Evidence map›Paper›PMID 41199978›Full record

ArticleAnnals of gastroenterological surgery2025

Preoperative Versus Postoperative Chemotherapy With CAPOX Plus Bevacizumab for Resectable Colorectal Liver Metastases: A Randomized Phase II Trial (HiSCO-01).

Yuji Takakura, Katsunori Shinozaki, Satoshi Ikeda, Hiroyuki Egi, Yuzo Hirata, Manabu Shimomura, Takafumi Oshiro, Takao Hinoi, Daisuke Sumitani, Masahiro Nakahara and 6 more

Abstract read
In one paragraph

Article in Annals of gastroenterological surgery, 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

16 authors.

Yuji TakakuraDepartment of Gastroenterological and Transplant Surgery Hiroshima Prefectural Hospital Hiroshima Japan.
Katsunori ShinozakiDivision of Clinical Oncology Hiroshima Prefectural Hospital Hiroshima Japan.
Satoshi IkedaDepartment of Gastroenterological and Transplant Surgery Hiroshima Prefectural Hospital Hiroshima Japan.
Hiroyuki EgiDepartment of Gastroenterological and Transplant Surgery, Graduate School of Biomedical and Health Sciences Hiroshima University Hiroshima Japan.ORCID https://orcid.org/0000-0001-8127-9290
Yuzo HirataDepartment of Surgery Chugoku Rosai Hospital Kure Japan.
Manabu ShimomuraDepartment of Surgery National Hospital Organization Higashihiroshima Medical Centre Higashi-Hiroshima Japan.ORCID https://orcid.org/0000-0001-8078-0091
Takafumi OshiroDepartment of Surgery JR Hiroshima Hospital Hiroshima Japan.
Takao HinoiDepartment of Surgery National Hospital Organization Kure Medical Centre Kure Japan.
Daisuke SumitaniDepartment of Surgery Kure City Medical Association Hospital Kure Japan.
Masahiro NakaharaDepartment of Surgery Onomichi General Hospital Onomichi Japan.
Masanori YoshimitsuDepartment of Surgery Hiroshima City Asa Hospital Hiroshima Japan.
Naruhiko HonmyoDepartment of Gastroenterological and Transplant Surgery, Graduate School of Biomedical and Health Sciences Hiroshima University Hiroshima Japan.
Tsuyoshi KobayashiDepartment of Gastroenterological and Transplant Surgery, Graduate School of Biomedical and Health Sciences Hiroshima University Hiroshima Japan.ORCID https://orcid.org/0000-0001-7364-1798
Junko TanakaDepartment of Epidemiology, Infectious Disease Control and Prevention, Institute of Biomedical and Health Sciences Hiroshima University Hiroshima Japan.
Hideki OhdanDepartment of Gastroenterological and Transplant Surgery, Graduate School of Biomedical and Health Sciences Hiroshima University Hiroshima Japan.ORCID https://orcid.org/0000-0002-9066-1288
Hiroshima Surgical Study Group of Clinical Oncology (HiSCO)

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aim: NCCN and ESMO guidelines recommend up to 6 months of perioperative oxaliplatin-based chemotherapy for patients with resectable colorectal liver metastases (CRLM). However, the optimal sequencing and chemotherapy regimen remain unclear. Methods: We conducted a randomized phase II trial, HiSCO-01, to compare the outcomes of preoperative (Preop-group) and postoperative chemotherapy (Postop-group) with eight cycles of CAPOX plus bevacizumab (CAPOX-Bev) in patients with resectable CRLM. The primary endpoint was the treatment compliance rate (TCR), defined as the percentage of patients who received at least six cycles of CAPOX-Bev and underwent R0 resection. Results: Of the 81 patients enrolled, 76 patients were eligible. TCR was 89.2% in Preop-group and 71.8% in Postop-group ( Conclusion: Both preoperative and postoperative CAPOX-Bev were safely administered, and preoperative chemotherapy showed numerically higher TCR than postoperative chemotherapy. This multimodal approach is highly promising for treating resectable CRLM. Trial Registration: UMIN Clinical Trial Registry: UMIN000003783.

Indexed as

chemotherapycolorectal cancerliver metastasesneoadjuvantresectable

Identifiers

PMID41199978
PMCPMC12586932

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.