Evidence map›Paper›PMID 40574845›Full record

ArticleFrontiers in immunology2025

PD-1 inhibitor-augmented HAIC-TKI therapy in hepatocellular carcinoma with portal vein tumor thrombosis: real-world survival benefits, safety, and subgroup-specific efficacy.

Fei Cao, Chunyong Wen, Yujia Wang, Hongtong Tan, Shaohuan Hao, Jinbin Chen, Shuanggang Chen, Lujun Shen, Lin Xie, Han Qi and 3 more

Abstract read
In one paragraph

Article in Frontiers in immunology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

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

6 citing papers in PubMed.

  1. Article
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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

13 authors.

Fei Cao *Department of Minimally Invasive and Interventional Therapy, Sun Yat-sen University Cancer Center, Guangzhou, China.
Chunyong Wen *Department of Minimally Invasive and Interventional Therapy, Sun Yat-sen University Cancer Center, Guangzhou, China.
Yujia Wang *Department of Minimally Invasive and Interventional Therapy, Sun Yat-sen University Cancer Center, Guangzhou, China.
Hongtong TanDepartment of Minimally Invasive and Interventional Therapy, Sun Yat-sen University Cancer Center, Guangzhou, China.
Shaohuan HaoDepartment of Gastrointestinal Oncology, First People's Hospital of Korla, Korla, China.
Jinbin ChenState Key Laboratory of Oncology in South China, Sun Yat-sen University, Guangzhou, China.
Shuanggang ChenDepartment of Minimally Invasive and Interventional Therapy, Sun Yat-sen University Cancer Center, Guangzhou, China.
Lujun ShenDepartment of Minimally Invasive and Interventional Therapy, Sun Yat-sen University Cancer Center, Guangzhou, China.
Lin XieDepartment of Minimally Invasive and Interventional Therapy, Sun Yat-sen University Cancer Center, Guangzhou, China.
Han QiDepartment of Minimally Invasive and Interventional Therapy, Sun Yat-sen University Cancer Center, Guangzhou, China.
Tao HuangDepartment of Minimally Invasive and Interventional Therapy, Sun Yat-sen University Cancer Center, Guangzhou, China.
Yaojun ZhangState Key Laboratory of Oncology in South China, Sun Yat-sen University, Guangzhou, China.
Zilin HuangDepartment of Minimally Invasive and Interventional Therapy, Sun Yat-sen University Cancer Center, Guangzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: PD-1/PD-L1 inhibitors have shown efficacy in improving the prognosis of patients with hepatocellular carcinoma (HCC) accompanied by portal vein tumor thrombosis (PVTT) in pivotal clinical trials including the landmark IMbrave150 study. However, not all the patients benefit from the PD-1/PD-L1 blockade immunotherapy. This study aimed to improve the identification of PVTT-associated HCC patients who may benefit from the combination of PD-1 inhibitor and hepatic arterial infusion chemotherapy (HAIC) and tyrosine kinase inhibitor (TKI) treatment under real-world conditions. Methods: From 377 HCC-PVTT patients receiving HAIC-TKI ± PD-1 inhibitors (2016-2023), we compared 76 dual-therapy (HT) and 175 triple-therapy (HTP) cases. Median follow-up period was 34.8 months in the HT group and 33.4 months in the HTP group ( Results: Triple therapy significantly improved median OS (24.6 vs. 13.5 months; HR=0.58, 95%CI:0.42-0.80; Conclusion: The triple therapy (HAIC-TKI-PD-1) demonstrated superior efficacy over HAIC-TKI dual therapy in HCC patients with PVTT, achieving significant improvements in ORR, mOS, and mPFS, with an acceptable safety profile. However, PD-1 inhibitors showed minimal survival benefits in patients aged >60 or with extrahepatic metastases.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsCarcinoma, HepatocellularImmune Checkpoint InhibitorsLiver NeoplasmsPortal VeinProgrammed Cell Death 1 ReceptorProtein Kinase InhibitorsVenous ThrombosisAdultAgedFemaleHumansInfusions, Intra-ArterialMaleMiddle AgedTreatment OutcomeImmune Checkpoint InhibitorsPDCD1 protein, humanProgrammed Cell Death 1 ReceptorProtein Kinase Inhibitorshepatic arterial infusion chemotherapyhepatocellular carcinomaPD-1 inhibitorportal vein tumor thrombosistyrosine kinase inhibitors (TKIs)

Identifiers

PMID40574845
PMCPMC12198130

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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.