Evidence map›Paper›PMID 40263401›Full record

Trial reportBritish journal of cancer2025

Anticancer effects of vitamin K combined with transarterial chemoembolization in hepatocellular carcinoma, a randomized controlled trial.

Yoshimichi Haruna, Takayuki Yakushijin, Miho Yamakawa, Tetsuo Nakazawa

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in British journal of cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–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 synthesis or guideline pooled it.

  1. Pooled it
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

4 authors.

Yoshimichi HarunaDepartment of Medical Affairs, Osaka Psychiatric Medical Center, Hirakata City, Osaka Prefecture, Japan. apple-123-grape@ab.auone-net.jp.ORCID http://orcid.org/0000-0003-0583-3696
Takayuki YakushijinDepartment of Gastroenterology and Hepatology, Osaka General Medical Center, Osaka City, Osaka Prefecture, Japan.
Miho YamakawaLiver Cancer Center, Osaka General Medical Center, Osaka City, Osaka Prefecture, Japan.ORCID http://orcid.org/0009-0000-2044-5929
Tetsuo NakazawaLiver Cancer Center, Osaka General Medical Center, Osaka City, Osaka Prefecture, Japan.ORCID http://orcid.org/0009-0005-8784-5827

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe have previously reported that vitamin K dosing augments the anticancer effects of sorafenib by suppressing levels of des-γ-carboxy prothrombin, a known tumor growth and angiogenesis factor produced in HCC under sorafenib-induced ischemia. Herein, we aimed to establish whether vitamin K dosing could afford a similar anticancer effect when combined with transarterial chemoembolization (TACE).

methodsWe performed a randomized controlled trial, assigning patients with unresectable HCC (1:1) to TACE + vitamin K or TACE alone groups. Co-primary endpoints were objective response rate and PFS; the secondary endpoint was safety.

resultsThe TACE + vitamin K group (n = 50) exhibited a significantly higher objective response rate than the TACE alone group (n = 51) (96.0% vs. 82.4%, p = 0.028). The PFS was significantly longer in the TACE + vitamin K group than that in the TACE alone group (median time: 262 days [95% confidence interval (CI), 35.8-488.2 days] vs. 146 days [95% CI, 111.6-180.4 days]; p = 0.013, hazard ratio: 0.55 [95% CI, 0.34-0.89]). There were no significant differences in the incidence of adverse events between groups.

conclusionsCompared with TACE alone, vitamin K dosing combined with TACE improved anticancer outcomes. CLINICAL TRIAL NUMBER: UMIN000026404.

Indexed as

Carcinoma, HepatocellularChemoembolization, TherapeuticLiver NeoplasmsVitamin KAdultAgedBiomarkersCombined Modality TherapyFemaleHumansMaleMiddle AgedProtein PrecursorsProthrombinSorafenibacarboxyprothrombinBiomarkersProtein PrecursorsProthrombinSorafenibVitamin K

Identifiers

PMID40263401
PMCPMC12152169

What OpenQuestion holds

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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.