Evidence map›Paper›PMID 38697847›Full record

ArticleCancer research and treatment2024

Efficacy of Lenvatinib Combined with Anti-PD-1 Antibodies Plus Transcatheter Arterial Chemoembolization for Hepatocellular Carcinoma with Portal Vein Tumor Thrombus: A Retrospective, Multicenter Study.

Xiangye Ou, Junyi Wu, Jiayi Wu, Yangkai Fu, Zhenxin Zeng, Shuqun Li, Yinan Li, Deyi Liu, Han Li, Bin Li and 7 more

Abstract readMulticenter Study
In one paragraph

Article in Cancer research and treatment, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 3 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.

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

12 citing papers in PubMed, 3 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

17 authors.

Xiangye OuShengli Clinical Medical College of Fujian Medical University, Fuzhou, China.
Junyi WuShengli Clinical Medical College of Fujian Medical University, Fuzhou, China.
Jiayi WuShengli Clinical Medical College of Fujian Medical University, Fuzhou, China.
Yangkai FuShengli Clinical Medical College of Fujian Medical University, Fuzhou, China.
Zhenxin ZengShengli Clinical Medical College of Fujian Medical University, Fuzhou, China.
Shuqun LiDepartment of Hepatobiliary Pancreatic Surgery, Affiliated Hospital of Guilin Medical University, Guilin, China.
Yinan LiShengli Clinical Medical College of Fujian Medical University, Fuzhou, China.
Deyi LiuShengli Clinical Medical College of Fujian Medical University, Fuzhou, China.
Han LiShengli Clinical Medical College of Fujian Medical University, Fuzhou, China.
Bin LiDepartment of Hepato-Biliary-Pancreatic and Vascular Surgery, First Affiliated Hospital of Xiamen University, Xiamen, China.
Jianyin ZhouDepartment of Hepatobiliary Surgery, Zhongshan Hospital of Xiamen University, Xiamen, China.
Shaowu ZhuangDepartment of Interventional Radiology, Zhangzhou Affiliated Hospital of Fujian Medical University, Zhangzhou, China.
Shuqun ChengDepartment of Hepatic Surgery VI, Eastern Hepatobiliary Surgery Hospital, Second Military Medical University, Shanghai, China.
Zhibo ZhangDepartment of Hepatopancreatobiliary Surgery, First Affiliated Hospital of Fujian Medical University, Fuzhou, China.
Kai WangDepartment of Hepatobiliary Surgery, The Second Affiliated Hospital of Nanchang University, Nanchang, China.
Shuang QuShengli Clinical Medical College of Fujian Medical University, Fuzhou, China.
Maolin YanShengli Clinical Medical College of Fujian Medical University, Fuzhou, China.

Funding

Medical Innovation Project of Health and Family Planning Commission of Fujian Province 2022CXA002Natural Science Foundation of Fujian Province 2022J011021
6 · The paper itself

Abstract

purposeThe prognosis of patients with hepatocellular carcinoma (HCC) and portal vein tumor thrombus (PVTT) is extremely poor, and systemic therapy is currently the mainstream treatment. This study aimed to assess the efficacy and safety of lenvatinib combined with anti-programmed cell death-1 antibodies and transcatheter arterial chemoembolization (triple therapy) in patients with HCC and PVTT. MATERIALS AND

methodsThis retrospective multicenter study included patients with HCC and PVTT who received triple therapy, were aged between 18 and 75 years, classified as Child-Pugh class A or B, and had at least one measurable lesion. The overall survival (OS), progression-free survival (PFS), objective response rates, and disease control rates were analyzed to assess efficacy. Treatment-related adverse events were analyzed to assess safety profiles.

resultsDuring a median follow-up of 11.23 months (range, 3.07 to 34.37 months), the median OS was greater than 24 months, and median PFS was 12.53 months. The 2-year OS rate was 54.9%. The objective response rate and disease control rate were 69.8% (74/106) and 84.0% (89/106), respectively; 20.8% (22/106) of the patients experienced grade 3/4 treatment-related adverse events and no treatment-related deaths occurred. The conversion rate to liver resection was 31.1% (33/106), with manageable postoperative complications. The median OS was not reached in the surgery group, but was 19.08 months in the non-surgery group. The median PFS in the surgery and non-surgery groups were 20.50 and 9.00 months, respectively.

conclusionTriple therapy showed promising survival benefits and high response rates in patients with HCC and PVTT, with manageable adverse effects.

Indexed as

Carcinoma, HepatocellularChemoembolization, TherapeuticLiver NeoplasmsPhenylurea CompoundsPortal VeinQuinolinesAdolescentAdultAgedAntineoplastic Combined Chemotherapy ProtocolsFemaleHumansImmune Checkpoint InhibitorsMaleMiddle AgedProgrammed Cell Death 1 ReceptorImmune Checkpoint InhibitorslenvatinibPhenylurea CompoundsProgrammed Cell Death 1 ReceptorQuinolinesConversion therapyHepatocellular carcinomaImmunotherapyTriple therapyTyrosine kinase inhibitors

Identifiers

PMID38697847
PMCPMC11491243

What OpenQuestion holds

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Registered trials

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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.