Evidence map›Paper›PMID 40861310›Full record

ArticleJournal of hepatocellular carcinoma2025

Efficacy and Safety of the Multi-Level Comprehensive Collateral Artery Embolism Sequential Hepatic Arterial Infusion Chemotherapy, Combined with TKI and ICI, for Unresectable Huge Hepatocellular Carcinoma (>10cm): A Propensity Score Matching Cohort Study.

Hao-Yang Tan, Shuang-Quan Liu, Yan-Han Liu, Jiu-Ling Zheng, Hua-Guo Feng

Abstract read
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Article in Journal of hepatocellular carcinoma, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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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

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Hao-Yang Tan *Department of Hepatobiliary Surgery, The Chongqing University Jiangjin Hospital, School of Medicine, Chongqing University, Chongqing, People's Republic of China.
Shuang-Quan Liu *Department of Hepatobiliary Surgery, The Chongqing University Jiangjin Hospital, School of Medicine, Chongqing University, Chongqing, People's Republic of China.
Yan-Han Liu *Department of Radiology, The Chongqing University Jiangjin Hospital, School of Medicine, Chongqing University, Chongqing, People's Republic of China.
Jiu-Ling ZhengDepartment of Hepatobiliary Surgery, The Chongqing University Jiangjin Hospital, School of Medicine, Chongqing University, Chongqing, People's Republic of China.
Hua-Guo FengDepartment of Hepatobiliary Surgery, The Chongqing University Jiangjin Hospital, School of Medicine, Chongqing University, Chongqing, People's Republic of China.ORCID 0000-0002-4669-1703

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: This retrospective study was conducted to evaluate the effectiveness and safety of a new combination therapy of the multi-level comprehensive collateral artery embolism (CAE) sequential hepatic arterial infusion chemotherapy (HAIC), tyrosine kinase inhibitors (TKI) and immune checkpoint inhibitors (ICI) for unresectable huge hepatocellular carcinoma (>10cm) patients. Methods: A propensity score-matching (PSM) cohort study was conducted. The initial tumor response, treatment-related adverse events, and survival outcomes were compared. The Forestplot package was used to visualize and interpret forest plots of overall survival subgroup analyses. Univariate and multivariate analyses were conducted to explore the risk factors of overall survival. Results: Thirty-one pairs of patients were evaluated after PSM. There were statistically significant differences in the initial tumor response and objective response rate (ORR) between the two groups (74.2% vs 48.4%, P=0.037). Compared with the "HAIC" group, the incidence of abdominal pain was higher in the "CAE+HAIC" group (71.0% vs 41.9%, P=0.021). The OS and progression-free survival (PFS) of the "CAE+HAIC" group were longer than those of the "HAIC" group (OS: HR=0.439, 95% CI: 0.199-0.970, P=0.042; PFS: HR=0.475; 95% CI: 0.252-0.895; P=0.021). The CAE (HR=0.403, 95% CI: 0.213-0.762; P=0.005), prealbumin levels <170 mg/L (HR=2.195, 95% CI: 1.226-3.929; P=0.008), and lactic dehydrogenase levels >245 U/L (HR=2.136, 95% CI: 1.215-3.757; P=0.008) were independent risk factors of OS. Conclusions: The multi-level comprehensive CAE sequential HAIC, combined with TKI and ICI, can improve tumor response and prolong survival time in unresectable huge HCC patients while remaining safe and tolerable.

Indexed as

collateral artery embolismhepatic artery infusion chemotherapyhepatocellular carcinomapropensity score matching

Identifiers

PMID40861310
PMCPMC12374706

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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.