Evidence map›Paper›PMID 40596669›Full record

ArticleNPJ precision oncology2025

Deep sequencing of circulating tumour DNA as a biomarker of clinical outcome to transarterial chemoembolisation in hepatocellular carcinoma.

Rohini Sharma, Sultan N Alharbi, Ksenia Ellum, Leila Motedayen-Aval, Andrea Casadei-Gardini, David J Pinato, Dominik Bettinger, Bertram Bengsch, Rishi Patel, Joanne Evans

Abstract read
In one paragraph

Article in NPJ precision oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

10 authors.

Rohini SharmaDepartment of Surgery and Cancer, Imperial College London, London, UK. r.sharma@imperial.ac.uk.
Sultan N AlharbiDepartment of Surgery and Cancer, Imperial College London, London, UK.
Ksenia EllumDepartment of Surgery and Cancer, Imperial College London, London, UK.
Leila Motedayen-AvalDepartment of Surgery and Cancer, Imperial College London, London, UK.
Andrea Casadei-GardiniDepartment of Oncology, IRCCS San Raffaele Scientific Institute Hospital, Vita-Salute San Raffaele University, Milan, Italy.
David J PinatoDepartment of Surgery and Cancer, Imperial College London, London, UK.ORCID http://orcid.org/0000-0002-3529-0103
Dominik BettingerFaculty of Medicine, Clinic for Internal Medicine II, Gastroenterology, Hepatology, Endocrinology, and Infectious Disease, University Medical Centre Freiburg, Freiburg, Germany.
Bertram BengschFaculty of Medicine, Clinic for Internal Medicine II, Gastroenterology, Hepatology, Endocrinology, and Infectious Disease, University Medical Centre Freiburg, Freiburg, Germany.
Rishi PatelEastman Dental School, University College London, London, UK.
Joanne EvansDepartment of Surgery and Cancer, Imperial College London, London, UK.

Funding

Wellcome Trust
6 · The paper itself

Abstract

Survival following transarterial chemoembolisation (TACE) for hepatocellular cancer (HCC) is variable. We explored targeted sequencing of circulating tumour DNA (ctDNA) as a prognostic biomarker. Plasma samples (n = 97) were collected at baseline and following TACE. Targeted, ultra-deep sequencing was conducted on 18 somatic mutations related to the molecular pathogenesis of HCC. Median progression-free survival and overall survival were 11.6 months (95% CI: 5.83-21.2) and 34 months (95% CI: 22.35-45.60), respectively. CTNNB1 and ARID1A were the most frequently mutated genes, present in 25% of baseline circulating samples, followed by SF3B1 (20%) and TERT (18%). The presence of mutations in CTNNB1, TP53 ARID1A, and KEAP1 predicted for poor OS on univariable analysis. Findings suggest that ctDNA profiling of known genetic drivers of HCC may serve as a valuable prognostic biomarker prior to TACE and may assist with the stratification of patients following further evaluation in larger studies.

Identifiers

PMID40596669
PMCPMC12218101

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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.