Evidence map›Paper›PMID 38936922›Full record

ArticleIn vivo (Athens, Greece)

Similar Efficacy Between Atezolizumab Plus Bevacizumab

Akifumi Kuwano, Masayoshi Yada, Kosuke Tanaka, Yuta Koga, Shigehiro Nagasawa, Akihide Masumoto, Kenta Motomura

Abstract read
In one paragraph

Article in In vivo (Athens, Greece). 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
–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

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

  1. Pooled it
  2. Review
  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

7 authors.

Akifumi KuwanoDepartment of Hepatology, Aso Iizuka Hospital, Fukuoka, Japan.
Masayoshi YadaDepartment of Hepatology, Aso Iizuka Hospital, Fukuoka, Japan myadah1@aih-net.com.
Kosuke TanakaDepartment of Hepatology, Aso Iizuka Hospital, Fukuoka, Japan.
Yuta KogaDepartment of Hepatology, Aso Iizuka Hospital, Fukuoka, Japan.
Shigehiro NagasawaDepartment of Hepatology, Aso Iizuka Hospital, Fukuoka, Japan.
Akihide MasumotoDepartment of Hepatology, Aso Iizuka Hospital, Fukuoka, Japan.
Kenta MotomuraDepartment of Hepatology, Aso Iizuka Hospital, Fukuoka, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

aimThe landscape of treatments for hepatocellular carcinoma (HCC), including immune checkpoint inhibitors, has expanded significantly. However, unresectable HCC patients with portal vein tumor thrombus (PVTT) continue to face a poor prognosis. This investigation examined the survival outcomes and determinants influencing survival rates in advanced HCC patients with PVTT undergoing treatment with atezolizumab plus bevacizumab (ATZ+BEV) or hepatic arterial infusion chemotherapy (HAIC). PATIENTS AND

methodsBetween December 2003 and June 2023, 48 advanced HCC with PVTT underwent treatment with either ATZ+BEV (16 patients) or HAIC (32 patients).

resultsThe analysis revealed no significant disparities in overall survival (OS) or treatment efficacy between the ATZ+BEV and HAIC groups (ATZ+BEV: 10.0 months, HAIC: 15.3 months). Treatment with either ATZ+BEV or HAIC resulted in minimal alterations in the ALBI score and preserved hepatic function. Independent prognostic factors for OS, identified via multivariate logistic regression, included serum α-fetoprotein levels >400 ng/ml [hazard ratio (HR)=1.94; p=0.001], the existence of more than five tumors (HR=1.55; p=0.043), and the Child-Pugh score (HR=2.53; p=0.002).

conclusionThis investigation revealed no significant variance in OS and response rates between patients receiving ATZ+BEV and those treated with HAIC. The survival of advanced HCC patients with PVTT is intricately linked to the preservation of liver function, emphasizing the necessity for additional research to enhance treatment approaches for this patient population.

Indexed as

Antibodies, Monoclonal, HumanizedAntineoplastic Combined Chemotherapy ProtocolsBevacizumabCarcinoma, HepatocellularInfusions, Intra-ArterialLiver NeoplasmsPortal VeinAdultAgedFemaleHepatic ArteryHumansMaleMiddle AgedPrognosisRetrospective StudiesAntibodies, Monoclonal, HumanizedatezolizumabBevacizumabatezolizumab plus bevacizumabhepatic arterial infusion chemotherapyHepatocellular carcinomaportal vein tumor thrombus

Identifiers

PMID38936922
PMCPMC11215578

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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.