Evidence map›Paper›PMID 39921803›Full record

Trial reportClinical and experimental medicine2025

Pharmacogenomic insights: IL-23R and ATG-10 polymorphisms in Sorafenib response for hepatocellular carcinoma.

Asmaa M El-Sheshtawy, Rehab H Werida, Monir Hussein Bahgat, Shahira El-Etreby, Noha A El-Bassiouny

Registry-linked trialAbstract readClinical Trial
In one paragraph

Trial report in Clinical and experimental medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06030895 (Pharmacogenetic Study of Sorafenib In Egyptian Patients With Hepatocellular Carcinoma.), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

NCT06030895 nacompletednot on this map

Pharmacogenetic Study of Sorafenib In Egyptian Patients With Hepatocellular Carcinoma.

TypeinterventionalSponsorDamanhour UniversityRan2022 to 2024Enrolled100ConditionsHepatocellular CarcinomaArmsSorafenib Tablets
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
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.

Asmaa M El-SheshtawyDepartment of Clinical Pharmacy and Pharmacy Practice, Faculty of Pharmacy, Damanhour University, Damanhour, Egypt. a.elsheshtawy00043@pharm.dmu.edu.eg.ORCID http://orcid.org/0009-0001-3039-5416
Rehab H WeridaDepartment of Clinical Pharmacy and Pharmacy Practice, Faculty of Pharmacy, Damanhour University, Damanhour, Egypt.ORCID http://orcid.org/0000-0002-5983-3993
Monir Hussein BahgatDepartment of Hepatology and Gastroenterology, Mansoura Specialized Medical Hospital, Mansoura, Egypt.ORCID http://orcid.org/0000-0001-7023-2454
Shahira El-EtrebyDepartment of Hepatology and Gastroenterology, Mansoura Specialized Medical Hospital, Mansoura, Egypt.ORCID http://orcid.org/0000-0002-5879-0557
Noha A El-BassiounyDepartment of Clinical Pharmacy and Pharmacy Practice, Faculty of Pharmacy, Damanhour University, Damanhour, Egypt.ORCID http://orcid.org/0000-0001-9277-2910

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hepatocellular carcinoma (HCC) is the most common primary liver cancer. Sorafenib is the first FDA-approved systemic therapy for advanced HCC. This study investigates the influence of IL-23R (rs7517847) and ATG-10 (rs10514231) genetic polymorphisms on Sorafenib response, survival outcomes, average tolerable dose, and adverse events. This prospective open-label cohort study included 100 HCC patients, assessing IL-23R and ATG-10 genotypes via real-time polymerase chain reaction (RT-PCR). Patient's responses were evaluated using modified RECIST criteria. Statistical analyses evaluated the association of genetic variants with response, progression-free survival (PFS), overall survival (OS), average tolerable Sorafenib dose, and adverse events. IL-23R TT carriers had the highest Sorafenib response rate (80%) compared to GT (13.3%) and GG (6.7%) (P = 0.021), while ATG-10 TT carriers had a 13.9-fold increased response likelihood (P = 0.001). The T allele in ATG-10 significantly predicted longer PFS (P = 0.025) and OS (P = 0.011), suggesting a potential prognostic role. IL-23R GG carriers received significantly higher Sorafenib doses than TT (P = 0.0174) and GT (P = 0.0227), whereas ATG-10 had no effect on dosage. However, its CT genotype was significantly associated with a higher risk of Hand-Foot Syndrome (P = 0.012), and independent of dose (P = 0.0018). IL-23R and ATG-10 polymorphisms influence Sorafenib response, survival, and tolerability in HCC patients. Genetic screening may improve personalized treatment strategies by optimizing Sorafenib efficacy and minimizing toxicity.This trial was registered on clinicaltrials.gov with registration number NCT06030895, registered on "September 11th, 2023," retrospectively.

Indexed as

Antineoplastic AgentsAutophagy-Related ProteinsCarcinoma, HepatocellularLiver NeoplasmsReceptors, InterleukinSorafenibAdultAgedFemaleGenotypeHumansMaleMiddle AgedPolymorphism, Single NucleotideProspective StudiesTreatment OutcomeAntineoplastic AgentsAutophagy-Related ProteinsIL23R protein, humanReceptors, InterleukinSorafenibATG-10Hepatocellular carcinomaIL-23RPharmacogenomicsResistanceSorafenib

Identifiers

PMID39921803
PMCPMC11807022

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.