Evidence map›Paper›PMID 40014781›Full record

ArticleRadiology and oncology2025

Comparison of selective intra-arterial to standard intravenous administration in percutaneous electrochemotherapy (pECT) for liver tumors.

Tim Wilke, Erschad Hussain, Hannah Spallek, Francesca de Terlizzi, Lluis M Mir, Peter Bischoff, Andreas Schäfer, Elke Bartmuß, Matteo Cadossi, Alessandro Zanasi and 2 more

Abstract readComparative Study
In one paragraph

Article in Radiology and oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

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

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

12 authors.

Tim Wilke1Departement of Gastroenterology, Sinzig Medical Care Center, Linz/Rhein, Germany.
Erschad Hussain2Campus Lübeck, University Schleswig-Holstein, Lübeck, Germany.
Hannah Spallek3Clinic for Gynaecology and Obstetrics, University Hospital Mannheim, Mannheim, Germany.
Francesca de Terlizzi4IGEA Clinical Biophysics, Laboratory Carpi, Modena, Italy.
Lluis M Mir5METSY UMR 9018, Université Paris-Saclay, CNRS, Gustave Roussy, Villejuif, France.
Peter Bischoff6Clinic for Diagnostic and Interventional Radiology and Neuroradiology, WEGE Klinik, Bonn, Germany.
Andreas Schäfer6Clinic for Diagnostic and Interventional Radiology and Neuroradiology, WEGE Klinik, Bonn, Germany.
Elke Bartmuß6Clinic for Diagnostic and Interventional Radiology and Neuroradiology, WEGE Klinik, Bonn, Germany.
Matteo Cadossi4IGEA Clinical Biophysics, Laboratory Carpi, Modena, Italy.
Alessandro Zanasi4IGEA Clinical Biophysics, Laboratory Carpi, Modena, Italy.
Michael Pinkawa7Clinic for Radiotherapy and Radiation Oncology, WEGE Klinik, Bonn, Germany.
Attila Kovács6Clinic for Diagnostic and Interventional Radiology and Neuroradiology, WEGE Klinik, Bonn, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundElectrochemotherapy (ECT) is a local nonsurgical effective tumor treatment in the hand of the clinician for the treatment of patients with liver tumors or metastases. The study aimed to test the technical feasibility and safety of intra-arterial (i.a.) bleomycin administration compared to the established intravenous (i.v.) administration in percutaneous electrochemotherapy (pECT). Furthermore, the equivalence hypothesis was tested between the 2 modalities in terms of local short-term response and progression-free survival. PATIENTS AND

methodsForty-four patients have been recruited and treated by pECT for hepatocellular carcinoma, cholangiocarcinoma and liver metastatic lesions from cancers of different origin: 18 were treated with standard i.v., 26 with bleomycin i.a. administration.

resultsThe 2 groups were similar for anagraphic and anamnestic data, as well as for most relevant disease specific characteristics. Technical success of the treatment was obtained in 95% and 100% of patients in i.v. and i.a. groups respectively. Short-term local response was similar in the 2 groups with a slightly higher complete remission (CR) rate in the i.a. group. There were 61.9% CR, 23.8% partial remission (PR), 4.8% stable disease (SD) in the i.v. group, and 80.6%, CR 12.9% PR, 3.2% PD (p = 0.3454). One-year progression free survival was 60% (C.I. 33%-88%) in the i.v. group and 67% (C.I. 42%-91%) in the i.a. group (p = 0.5849).

conclusionsThe results of this study confirmed the safety and feasibility of super-selective i.a. bleomycin administration. Analysis of local response and progression free survival confirmed the equivalence hypothesis of the new modality compared to standard i.v. administration in the treatment of primary and secondary liver malignancies by pECT.

Indexed as

Antibiotics, AntineoplasticBleomycinCarcinoma, HepatocellularElectrochemotherapyLiver NeoplasmsAdultAgedAged, 80 and overCohort StudiesFeasibility StudiesFemaleHumansInfusions, Intra-ArterialMaleMiddle AgedAntibiotics, AntineoplasticBleomycinbleo-mycinelectrochemotherapyintra-arterial administrationliver cancerliver metastasispercutaneous ECT

Identifiers

PMID40014781
PMCPMC11867569

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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.