Evidence map›Paper›PMID 39001504›Full record

ArticleCancers2024

Systemic Treatment of Recurrent Hepatocellular Carcinoma after Liver Transplantation: A Multicenter Trial.

Vera Himmelsbach, Matthias Jeschke, Christian M Lange, Bernhard Scheiner, Matthias Pinter, Friedrich Sinner, Marino Venerito, Alexander Queck, Jörg Trojan, Oliver Waidmann and 1 more

Abstract read
In one paragraph

Article in Cancers, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

4 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
  4. Review
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

11 authors.

Vera HimmelsbachDepartment of Gastroenterology and Hepatology, University Hospital Frankfurt, 60590 Frankfurt, Germany.
Matthias JeschkeDepartment of Gastroenterology, Hepatology and Transplant Medicine, University Hospital Essen, 45147 Essen, Germany.
Christian M LangeDepartment of Gastroenterology, Hepatology and Transplant Medicine, University Hospital Essen, 45147 Essen, Germany.
Bernhard ScheinerDivision of Gastroenterology and Hepatology, Department of Medicine III, Medical University of Vienna, 1090 Vienna, Austria.ORCID 0000-0002-4904-5133
Matthias PinterDivision of Gastroenterology and Hepatology, Department of Medicine III, Medical University of Vienna, 1090 Vienna, Austria.ORCID 0000-0002-7260-532X
Friedrich SinnerDepartment of Gastroenterology, Hepatology and Infectious Diseases, Otto-Von Guericke University Hospital, 39120 Magdeburg, Germany.ORCID 0000-0003-0524-8833
Marino VeneritoDepartment of Gastroenterology, Hepatology and Infectious Diseases, Otto-Von Guericke University Hospital, 39120 Magdeburg, Germany.ORCID 0000-0001-8581-0974
Alexander QueckDepartment of Gastroenterology and Hepatology, University Hospital Frankfurt, 60590 Frankfurt, Germany.
Jörg TrojanDepartment of Gastroenterology and Hepatology, University Hospital Frankfurt, 60590 Frankfurt, Germany.
Oliver WaidmannDepartment of Gastroenterology and Hepatology, University Hospital Frankfurt, 60590 Frankfurt, Germany.
Fabian FinkelmeierDepartment of Gastroenterology and Hepatology, University Hospital Frankfurt, 60590 Frankfurt, Germany.ORCID 0000-0001-8559-9910

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe tyrosine kinase inhibitors (TKIs) sorafenib and lenvatinib represent the first-line systemic therapy of choice for patients with hepatocellular carcinoma (HCC) recurrence after liver transplantation (LT). Under sorafenib and lenvatinib, HCC patients have shown increasingly improved overall survival in clinical studies over the years. In contrast, data on overall survival for patients with HCC recurrence after LT under TKIs are scarce and limited to small retrospective series. In this retrospective, multicenter study, we investigated the efficacy of TKI therapy and the influence of immunosuppression in patients with HCC recurrence after LT.

methodsRetrospective data were collected from four transplant centers from Germany and Austria. We included patients with HCC recurrence after LT between 2007 and 2020 who were treated with a TKI.

resultsIn total, we analyzed data from 46 patients with HCC recurrence after LT. The most common underlying liver disease was hepatitis C, accounting for 52.2%. The median time to relapse was 11.8 months (range 0-117.7 months). The liver graft was affected in 21 patients (45.7%), and 36 patients (78.3%) had extrahepatic metastases at initial diagnosis of recurrence, with the lung being the most commonly affected (

conclusionSince history of liver transplantation is considered a contraindication for immunotherapy, prognosis of patients with HCC recurrence after LT remains poor.

Indexed as

hepatocellular carcinomaimmunosuppressionliver transplantationtyrosine kinase inhibitor

Identifiers

PMID39001504
PMCPMC11240676

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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.