Evidence map›Paper›PMID 41276525›Full record

ArticleScientific reports2025

Statins and clinical outcomes in patients with advanced hepatocellular carcinoma treated with Atezolizumab plus Bevacizumab.

Andrea Dalbeni, Filippo Cattazzo, Marco Vicardi, Eugenio Franceschini, Claudia Campani, Giuseppe Cabibbo, Caterina Vivaldi, Andrea Palloni, Tiziana Pressiani, Massimo Iavarone and 22 more

Abstract read
In one paragraph

Article in Scientific reports, 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. Review
  2. Review
  3. 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

32 authors.

Andrea DalbeniUnit of General Medicine C, Medicine Department, University of Verona and University and Hospital Trust (AOUI) of Verona, Verona, Italy.
Filippo CattazzoLiver Unit, Medicine Department, University of Verona and University and Hospital Trust (AOUI) of Verona, AOUI Verona - Policlinico GB Rossi, P. le LA Scuro 10, Verona, Italy. filippo.cattazzo@univr.it.
Marco VicardiLiver Unit, Medicine Department, University of Verona and University and Hospital Trust (AOUI) of Verona, AOUI Verona - Policlinico GB Rossi, P. le LA Scuro 10, Verona, Italy.
Eugenio FranceschiniDepartment of Medical and Surgical Sciences, University of Bologna, Bologna, Italy.
Claudia CampaniInternal Medicine and Liver Unit, University Hospital Careggi, University of Florence, 50134, Florence, Italy.
Giuseppe CabibboGastroenterology and Hepatology Unit, Department of Health Promotion, Mother Camp, Child Care, Internal Medicine Camp, Medical Specialties, University of Palermo, Palermo, Italy.
Caterina VivaldiUnit of Medical Oncology 2, Azienda Ospedaliero-Universitaria Pisana, Pisa, Italy.
Andrea PalloniMedical Oncology, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.
Tiziana PressianiMedical Oncology and Hematology Unit, Humanitas Cancer Center, IRCCS Humanitas Research Hospital, Rozzano, Milan, Italy.
Massimo IavaroneDivision of Gastroenterology and Hepatology, Foundation IRCCS Ca'Granda Ospedale Maggiore Policlinico, Milan, Italy.
Alessandra AuriemmaSection of Innovation Biomedicine-Oncology Area, Department of Engineering for Innovation Medicine (DIMI), University of Verona and University and Hospital Trust (AOUI) of Verona, Verona, Italy.
Leonardo A NatolaUnit of General Medicine C, Medicine Department, University of Verona and University and Hospital Trust (AOUI) of Verona, Verona, Italy.
Piera FedericoMedical Oncology Unit, Ospedale del Mare, Naples, Italy.
Francesca Romana PonzianiLiver Unit, CEMAD Centro Malattie del'Apparato Digerente, Medicina Interna e Gastroenterologia, Fondazione Policlinico Universitario Gemelli IRCCS, Rome, Italy.
Gianluca Svegliati-BaroniLiver Injury and Transplant Unit, Azienda Ospedaliero-Universitaria Delle Marche, Ancona, Italy.
Benedetta StefaniniDepartment of Internal Medicine, Ospedale per gli Infermi di Faenza, Faenza, Italy.
Caterina SoldàOncology Unit, Azienda USL Bologna, Bologna, Italy.
Francesco Giuseppe FoschiMedical Oncology Unit, University Hospital of Parma, Parma, Italy.
Stefania De LorenzoMedical Oncology Unit, University Hospital of Parma, Parma, Italy.
Ingrid GarajovaDivision of Internal Medicine, Hepatobiliary and Immunoallergic Diseases, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.
Fabio MarraInternal Medicine and Liver Unit, University Hospital Careggi, University of Florence, 50134, Florence, Italy.
Ciro CelsaGastroenterology and Hepatology Unit, Department of Health Promotion, Mother Camp, Child Care, Internal Medicine Camp, Medical Specialties, University of Palermo, Palermo, Italy.
Gianluca MasiUnit of Medical Oncology 2, Azienda Ospedaliero-Universitaria Pisana, Pisa, Italy.
Giovanni BrandiMedical Oncology, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.
Lorenza RimassaMedical Oncology and Hematology Unit, Humanitas Cancer Center, IRCCS Humanitas Research Hospital, Rozzano, Milan, Italy.
Mariangela BruccoleriDivision of Gastroenterology and Hepatology, Foundation IRCCS Ca'Granda Ospedale Maggiore Policlinico, Milan, Italy.
Bruno DanieleMedical Oncology Unit, Ospedale del Mare, Naples, Italy.
Leonardo StellaLiver Unit, CEMAD Centro Malattie del'Apparato Digerente, Medicina Interna e Gastroenterologia, Fondazione Policlinico Universitario Gemelli IRCCS, Rome, Italy.
Maria RicciLiver Injury and Transplant Unit, Azienda Ospedaliero-Universitaria Delle Marche, Ancona, Italy.
David SacerdotiLiver Unit, Medicine Department, University of Verona and University and Hospital Trust (AOUI) of Verona, AOUI Verona - Policlinico GB Rossi, P. le LA Scuro 10, Verona, Italy.
Francesco TovoliDepartment of Medical and Surgical Sciences, University of Bologna, Bologna, Italy.
ARTE Study Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The impact of statins on patients receiving immune checkpoint inhibitors for advanced hepatocellular carcinoma (aHCC) remains unclear. This study aimed to evaluate whether statins influence overall survival (OS) and progression-free survival (PFS) in aHCC patients receiving Atezolizumab + Bevacizumab (A + B). ARTE is a prospectively maintained dataset of 305 aHCC patients treated with A + B. Among these, 63 patients receiving statins were identified and propensity score-matched to 63 non-statin users. Primary outcomes were OS and PFS, while treatment discontinuation due to liver-related events was assessed as a secondary outcome. The median treatment duration was 6.4 months (IQR 2.7-13.2). Among the 126 matched patients, viral etiology was the most common (44.4%), followed by metabolic dysfunction-associated steatotic liver disease (MASLD) (40.5%). Median OS was 23 months [95% CI 17.2-28.7] in statin users vs. 16 months [95% CI 12.8-19.2] in non-users, while median PFS was 12 months [95% CI 4.1-19.9] in statin users vs. 8 months [95% CI 4.0-12.0] in non-users, with no significant differences between groups. In multivariate Cox regression, MASLD-induced HCC was associated with a higher risk of progression or death (HR 1.68, 95% CI 1.03-2.75). Statins did not reduce the risk of treatment discontinuation due to liver-related events (HR 1.05, 95% CI 0.27-4.14). Statins did not improve OS or PFS, nor did they reduce the risk of treatment discontinuation due to liver-related events in aHCC patients receiving A + B. Notably, MASLD-related HCC exhibited worse PFS, suggesting a potential differential response to systemic therapies, which warrants further investigation.

Indexed as

Antibodies, Monoclonal, HumanizedAntineoplastic Combined Chemotherapy ProtocolsBevacizumabCarcinoma, HepatocellularHydroxymethylglutaryl-CoA Reductase InhibitorsLiver NeoplasmsAgedFemaleHumansMaleMiddle AgedProgression-Free SurvivalTreatment OutcomeAntibodies, Monoclonal, HumanizedatezolizumabBevacizumabHydroxymethylglutaryl-CoA Reductase InhibitorsHepatocellular carcinomaImmune-checkpoint inhibitorsMetabolic dysfunction-associated steatotic liver diseaseStatins

Identifiers

PMID41276525
PMCPMC12647891

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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.