Evidence map›Paper›PMID 40335980›Full record

Trial reportBMC cancer2025

Hepatic artery infusion chemotherapy combined with camrelizumab and apatinib as conversion therapy for patients with unresectable hepatocellular carcinoma: a single-arm exploratory trial.

Kugeluke Yalikun, Zhongchao Li, Jianxin Zhang, Zhibin Chang, Mingming Li, Zhicheng Sun, Zhaogang Liu, Yue Yang, Lei Xu, Lei Li and 7 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 NCT05099848 (A Single-arm Exploratory Clinical Study of Conversion Treatment of Hepatic Arterial Infusion Chemotherapy Combined With Camrelizumab and Apatinib for Unresected Hepatocellular Carcinoma), which is not on this map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing 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.

NCT05099848 phase2completednot on this map

A Single-arm Exploratory Clinical Study of Conversion Treatment of Hepatic Arterial Infusion Chemotherapy Combined With Camrelizumab and Apatinib for Unresected Hepatocellular Carcinoma

TypeinterventionalSponsorShandong Cancer Hospital and InstituteRan2021 to 2024Enrolled21ConditionsHepatocellular CarcinomaArmsCamrelizumab
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. Review
  5. Article
  6. 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

17 authors.

Kugeluke Yalikun *The Affiliated Cancer Hospital of Xinjiang Medical University, 789 Suzhou East Road, Xinshi District, Urumqi, China.
Zhongchao Li *Department of Hepatobiliary Surgery, Shandong First Medical University and Shandong Academy of Medical Sciences, Shandong Cancer Hospital and Institute, 440 Jiyan Road, Huaiyin District, Jinan, 250117, China. 18206412879@163.com.
Jianxin ZhangDepartment of Intervention Oncology, Shandong First Medical University and Shandong Academy of Medical Sciences, Shandong Cancer Hospital and Institute, 440 Jiyan Road, Huaiyin District, Jinan, China.
Zhibin ChangDepartment of Hepatobiliary Surgery, Shandong First Medical University and Shandong Academy of Medical Sciences, Shandong Cancer Hospital and Institute, 440 Jiyan Road, Huaiyin District, Jinan, 250117, China.
Mingming LiDepartment of Hepatobiliary Surgery, Shandong First Medical University and Shandong Academy of Medical Sciences, Shandong Cancer Hospital and Institute, 440 Jiyan Road, Huaiyin District, Jinan, 250117, China.
Zhicheng SunDepartment of Hepatobiliary Surgery, Shandong First Medical University and Shandong Academy of Medical Sciences, Shandong Cancer Hospital and Institute, 440 Jiyan Road, Huaiyin District, Jinan, 250117, China.
Zhaogang LiuDepartment of Hepatobiliary Surgery, Shandong First Medical University and Shandong Academy of Medical Sciences, Shandong Cancer Hospital and Institute, 440 Jiyan Road, Huaiyin District, Jinan, 250117, China.
Yue YangDepartment of Hepatobiliary Surgery, Shandong First Medical University and Shandong Academy of Medical Sciences, Shandong Cancer Hospital and Institute, 440 Jiyan Road, Huaiyin District, Jinan, 250117, China.
Lei XuDepartment of Hepatobiliary Surgery, Shandong First Medical University and Shandong Academy of Medical Sciences, Shandong Cancer Hospital and Institute, 440 Jiyan Road, Huaiyin District, Jinan, 250117, China.
Lei LiDepartment of Hepatobiliary Surgery, Shandong First Medical University and Shandong Academy of Medical Sciences, Shandong Cancer Hospital and Institute, 440 Jiyan Road, Huaiyin District, Jinan, 250117, China.
Chengsheng ZhangDepartment of Hepatobiliary Surgery, Shandong First Medical University and Shandong Academy of Medical Sciences, Shandong Cancer Hospital and Institute, 440 Jiyan Road, Huaiyin District, Jinan, 250117, China.
Pengfei SunDepartment of Hepatobiliary Surgery, Shandong First Medical University and Shandong Academy of Medical Sciences, Shandong Cancer Hospital and Institute, 440 Jiyan Road, Huaiyin District, Jinan, 250117, China.
Jingtao ZhongDepartment of Hepatobiliary Surgery, Shandong First Medical University and Shandong Academy of Medical Sciences, Shandong Cancer Hospital and Institute, 440 Jiyan Road, Huaiyin District, Jinan, 250117, China.
Kai CuiDepartment of Hepatobiliary Surgery, Shandong First Medical University and Shandong Academy of Medical Sciences, Shandong Cancer Hospital and Institute, 440 Jiyan Road, Huaiyin District, Jinan, 250117, China.
Xuetao ShiDepartment of Hepatobiliary Surgery, Shandong First Medical University and Shandong Academy of Medical Sciences, Shandong Cancer Hospital and Institute, 440 Jiyan Road, Huaiyin District, Jinan, 250117, China.
Bo ZhangDepartment of Hepatobiliary Surgery, Shandong First Medical University and Shandong Academy of Medical Sciences, Shandong Cancer Hospital and Institute, 440 Jiyan Road, Huaiyin District, Jinan, 250117, China.
Lei ZhaoThe Affiliated Cancer Hospital of Xinjiang Medical University, 789 Suzhou East Road, Xinshi District, Urumqi, China. drzhaolei@hotmail.com.

Funding

Joint Innovation and Development Item of Shandong Natural Scientific Fund ZR2021LZL008National Natural Science Fund of China 81872400The Key Research and Development Program of Shandong 2021SFGC0501Wu Jieping Medical Foundation 320 .6750.2022-09-19
6 · The paper itself

Abstract

backgroundThe development of systemic therapy, including targeted drugs and immune checkpoint inhibitors, has significantly improved the prognosis of patients with advanced unresectable hepatocellular carcinoma (uHCC). Hepatic arterial infusion chemotherapy (HAIC) has been gradually applied to the treatment of advanced uHCC, showing good potential as conversion therapy. We aimed to investigate the efficacy and safety of HAIC combined with camrelizumab and apatinib as conversion therapy for uHCC.

methodsThis study was a single-arm exploratory trial (NCT05099848) in patients with uHCC. Eligible patients received apatinib 250 mg once daily, camrelizumab 200 mg on day 3, and HAIC with FOLFOX regimen (oxaliplatin 85 mg/m

resultsBetween March 2021 and July 2023, 19 patients were enrolled. Median follow-up was 14.9 months (interquartile range, 10.9-21.1). Disease became resectable in 14 (73.7%) of 19 patients; nine (47.4%) patients received R0 resection, while five (26.3%) refused surgery and opted for observation. Three (33.3%) of nine patients with surgery achieved major pathological response, including two (22.2%) with pathological complete response. Objective response and disease control rates were 47.4% (9/19) and 89.5% (17/19) per Response Evaluation Criteria In Solid Tumors (RECIST) version 1.1 and both 89.5% (17/19) per modified RECIST. Survival data were immature. Fourteen (73.7%) of 19 patients had grade 3 or higher treatment-related adverse events, with the most common being increased alanine aminotransferase or aspartate aminotransferase (seven [36.8%]) and increased lymphocyte count (six [31.6%]). No treatment-related deaths occurred.

conclusionsThe combination of HAIC, camrelizumab, and apatinib as conversion therapy shows promising clinical benefits and a manageable safety profile in patients with uHCC. Future randomized controlled trials are warranted.

trial registrationClinicalTrials.gov NCT05099848. Registered on October 13, 2021.

Indexed as

Antibodies, Monoclonal, HumanizedAntineoplastic Combined Chemotherapy ProtocolsCarcinoma, HepatocellularLiver NeoplasmsPyridinesAdultAgedFemaleFluorouracilHepatic ArteryHumansInfusions, Intra-ArterialLeucovorinMaleMiddle AgedOrganoplatinum CompoundsAntibodies, Monoclonal, HumanizedapatinibcamrelizumabFluorouracilLeucovorinOrganoplatinum CompoundsOxaliplatinPyridinesApatinibCamrelizumabConversion therapyHepatic arterial infusion chemotherapyUnresectable hepatocellular carcinoma

Identifiers

PMID40335980
PMCPMC12056981

What OpenQuestion holds

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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.