Evidence map›Paper›PMID 39910472›Full record

Trial reportBMC cancer2025

Donafenib combined with sintilimab for advanced hepatocellular carcinoma: a single arm phase II trial.

Xiaoyang Hong, Yongjian Guo, Wenbo Shi, Kangshun Zhu, Licong Liang, Liteng Lin, Ye Chen, Jingwen Zhou, Jingjun Huang, Jiabai Huang and 3 more

Registry-linked trialAbstract readClinical Trial, Phase II
In one paragraph

Trial report in BMC cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05162352 (Donafenib Combined With Sintilimab for Advanced HCC), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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.

NCT05162352 phase2completednot on this map

Donafenib Combined With Sintilimab for Advanced HCC: a Single-arm, Single-center, Prospective Study

TypeinterventionalSponsorSecond Affiliated Hospital of Guangzhou Medical UniversityRan2021 to 2023Enrolled30ConditionsHepatocellular CarcinomaArmsDonafenib+sintilimab
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Trial
  2. Review
  3. 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

13 authors.

Xiaoyang Hong *Department of Minimally Invasive Interventional Radiology, the Second Affiliated Hospital, Guangzhou Medical University, Guangzhou, China.
Yongjian Guo *Department of Minimally Invasive Interventional Radiology, the Second Affiliated Hospital, Guangzhou Medical University, Guangzhou, China.
Wenbo Shi *Department of Minimally Invasive Interventional Radiology, the Second Affiliated Hospital, Guangzhou Medical University, Guangzhou, China.
Kangshun ZhuDepartment of Minimally Invasive Interventional Radiology, the Second Affiliated Hospital, Guangzhou Medical University, Guangzhou, China.
Licong LiangDepartment of Minimally Invasive Interventional Radiology, the Second Affiliated Hospital, Guangzhou Medical University, Guangzhou, China.
Liteng LinDepartment of Minimally Invasive Interventional Radiology, the Second Affiliated Hospital, Guangzhou Medical University, Guangzhou, China.
Ye ChenDepartment of Minimally Invasive Interventional Radiology, the Second Affiliated Hospital, Guangzhou Medical University, Guangzhou, China.
Jingwen ZhouDepartment of Minimally Invasive Interventional Radiology, the Second Affiliated Hospital, Guangzhou Medical University, Guangzhou, China.
Jingjun HuangDepartment of Minimally Invasive Interventional Radiology, the Second Affiliated Hospital, Guangzhou Medical University, Guangzhou, China.
Jiabai HuangDepartment of Minimally Invasive Interventional Radiology, the Second Affiliated Hospital, Guangzhou Medical University, Guangzhou, China.
Yaozhu WuDepartment of Minimally Invasive Interventional Radiology, the Second Affiliated Hospital, Guangzhou Medical University, Guangzhou, China.
Wensou HuangDepartment of Minimally Invasive Interventional Radiology, the Second Affiliated Hospital, Guangzhou Medical University, Guangzhou, China. huangwensou@126.com.
Mingyue CaiDepartment of Minimally Invasive Interventional Radiology, the Second Affiliated Hospital, Guangzhou Medical University, Guangzhou, China. cai020@yeah.net.

Funding

Clinical Study Project of the Second Affiliated Hospital, Guangzhou Medical University 2021-LCYJ-DZX-01Clinical Study Project of the Second Affiliated Hospital, Guangzhou Medical University 2022-LCYJ-YY-02Guangzhou School (College) Enterprise Joint Funding Project SL2023A03J00463National Natural Science Foundation of China 82172043National Natural Science Foundation of China 82202273Plan on Enhancing Scientific Research in GMU 2023.198Plan on Enhancing Scientific Research in GMU GMUCR2024-02002
6 · The paper itself

Abstract

backgroundPrevious studies evaluating antiangiogenic agents plus immune checkpoint inhibitors for unresectable hepatocellular carcinoma (HCC) have shown encouraging results. This study was conducted to investigate the efficacy and safety of donafenib combined with sintilimab (Don-Sin) for advanced HCC.

methodsThis was a single-center, single-arm phase II trial recruiting patients with BCLC stage C HCC. A safety run-in cohort was planned with the first 6 patients receiving oral donafenib 200 mg twice daily and intravenous sintilimab 200 mg once every 3 weeks. Dose-limiting toxicities (DLTs) were evaluated to determine the recommended dose of donafenib for those enrolled thereafter. The primary endpoint of this study was progression-free survival (PFS) per mRECIST.

results30 patients were enrolled. As 3 patients (50.0%) experienced DLTs during safety run-in, the initial dose of donafenib was adjusted to 200 mg once daily for subsequent patients. The primary endpoint was met with a median PFS of 6.2 (95% confidence interval [CI], 4.4-8.0) months per mRECIST (6.3 [95% CI, 5.4-7.2] months per RECIST 1.1). The objective response rate was 23.3% per mRECIST and 16.7% per RECIST 1.1, while the disease control rate reached 76.7% per mRECIST/RECIST 1.1. The median overall survival was 16.0 (95% CI, 13.5-18.5) months. Treatment-related adverse events (TRAEs) occurred in 28 patients (93.3%) and grade 3 TRAEs were observed in 9 patients (30.0%).

conclusionsDon-Sin showed promising antitumor effects with an acceptable safety profile in patients with advanced stage HCC. The preliminary findings need to be further evaluated in phase III randomized controlled trials.

trial registrationClinicalTrials.gov (identifier: NCT05162352; date of registration: December 4, 2021).

Indexed as

Antibodies, Monoclonal, HumanizedAntineoplastic Combined Chemotherapy ProtocolsCarcinoma, HepatocellularLiver NeoplasmsAdultAgedFemaleHumansMaleMiddle AgedProgression-Free SurvivalPyridinesAntibodies, Monoclonal, HumanizedPyridinessintilimabCombination therapyDonafenibHepatocellular carcinomaImmune-checkpoint inhibitorProgrammed death 1 inhibitorSintilimabTyrosine-kinase inhibitor

Identifiers

PMID39910472
PMCPMC11796178

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Registered trials

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.