimuraDepartment of Gastroenterology and Hepatology, Hyogo Medical University, Kochi, Hyogo, Japan.ORCID 0000-0002-5517-8303
Kunihiko TsujiTeine Keijinkai Hospital, Center of Gastroenterology, Sapporo, Hokkaido, Japan.
Kazuto TajiriDepartment of Gastroenterology, Saiseikai Niigata Hospital, Niigata, Japan.
Toru IshikawaDepartment of Gastroenterology, Toyama University Hospital, Toyama, Japan.
Satoshi YasudaDepartment of Gastroenterology and Hepatology, Ogaki Municipal Hospital, Gifu, Japan.
Hidenori ToyodaDepartment of Gastroenterology and Hepatology, Ogaki Municipal Hospital, Gifu, Japan.
Shinya FukunishiDepartment of Gastroenterology and Hepatology, Hyogo Medical University, Kochi, Hyogo, Japan.
Chikara OgawaDepartment of Gastroenterology, Japanese Red Cross Takamatsu Hospital, Takamatsu, Kagawa, Japan.
Satoru KakizakiDepartment of Clinical Research, National Hospital Organization Takasaki General Medical Center, Takasaki, Gunma, Japan.
Noritomo ShimadaDivision of Gastroenterology and Hepatology, Otakanomori Hospital, Chiba, Japan.
Atsushi NaganumaDepartment of Gastroenterology, National Hospital Organization Takasaki General Medical Center, Gunma, Japan.ORCID 0000-0003-0663-0102
Kazuhito KawataHepatology Division, Department of Internal Medicine II, Hamamatsu University School of Medicine, Shizuoka, Japan.
Hisashi KosakaDepartment of Surgery, Kansai Medical University, Osaka, Japan.
Hidekatsu KurodaDivision of Hepatology, Department of Internal Medicine, School of Medicine, Iwate Medical University, Iwate, Japan.
Tomomitsu MatonoDepartment of Gastroenterology, Hyogo Prefectural Harima-Himeji General Medical Center, Himeji, Japan.
Yutaka YataDepartment of Gastroenterology, Hanwa Memorial Hospital, Osaka, Japan.
Hironori OchiJapanese Red Cross Matsuyama Hospital, Hepato-biliary Center, Matsuyama, Ehime, Japan.
Fujimasa TadaEhime Prefectural Central Hospital, Gastroenterology Center, Matsuyama, Ehime, Japan.
Kazuhiro NousoDepartment of Hepatology, Okayama City Hospital, Okayama, Japan.ORCID 0000-0002-2018-0008
Asahiro MorishitaDepartment of Gastroenterology and Hepatology, Kagawa University, Takamatsu, Kagawa, Japan.ORCID 0000-0002-0760-3045
Norio ItokawaDivision of Gastroenterology and Hepatology, Department of Internal Medicine, Nippon Medical School, Tokyo, Japan.
Tomomi OkuboDivision of Gastroenterology and Hepatology, Department of Internal Medicine, Nippon Medical School, Tokyo, Japan.
Taeang AraiDivision of Gastroenterology and Hepatology, Department of Internal Medicine, Nippon Medical School, Tokyo, Japan.
Akemi TsutsuiDepartment of Hepatology, Kagawa Prefectural Central Hospital, Takamatsu, Kagawa, Japan.
Takuya NaganoDepartment of Hepatology, Kagawa Prefectural Central Hospital, Takamatsu, Kagawa, Japan.
Keisuke YokohamaDepartment of Gastroenterology, Osaka Medical and Pharmaceutical University, Osaka, Japan.
Hiroki NishikawaDepartment of Gastroenterology, Osaka Medical and Pharmaceutical University, Osaka, Japan.
Michitaka ImaiDepartment of Gastroenterology, Saiseikai Niigata Hospital, Niigata, Japan.
Yohei KoizumiDepartment of Gastroenterology and Metabology, Ehime University Graduate School of Medicine, Toon, Ehime, Japan.
Shinichiro NakamuraDepartment of Internal Medicine, Japanese Red Cross Himeji Hospital, Himeji, Hyogo, Japan.
Hiroko IijimaDepartment of Gastroenterology and Hepatology, Hyogo Medical University, Kochi, Hyogo, Japan.
Masaki KaiboriDepartment of Surgery, Kansai Medical University, Osaka, Japan.
Yoichi HiasaDepartment of Gastroenterology and Metabology, Ehime University Graduate School of Medicine, Toon, Ehime, Japan.ORCID 0000-0003-4117-339X
Takashi KumadaDepartment of Nursing, Gifu Kyoritsu University, Gifu, Japan.
Representing the Real‐life Practice Experts for HCC Study Group with Hepatocellular Carcinoma experts from 48 clinics in Japan (RELPEC/HCC 48 Group)
Nippon Medical School · JPEhime Prefectural Central Hospital · JPEhime University · JPHyogo University · JPKagawa Prefectural Central Hospital · JPHimeji Red Cross Hospital · JPKagawa University · JPKansai Medical University · JPNational Hospital Organization Takasaki Medical Center · JPOgaki Municipal Hospital · JPOkayama Prefecture · JPOsaka University of Pharmaceutical Sciences · JPSaiseikai Niigata Daini Hospital · JPAsahi General Hospital · JPGifu Kyoritsu University · JPGunma Saiseikai Maebashi Hospital · JPHamamatsu University School of Medicine · JPHanwa Memorial Hospital · JPHimeji Medical Center · JPIwate Medical University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsThe aim of the present study was to elucidate detailed parameters for prediction of prognosis for patients with unresectable hepatocellular carcinoma (uHCC) receiving atezolizumab plus bevacizumab (Atez/Bev) treatment.

methodsA total of 719 patients (males 577, median age 74 years) treated with Atez/Bev between September 2020 and January 2023 were enrolled. Factors related to overall survival (OS) were extracted and a prognostic scoring system based on hazard ratio (HR) was created. OS and progression-free survival (PFS) were retrospectively examined, and the prognostic ability of the newly developed system was compared to CRAFITY score using concordance index (c-index) and Akaike information criterion (AIC) results.

resultsCox-hazards multivariate analysis showed BCLC classification C/D (HR 1.4; 1 point), AFP ≥100 ng/mL (HR 1.4; 1 point), mALBI 2a (HR 1.7; 1 point), mALBI 2b/3 (HR 2.8; 2 points), and DCP ≥100 mAU/mL (HR 1.6; 1 point) as significant factors. The assigned points were added and used to develop the IMmunotherapy with AFP, BCLC staging, mALBI, and DCP evaluation (IMABALI-De) scoring system. For IMABALI-De scores of 0, 1, 2, 3, 4, and 5, OS was not applicable (NA), NA, 26.11, 18.79, 14.07, and 8.32 months, respectively (p < .001; AIC 2788.67, c-index 0.699), while for CRAFITY scores of 0, 1, and 2, OS was 26.11, 20.29, and 11.32 months, respectively (p < .001; AIC 2864.54, c-index 0.606). PFS periods for those IMABALI-De scores were 21.75, 12.89, 9.18, 8.0, 5.0, and 3.75 months, respectively (p < .001; AIC 5203.32, c-index 0.623) and for the CRAFITY scores were 10.32, 7.68, and 3.57 months, respectively (p < .001; AIC 5246.61, c-index 0.574). As compared with CRAFITY score, IMABALI-De score had better AIC and c-index results for both OS and PFS.

conclusionThe present results indicated that the proposed IMABALI-De score may be favorable for predicting prognosis of uHCC patients receiving Atez/Bev therapy.

Indexed as

Antibodies, Monoclonal, HumanizedCarcinoma, HepatocellularLiver NeoplasmsAgedalpha-FetoproteinsBevacizumabHumansMalePrognosisRetrospective Studiesalpha-FetoproteinsAntibodies, Monoclonal, HumanizedatezolizumabBevacizumabatezolizumab plus bevacizumabCRAFITY scorehepatocellular carcinomaIMABALI‐De scoreIMABALI scoremodified albumin‐bilirubin gradeprognosis

Identifiers

PMID38577725
PMCPMC10995717
OpenAlexW4393989704

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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.