Evidence map›Paper›PMID 39451767›Full record

ArticleCurrent oncology (Toronto, Ont.)2024

Characteristics and Prognosis of Patients with Advanced Hepatocellular Carcinoma Treated with Atezolizumab/Bevacizumab Combination Therapy Who Achieved Complete Response.

Teiji Kuzuya, Naoto Kawabe, Hisanori Muto, Yoshihiko Tachi, Takeshi Ukai, Yuryo Wada, Gakushi Komura, Takuji Nakano, Hiroyuki Tanaka, Kazunori Nakaoka and 5 more

Abstract read
In one paragraph

Article in Current oncology (Toronto, Ont.), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 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

15 authors.

Teiji KuzuyaDepartment of Gastroenterology and Hepatology, Fujita Health University, Toyoake 470-1192, Japan.ORCID 0000-0002-2229-990X
Naoto KawabeDepartment of Gastroenterology and Hepatology, Fujita Health University, Toyoake 470-1192, Japan.ORCID 0000-0002-4582-0868
Hisanori MutoDepartment of Gastroenterology and Hepatology, Fujita Health University, Toyoake 470-1192, Japan.
Yoshihiko TachiDepartment of Gastroenterology and Hepatology, Fujita Health University, Toyoake 470-1192, Japan.
Takeshi UkaiDepartment of Gastroenterology and Hepatology, Fujita Health University, Toyoake 470-1192, Japan.
Yuryo WadaDepartment of Gastroenterology and Hepatology, Fujita Health University, Toyoake 470-1192, Japan.
Gakushi KomuraDepartment of Gastroenterology and Hepatology, Fujita Health University, Toyoake 470-1192, Japan.
Takuji NakanoDepartment of Gastroenterology and Hepatology, Fujita Health University, Toyoake 470-1192, Japan.
Hiroyuki TanakaDepartment of Gastroenterology and Hepatology, Fujita Health University, Toyoake 470-1192, Japan.
Kazunori NakaokaDepartment of Gastroenterology and Hepatology, Fujita Health University, Toyoake 470-1192, Japan.ORCID 0000-0002-7407-1763
Eizaburo OhnoDepartment of Gastroenterology and Hepatology, Fujita Health University, Toyoake 470-1192, Japan.
Kohei FunasakaDepartment of Gastroenterology and Hepatology, Fujita Health University, Toyoake 470-1192, Japan.
Mitsuo NagasakaDepartment of Gastroenterology and Hepatology, Fujita Health University, Toyoake 470-1192, Japan.
Ryoji MiyaharaDepartment of Gastroenterology and Hepatology, Fujita Health University, Toyoake 470-1192, Japan.
Yoshiki HirookaDepartment of Gastroenterology and Hepatology, Fujita Health University, Toyoake 470-1192, Japan.ORCID 0000-0001-9639-7425

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo investigate the characteristics and prognosis of patients with advanced hepatocellular carcinoma (HCC) treated with atezolizumab and bevacizumab (Atz/Bev) who achieved a complete response (CR) according to the modified Response Evaluation Criteria in Solid Tumors (mRECIST).

methodsA total of 120 patients with Eastern Cooperative Oncology Group performance status (PS) 0 or 1 and Child-Pugh A at the start of Atz/Bev treatment were included. Barcelona Clinic Liver Cancer stage C was recorded in 59 patients.

resultsThe CR rate with Atz/Bev alone was 15.0%. The median time to CR was 3.4 months, and the median duration of CR was 15.6 months. A significant factor associated with achieving CR with Atz/Bev alone was an AFP ratio of 0.34 or less at 3 weeks. Adding transarterial chemoembolization (TACE) in the six patients who achieved a partial response increased the overall CR rate to 20%. Among the 24 patients who achieved CR, the median progression-free survival was 19.3 months, the median overall survival was not reached, and 14 patients (58.3%) were able to discontinue Atz/Bev and achieve a drug-free status. Twelve of these patients developed progressive disease (PD), but eleven successfully received post-PD treatments and responded well.

conclusionsAchieving CR by mRECIST using Atz/Bev alone or with additional TACE can be expected to offer an extremely favorable prognosis.

Indexed as

Antibodies, Monoclonal, HumanizedAntineoplastic Combined Chemotherapy ProtocolsBevacizumabCarcinoma, HepatocellularLiver NeoplasmsAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedPrognosisTreatment OutcomeAntibodies, Monoclonal, HumanizedatezolizumabBevacizumabatezolizumabbevacizumabcancer-freecomplete responsedrug-offhepatocellular carcinomatransarterial chemoembolization

Identifiers

PMID39451767
PMCPMC11506828

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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.