Evidence map›Paper›PMID 39342585›Full record

Trial reportAsian Pacific journal of cancer prevention : APJCP2024

Comparison between Trans-Arterial Chemoembolization Followed by Stereotactic Body Radiation Therapy and Trans-Arterial Chemoembolization Alone in BCLC Stage B Hepatocellular Carcinoma: A Pilot Study.

Ehab Saad, Mohamed Abdulla, Amr Nassef, Nadia Ebrahim, Rabab Abdel Moneim

Abstract readRandomized Controlled TrialComparative Study
In one paragraph

Trial report in Asian Pacific journal of cancer prevention : APJCP, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

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

  1. Pooled it
  2. 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

5 authors.

Ehab SaadDepartment of Clinical Oncology and Nuclear Medicine, Cairo University, Cairo, Egypt.ORCID 0000-0002-0273-357X
Mohamed AbdullaDepartment of Clinical Oncology and Nuclear Medicine, Cairo University, Cairo, Egypt.
Amr NassefDepartment of Radio Diagnosis and Interventional Radiology, Cairo University, Cairo, Egypt.
Nadia EbrahimDepartment of Clinical Oncology and Nuclear Medicine, Cairo University, Cairo, Egypt.
Rabab Abdel MoneimDepartment of Clinical Oncology and Nuclear Medicine, Cairo University, Cairo, Egypt.ORCID 0000-0002-6729-5742

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveBoth Stereotactic Body Radiation Therapy (SBRT) and Trans-arterial Chemoembolization (TACE) are now being widely used to treat advanced hepatocellular carcinoma (HCC) and can improve tumor local control rates. We aimed at evaluating the efficacy and toxicity of combining SBRT and TACE in comparison to TACE alone in unresectable HCC.

methods42 unresectable Barcelona Clinic Liver Cancer (BCLC) stage B HCC Child Pugh (CP) A patients were randomized to receive either: TACE alone (Arm A) or TACE followed by SBRT (Arm B). Dose prescribed was 40Gy in 5consecutive daily fractions over 1 week . We compared the local control (LC), Progression free survival (PFS), overall survival (OS) and toxicity between the two arms.

results22 patients were in arm A versus 20 patients in arm B with median follow up 20 months starting recruitment from April 2021 till January 2023. Both LC, PFS were significantly better in Arm B. Complete remission (CR) rate was 54.5% and 75% in Arm A and B, respectively. Median PFS was 16 months in Arm B compared to 11 months in Arm A (p =0.003). Median OS was not reached in both arms. Both arms had comparable toxicities.

conclusionAdding SBRT to TACE in advanced HCC, is safe and feasible with better efficacy in terms of LC and PFS with comparable side effects, in comparison to TACE alone.

Indexed as

Carcinoma, HepatocellularChemoembolization, TherapeuticLiver NeoplasmsRadiosurgeryAdultAgedCombined Modality TherapyFemaleFollow-Up StudiesHumansMaleMiddle AgedNeoplasm StagingPilot ProjectsPrognosisSurvival Ratehepatocellular carcinoma (HCC)Stereotactic Body Radiation therapy( SBRT)Transarterial chemoembolization (TACE)

Identifiers

PMID39342585
PMCPMC11700336

What OpenQuestion holds

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Registered trials

None linked

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.