Evidence map›Paper›PMID 39315523›Full record

ArticleCancer medicine2024

Real world data of cabozantinib in patients with hepatocellular carcinoma: Focusing on dose setting and modification.

Hironao Okubo, Hitoshi Ando, Shunsuke Nakamura, Yusuke Takasaki, Koichi Ito, Yuka Fukuo, Kenichi Ikejima, Hiroyuki Isayama

Abstract read
In one paragraph

Article in Cancer medicine, 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

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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.

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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

8 authors.

Hironao OkuboDepartment of Gastroenterology, Juntendo University Nerima Hospital, Tokyo, Japan.ORCID https://orcid.org/0009-0003-2656-0508
Hitoshi AndoDepartment of Cellular and Molecular Function Analysis, Kanazawa University Graduate School of Medical Sciences, Ishikawa, Japan.
Shunsuke NakamuraDepartment of Gastroenterology, Juntendo University Nerima Hospital, Tokyo, Japan.
Yusuke TakasakiDepartment of Gastroenterology, Juntendo University Nerima Hospital, Tokyo, Japan.
Koichi ItoDepartment of Gastroenterology, Juntendo University Nerima Hospital, Tokyo, Japan.
Yuka FukuoDepartment of Gastroenterology, Juntendo University Nerima Hospital, Tokyo, Japan.
Kenichi IkejimaDepartment of Gastroenterology, Juntendo University School of Medicine, Tokyo, Japan.
Hiroyuki IsayamaDepartment of Gastroenterology, Juntendo University School of Medicine, Tokyo, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo investigate the outcomes of cabozantinib in patients with unresectable hepatocellular carcinoma (uHCC), focusing on dose setting and modification.

methodsWe retrospectively analyzed 34 Japanese patients who received cabozantinib for uHCC. Trough concentrations (C

resultsSixteen patients received ≥40 mg (high-dose group), and 18 patients received 20 mg (low-dose group). Dose escalations were performed in 27.8% of the patients in the low-dose group. Although median duration of the first dose reduction or interruption in the low-dose group was twice that in the high-dose group (28 vs. 14 days, p < 0.001), there were no significant differences in the relative dose intensity (RDI) during 6 weeks, progression free survival (PFS), and overall survival (p = 0.162, p = 0.950, p = 0.817, respectively) between the two groups. Patients who received RDI during 6 weeks ≥33.4% showed a trend toward longer median PFS (p = 0.054). Each serum aldolase value during the 6 weeks was significantly correlated with the C

conclusionsAn initial dose of 20 mg cabozantinib could be a safe option in Japanese patients. The serum aldolase value could be useful for making appropriate dose modifications of cabozantinib.

Indexed as

AnilidesCarcinoma, HepatocellularLiver NeoplasmsPyridinesAdultAgedAged, 80 and overAntineoplastic AgentsDose-Response Relationship, DrugFemaleHumansMaleMiddle AgedProgression-Free SurvivalProtein Kinase InhibitorsRetrospective StudiesAnilidesAntineoplastic AgentscabozantinibProtein Kinase InhibitorsPyridinesaldolasecabozantinibdose modificationhepatocellular carcinomamuscle injuryrelative dose intensity

Identifiers

PMID39315523
PMCPMC11420626

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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.