Evidence map›Paper›PMID 41565617›Full record

Trial reportSignal transduction and targeted therapy2026

Lenvatinib plus transarterial chemoembolization and PD-1 inhibitors as conversion therapies for unresectable intermediate-advanced hepatocellular carcinoma: a phase 2 trial and exploratory biomolecular study.

Xiaoyun Zhang, Haozheng Cai, Wei Peng, Haiqing Wang, JiaYi Wu, Xinrui Zhu, Weixin Guo, Fei Xie, Yu Zhang, Ming Wang and 16 more

Registry-linked trialAbstract readClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in Signal transduction and targeted therapy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04997850 (The Safety and Efficacy of Transarterial Chemoembolization), which is not on this map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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.

NCT04997850 phase1 / phase2completednot on this map

The Safety and Efficacy of Transarterial Chemoembolization (TACE) + Lenvatinib +Programmed Cell Death Protein 1 (PD-1) Antibody in the Conversion-resection of Advanced Unresectable Hepatocellular Carcinoma:a Multicenter Prospective Cohort Study

TypeinterventionalSponsorXinrui Zhu,MDRan2020 to 2024Enrolled142ConditionsHepatocellular Carcinoma Non-resectable, Transarterial Chemoembolization, Tyrosine Kinase Inhibitor, Immune Checkpoint BlockadeArmslenvatinib + sindilimab/carrelizumab, TACE
3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

  1. Trial
  2. Article
  3. Review
  4. Review
  5. Article
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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

26 authors.

Xiaoyun Zhang *Division of Liver Surgery, Department of General Surgery, West China Hospital, Sichuan University, Chengdu, China.
Haozheng Cai *Division of Liver Surgery, Department of General Surgery, West China Hospital, Sichuan University, Chengdu, China.
Wei Peng *Division of Liver Surgery, Department of General Surgery, West China Hospital, Sichuan University, Chengdu, China.
Haiqing Wang *Department of Hepato-Biliary-Pancreatic Surgery, Sichuan Clinical Research Center for, Sichuan Cancer Hospital & Institute, Sichuan Cancer Center, Affiliated Cancer Hospital of University of Electronic Science and Technology of China, Chengdu, China.
JiaYi WuThe Shengli Clinical Medical College, Fujian Medical University, Fuzhou, China.
Xinrui ZhuDivision of Liver Surgery, Department of General Surgery, West China Hospital, Sichuan University, Chengdu, China.
Weixin GuoDepartment of Hepatic Surgery VI, Eastern Hepatobiliary Surgery Hospital, Second Military Medical University, Shanghai, China.
Fei XieDepartment of Hepatic-Biliary-Pancreatic Surgery, the First People's Hospital of Neijiang, Neijiang, China.
Yu ZhangDepartment of Hepatobiliary and Pancreatic Surgery, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, China.
Ming WangSection for Hepatopancreatobiliary Surgery, Department of General Surgery, The Third People's Hospital of Chengdu & The Affiliated Hospital of Southwest Jiaotong University, Chengdu, China.
Yu YuDepartment of Hepatopancreatobiliary Surgery, the Second People' s Hospital of Yibin, Yibin, China.
Yongjie ZhouLaboratory of Liver Transplantation, Key Laboratory of Transplant Engineering and Immunology, NHC, West China Hospital, Sichuan University, Chengdu, China.
Chuan LiDivision of Liver Surgery, Department of General Surgery, West China Hospital, Sichuan University, Chengdu, China.
Junyi ShenDivision of Liver Surgery, Department of General Surgery, West China Hospital, Sichuan University, Chengdu, China.
Chang LiuDivision of Liver Surgery, Department of General Surgery, West China Hospital, Sichuan University, Chengdu, China.
Yu YangDepartment of Medical Oncology, West China Hospital, Sichuan University, Chengdu, China.
Xiaozhong JiangDepartment of Hepatopancreatobiliary Surgery, the Second People' s Hospital of Yibin, Yibin, China.
Qiu LiDepartment of Medical Oncology, West China Hospital, Sichuan University, Chengdu, China.
Weixia ChenDepartment of Radiology, West China Hospital, Sichuan University, Chengdu, China.
Yujun ShiInstitute of clinical Pathology, Key Laboratory of Transplant Engineering and Immunology, NHC, West China Hospital, Sichuan University, Chengdu, China.ORCID http://orcid.org/0000-0003-0494-6023
Wusheng LuDivision of Liver Surgery, Department of General Surgery, West China Hospital, Sichuan University, Chengdu, China.
Xin SunChinese Evidence-based Medicine Center, West China Hospital, Sichuan University, Chengdu, China.ORCID http://orcid.org/0000-0002-6554-7088
Xielin FengDepartment of Hepato-Biliary-Pancreatic Surgery, Sichuan Clinical Research Center for, Sichuan Cancer Hospital & Institute, Sichuan Cancer Center, Affiliated Cancer Hospital of University of Electronic Science and Technology of China, Chengdu, China.
Maolin YanThe Shengli Clinical Medical College, Fujian Medical University, Fuzhou, China.ORCID http://orcid.org/0000-0002-9852-2661
Shuqun ChengDepartment of Hepatic Surgery VI, Eastern Hepatobiliary Surgery Hospital, Second Military Medical University, Shanghai, China.ORCID http://orcid.org/0000-0001-6760-7470
Tianfu WenDivision of Liver Surgery, Department of General Surgery, West China Hospital, Sichuan University, Chengdu, China. wentianfu@scu.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Conversion therapy remains an uncommon strategy for managing unresectable hepatocellular carcinoma (uHCC) due to limited evidence supporting its efficacy. To address this gap, we initiated a prospective phase 2 multicenter trial (NCT04997850) comparing the LEN-TAP regimen, combining lenvatinib, transarterial chemoembolization (TACE), and PD-1 inhibitors, against TACE alone in uHCC patients. The study's primary outcome was salvage liver resection (SLR) rate; secondary measures included objective response rate (ORR), overall survival (OS), event-free survival (EFS), recurrence-free survival (RFS), and safety profile. From October 2020 to November 2021, 142 eligible participants were assigned to LEN-TAP (n = 71) or TACE monotherapy (n = 71). At a median follow-up of 24.2 months, the LEN-TAP cohort exhibited a significantly higher SLR rate (59.2% vs. 18.3%, P < 0.001) and ORR (78.9% vs. 16.9%, P < 0.001). Median OS, EFS, and RFS were also substantially prolonged in the LEN-TAP cohort (not reached vs. 23.0 months, P < 0.001; 20.03 vs. 6.52 months, P < 0.001; 36.6 vs. 19.0 months, P = 0.048). Although grade 3 treatment-related AEs occurred more frequently with LEN-TAP (60.6% vs. 21.1%, P < 0.001), no grade 4 or higher toxicities were observed. Exploratory biomarker assessments via single-cell sequencing and flow cytometry linked elevated levels of circulating HLA-DR

Indexed as

Carcinoma, HepatocellularChemoembolization, TherapeuticImmune Checkpoint InhibitorsLiver NeoplasmsPhenylurea CompoundsProgrammed Cell Death 1 ReceptorQuinolinesAdultAgedFemaleHumansMaleMiddle AgedImmune Checkpoint InhibitorslenvatinibPDCD1 protein, humanPhenylurea CompoundsProgrammed Cell Death 1 ReceptorQuinolines

Identifiers

PMID41565617
PMCPMC12823698

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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.