Evidence map›Paper›PMID 40198533›Full record

Trial reportJournal of patient-reported outcomes2025

Health-related quality of life in patients with unresectable hepatocellular carcinoma treated with SIRT and nivolumab: a sub-analysis of the NASIR-HCC trial.

Manuel De la Torre-Aláez, Ana Matilla, María Varela, Mercedes Iñarrairaegui, María Reig, José Luis Lledó, Juan Ignacio Arenas, Sara Lorente, Milagros Testillano, Laura Márquez and 9 more

Registry-linked trialAbstract readClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in Journal of patient-reported outcomes, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03380130 (A Multicenter, Open-label, Single-arm Study of the Safety and Antitumoral Efficacy of Nivolumab After SIRT Using SIR-Spheres for the Treatment of Patients With HepatoCellular Carcinoma That Are Candidates for Locoregional Therapies), 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.

NCT03380130 phase2completednot on this map

A Multicenter, Open-label, Single-arm Study of the Safety and Antitumoral Efficacy of Nivolumab After SIRT Using SIR-Spheres for the Treatment of Patients With HepatoCellular Carcinoma That Are Candidates for Locoregional Therapies

TypeinterventionalSponsorClinica Universidad de Navarra, Universidad de NavarraRan2017 to 2020Enrolled41ConditionsHepatocellular CarcinomaArmsNivolumab, SIR-Spheres
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

19 authors.

Manuel De la Torre-AláezLiver Unit and HPB Oncology Area, Clínica Universidad de Navarra, Madrid, Spain.ORCID http://orcid.org/0000-0002-1972-3933
Ana MatillaCentro de Investigación Biomédica en Red de Efermedades Hepáticas y Digestivas (CIBEREHD), Madrid, Spain.
María VarelaLiver Unit, Hospital Universitario Central de Asturias, IUOPA, ISPA, Universidad de Oviedo, Oviedo, FINBA, Spain.ORCID http://orcid.org/0000-0003-4288-2593
Mercedes IñarrairaeguiCentro de Investigación Biomédica en Red de Efermedades Hepáticas y Digestivas (CIBEREHD), Madrid, Spain.ORCID http://orcid.org/0000-0001-9180-4693
María ReigCentro de Investigación Biomédica en Red de Efermedades Hepáticas y Digestivas (CIBEREHD), Madrid, Spain.
José Luis LledóCentro de Investigación Biomédica en Red de Efermedades Hepáticas y Digestivas (CIBEREHD), Madrid, Spain.ORCID http://orcid.org/0000-0001-7973-3503
Juan Ignacio ArenasDigestive Diseases, Hospital Universitario Donostia, San Sebastián, Spain.
Sara LorenteLiver Unit, Hospital Clínico Lozano Blesa, Zaragoza, Spain.
Milagros TestillanoDigestive Diseases, Hospital Universitario de Cruces, Baracaldo, Spain.
Laura MárquezDigestive Diseases Service, Hospital General Universitario Gregorio Marañón, Madrid, Spain.
Gemma IserteCentro de Investigación Biomédica en Red de Efermedades Hepáticas y Digestivas (CIBEREHD), Madrid, Spain.
Josepmaria ArgemíCentro de Investigación Biomédica en Red de Efermedades Hepáticas y Digestivas (CIBEREHD), Madrid, Spain.
Carlos Gómez-MartinMedical Oncology, Hospital Universitario, 12 de Octubre, Madrid, Spain.
Macarena Rodríguez-FraileNuclear Medicine, Clínica Universidad de Navarra, Pamplona, Spain.ORCID http://orcid.org/0000-0002-9069-7918
José I BilbaoInterventional Radiology, Clínica Universidad de Navarra, Pamplona, Spain.ORCID http://orcid.org/0000-0002-8265-9276
Richard F PollockCovalence Research Ltd, Rivers Lodge, West Common, Harpenden, AL5 2JD, UK.ORCID http://orcid.org/0000-0002-9873-7507
Johannes PöhlmannCovalence Research Ltd, Rivers Lodge, West Common, Harpenden, AL5 2JD, UK. poehlmann@covalence-research.com.ORCID http://orcid.org/0000-0002-8065-755X
Ion AgirrezabalSirtex Medical Europe GmbH, Bonn, Germany.ORCID http://orcid.org/0000-0003-3170-7845
Bruno SangroLiver Unit and HPB Oncology Area, Clínica Universidad de Navarra, Madrid, Spain.ORCID http://orcid.org/0000-0002-4177-6417

Funding

Bristol-Myers Squibb Bristol-Myers SquibbSirtex Medical Sirtex Medical
6 · The paper itself

Abstract

backgroundThe health-related quality of life (HRQoL) impact of therapies for hepatocellular carcinoma (HCC) influences decision-making and treatment outcomes. The present study reports HRQoL results from NASIR-HCC, a single-arm study of selective internal radiation therapy (SIRT) with Y90 resin microspheres followed by nivolumab for unresectable HCC. METHODOLOGY: Participants completed the EQ-5D-3 L, EQ-VAS, and FACT-Hep at baseline and on the first day of each nivolumab cycle. Linear mixed-effect models were used to calculate changes in outcomes in participants with the baseline and ≥ 1 follow-up measurement. Changes were assessed for clinical meaningfulness versus published minimally important differences.

resultsThirty-two patients from NASIR-HCC were included. Completion rates exceeded 70% at 62% of time points. Across EQ-5D-3 L domains, minimal changes were reported. Most patients had no problems at almost all time points. Mean index values were 0.864 at baseline and 0.763 in cycle 8, but this difference was not clinically meaningful. The small EQ-VAS increase, from 74.8 at baseline to 75.9 in cycle 8, was also not clinically meaningful. The various FACT scales remained stable, although transient but not clinically meaningful declines occurred for some scales. The median time to deterioration was 5.5 months for the FACT-Hep score.

conclusionsCombining SIRT with nivolumab did not compromise HRQoL in patients with unresectable HCC. Study results were limited by the small number of patients but, combined with the previously reported clinical outcomes, suggested that the treatment combination deserves further consideration in this difficult-to-treat population. TRIAL REGISTRATION NUMBER/DATE OF REGISTRATION: NCT03380130. First submitted on 2017-10-20; https://clinicaltrials.gov/study/NCT03380130 .

Indexed as

Antineoplastic Agents, ImmunologicalCarcinoma, HepatocellularLiver NeoplasmsNivolumabQuality of LifeAgedFemaleHumansMaleMiddle AgedPatient Reported Outcome MeasuresYttrium RadioisotopesAntineoplastic Agents, ImmunologicalNivolumabYttrium RadioisotopesHepatocellular carcinomaImmunotherapyNivolumabQuality of lifeSelective internal radiation therapySIR-Spheres

Identifiers

PMID40198533
PMCPMC11978598

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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.