Evidence map›Paper›PMID 41277677›Full record

ArticleFuture oncology (London, England)2025

LIVER-R study protocol: a global real-world study of durvalumab-based regimens in patients with hepatobiliary cancers.

Masafumi Ikeda, Marcus-Alexander Wörns, Mehmet Akce, Chiun Hsu, Niall C Tebbutt, Andrea Casadei-Gardini, Janvi Sah, Mufiza Farid-Kapadia, Heide A Stirnadel-Farrant, Michael J Paskow and 5 more

Registry-linked trialAbstract readClinical Trial Protocol
In one paragraph

Article in Future oncology (London, England), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06252753 (An Observational Multi-Center Study to Evaluate Real-World Treatment Outcomes With or Without Durvalumab-Based Regimens in Hepatobiliary Cancers), which is not on this map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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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.

NCT06252753 recruitingnot on this map

An Observational Multi-Center Study to Evaluate Real-World Treatment Outcomes With or Without Durvalumab-Based Regimens in Hepatobiliary Cancers

TypeobservationalSponsorAstraZenecaRan2023 to 2030Enrolled4,000ConditionsHepatobiliary CancersArmsDurvalumab-based combination therapies in observational study setting, Non Durvalumab-based therapies in observational study setting, Durvalumab-based combination therapies in observational study settings
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

15 authors.

Masafumi IkedaDepartment of Hepatobiliary and Pancreatic Oncology, National Cancer Center Hospital East, Kashiwa, Japan.
Marcus-Alexander WörnsDepartment of Gastroenterology, Hematology, Oncology and Endocrinology, Klinikum Dortmund, Klinikum of the University Witten/Herdecke, Dortmund, Germany.
Mehmet AkceDivision of Hematology and Oncology, Department of Medicine, O'Neal Comprehensive Cancer Center of University of Alabama at Birmingham, Heersink School of Medicine, Birmingham, AL, USA.
Chiun HsuDepartment of Medical Oncology, National Taiwan University Cancer Center, Taipei, Taiwan.
Niall C TebbuttDepartment of Medical Oncology, Olivia Newton-John Cancer Wellness and Research Centre, Austin Health, Heidelberg, Australia.
Andrea Casadei-GardiniDepartment of Medical Oncology, Vita-Salute San Raffaele University School of Medicine, IRCCS San Raffaele Hospital, Milan, Italy.
Janvi SahOncology Market Access and Pricing, AstraZeneca, Gaithersburg, MD, USA.
Mufiza Farid-KapadiaOncology Outcomes Research, AstraZeneca, Mississauga, ON, Canada.
Heide A Stirnadel-FarrantOncology Outcomes Research, AstraZeneca, Cambridge, UK.
Michael J PaskowGlobal Medical Affairs, AstraZeneca, Gaithersburg, MD, USA.
Boris BaurGlobal Medical Affairs, AstraZeneca, Gaithersburg, MD, USA.
Giovanni MelilloGlobal Medical Affairs, AstraZeneca, Gaithersburg, MD, USA.
James SchmidtOncology Research & Development Unit, AstraZeneca, Cambridge, UK.
Anna DakteraOncology Business Unit, Global Medical Affairs, AstraZeneca, Warsaw, Poland.
Jennifer J KnoxDepartment of Medical Oncology, Princess Margaret Cancer Centre, University of Toronto, Toronto, ON, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDurvalumab-based regimens have improved outcomes compared with standard of care in unresectable hepatocellular carcinoma (uHCC) and advanced biliary tract cancer (aBTC) clinical trials. Here we describe the protocol for the LIVER-R study, which will evaluate long-term outcomes with durvalumab-based regimens in patients with hepatobiliary cancers in real-world settings.

methodsLIVER-R (NCT06252753) is an observational study aiming to initially enroll ~2500 adults with uHCC or aBTC from ~179 sites in 22 countries. Patients treated with durvalumab-based regimens as part of routine clinical practice or a global early access program will be included. The primary outcome is overall survival. Secondary outcomes include duration of treatment, progression-free survival, treatment patterns and safety. Data will be collected at baseline and every 6 months. The study will include a baseline period of up to 5 years before index date (initiation of first-line durvalumab-based regimen) and a follow-up period from index until death, loss to follow-up, withdrawal, or study end. Study variables will be analyzed descriptively; time-to-event outcomes will be analyzed using the Kaplan-Meier method.

conclusionsLIVER-R will produce a large, global, real-world standardized dataset of patients with uHCC or aBTC treated with a durvalumab-based regimen, providing insights into real-world clinical practice. CLINICAL

trial registrationwww.clinicaltrials.gov identifier is NCT06252753.

Indexed as

Antibodies, MonoclonalAntineoplastic Agents, ImmunologicalAntineoplastic Combined Chemotherapy ProtocolsBiliary Tract NeoplasmsCarcinoma, HepatocellularLiver NeoplasmsAdultFemaleHumansMaleMiddle AgedObservational Studies as TopicTreatment OutcomeAntibodies, MonoclonalAntineoplastic Agents, ImmunologicaldurvalumabAdvanced biliary tract cancerdurvalumabreal-worldtremelimumabunresectable hepatocellular carcinoma

Identifiers

PMID41277677
PMCPMC12688261

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Registered trials

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.