Evidence map›Paper›PMID 41734362›Full record

Trial reportJournal of clinical oncology : official journal of the American Society of Clinical Oncology2026

Transarterial Chemoembolization Combined With Camrelizumab and Rivoceranib for Unresectable Hepatocellular Carcinoma (CHANCE2005/CARES-005): A Randomized Phase II Trial.

Hai-Dong Zhu, Wei-Jun Fan, Chang Zhao, Song Wang, Yu-Liang Li, Zhi-Cheng Jin, Zhe-Wei Zhang, Jin-He Guo, Hong-Tao Cheng, Qi Zhang and 21 more

Registry-linked trialAbstract readClinical Trial, Phase IIRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07482059 (A Multicenter Phase Ib/II Clinical Study on the Safety and Efficacy of Selective Internal Radiation Therapy), which is not on this map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–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.

NCT07482059 phase1 / phase2recruitingnot on this map

A Multicenter Phase Ib/II Clinical Study on the Safety and Efficacy of Selective Internal Radiation Therapy (SIRT) With Yttrium-90 Microspheres in Combination With Nivolumab, Ipilimumab, and Lenvatinib in Patients With Unresectable Hepatocellular Carcinoma

TypeinterventionalSponsorWest China HospitalRan2026 to 2028Enrolled33ConditionsUnresectable Hepatocellular CarcinomaArmsttrium-90 microspheres in combination with nivolumab, ipilimumab, and lenvatinib in patients with unresectable hepatocellular carcinoma
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
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  4. Article
  5. Article
  6. Observational
  7. 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

31 authors.

Hai-Dong ZhuCenter of Interventional Radiology and Vascular Surgery, Department of Radiology, Zhongda Hospital, Medical School, Southeast University, Nanjing, China.
Wei-Jun FanDepartment of Minimally Invasive Interventional Therapy, Liver Cancer Study and Service Group, Sun Yat-Sen University Cancer Center, Guangzhou, China.
Chang ZhaoDepartment of Interventional Therapy, Affiliated Tumor Hospital of Guangxi Medical University, Nanning, China.
Song WangDepartment of Interventional Radiology, Affiliated Hospital of Qingdao University, Qingdao, China.
Yu-Liang LiDepartment of Intervention Medicine, The Second Hospital, Cheeloo College of Medicine, Shandong University, Jinan, China.
Zhi-Cheng JinCenter of Interventional Radiology and Vascular Surgery, Department of Radiology, Zhongda Hospital, Medical School, Southeast University, Nanjing, China.ORCID 0000-0002-6114-154X
Zhe-Wei ZhangDepartment of Interventional Radiology, Zhejiang Cancer Hospital, Hangzhou Institute of Medicine (HIM), Chinese Academy of Sciences, Hangzhou, China.
Jin-He GuoCenter of Interventional Radiology and Vascular Surgery, Department of Radiology, Zhongda Hospital, Medical School, Southeast University, Nanjing, China.
Hong-Tao ChengDepartment of Minimally Invasive Intervention, The Affiliated Cancer Hospital of Zhengzhou University, Zhengzhou, China.
Qi ZhangCenter of Interventional Radiology and Vascular Surgery, Department of Radiology, Zhongda Hospital, Medical School, Southeast University, Nanjing, China.
Jian LuCenter of Interventional Radiology and Vascular Surgery, Department of Radiology, Zhongda Hospital, Medical School, Southeast University, Nanjing, China.
Yong-Yi ZengDepartment of Hepatobiliary Surgery, Mengchao Hepatobiliary Hospital, Fujian Medical University, Fuzhou, China.ORCID 0000-0001-8823-698X
Wei-Fu LvDepartment of Interventional Radiology, The First Affiliated Hospital, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, China.
Hao XuDepartment of Interventional Radiology, The Affiliated Hospital of Xuzhou Medical University, Xuzhou, China.
Hai-Bo ShaoDepartment of Radiology, The First Affiliated Hospital of China Medical University, Shenyang, China.
Wei-Guo XuZhuhai Interventional Medical Center, Zhuhai Precision Medical Center, Zhuhai People's Hospital, Zhuhai Hospital Affiliated with Jinan University, Zhuhai, China.
Xu-Ya ZhaoDepartment of Interventional Radiology, Guizhou Cancer Hospital, Guiyang, China.
Shan-Zhi GuDepartment of Interventional Radiology, Hunan Cancer Hospital, Changsha, China.
Hai-Lan LinDepartment of Interventional Oncology, Fujian Medical University Cancer Hospital, Fujian Cancer Hospital, Fuzhou, China.
Wen-Heng ZhengDepartment of Medical Imaging, Cancer Hospital of China Medical University, Liaoning Cancer Hospital and Institute, Shenyang, China.
Long-Zhen PiaoDepartment of Oncology, The Affiliated Hospital of Yanbian University, Yanji, China.
Yu-Sheng SongDepartment of Interventional Radiology, Ganzhou People's Hospital, Ganzhou, China.
Jian-Bo ZhaoInterventional Department, Nanfang Hospital Affiliated to Southern Medical University, Guangzhou, China.
Yuan-Cheng WangNational Innovation Platform for Integration of Medical Engineering Education (NMEE) (Southeast University), Southeast University, Nanjing, China.ORCID 0000-0002-6253-8311
Zhi-Guo HouDepartment of Medical Affairs, Jiangsu Hengrui Pharmaceuticals Co., Ltd, Shanghai, China.
Ying SunDepartment of Medical Affairs, Jiangsu Hengrui Pharmaceuticals Co., Ltd, Shanghai, China.
Ni GuanDepartment of Medical Affairs, Jiangsu Hengrui Pharmaceuticals Co., Ltd, Shanghai, China.
Ming HuangDepartment of Minimally Invasive Interventional Therapy, Yunnan Cancer Hospital, The Third Affiliated Hospital of Kunming Medical University, Kunming, China.
Wei-Zhu YangDepartment of Interventional Radiology, Union Hospital of Fujian Medical University, Fuzhou, China.
Jian-Song JiDepartment of Radiology, Key Laboratory of Imaging Diagnosis and Minimally Invasive Intervention Research, School of Medicine, Lishui Hospital of Zhejiang University, Lishui, China.
Gao-Jun TengCenter of Interventional Radiology and Vascular Surgery, Department of Radiology, Zhongda Hospital, Medical School, Southeast University, Nanjing, China.ORCID 0000-0001-5800-3640

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTransarterial chemoembolization (TACE) alone has shown limited efficacy in improving survival among patients with unresectable hepatocellular carcinoma (HCC). This phase II trial compared TACE combined with camrelizumab (anti-PD-1 antibody) and rivoceranib (vascular endothelial growth factor receptor 2 inhibitor) versus TACE in unresectable HCC.

methodsPatients with unresectable HCC (Barcelona Clinic Liver Cancer stage A to C without extrahepatic metastases) and Child-Pugh class A liver function were randomly assigned (1:1), stratified by macrovascular invasion, previous tyrosine kinase inhibitor treatment, and number of previous TACE procedures, to receive TACE combined with camrelizumab (200 mg once every 3 weeks) and rivoceranib (250 mg once daily; TACE-C-R) or TACE alone. The primary end point was progression-free survival (PFS) per composite criteria (progression per Response Evaluation Criteria in Cancer of the Liver version 5, transient deterioration to Child-Pugh class C, or TACE failure or refractoriness) in the intention-to-treat population.

resultsBetween December 28, 2020, and October 29, 2023, 200 patients were randomly assigned (100 in each group). Median PFS per composite criteria was significantly longer with TACE-C-R than with TACE (10.8 months [95% CI, 8.8 to 13.7]

conclusionThe addition of camrelizumab and rivoceranib to TACE showed statistically significant improvement in PFS for patients with unresectable HCC, with a manageable safety profile. Follow-up for further overall survival analysis is ongoing.

Indexed as

Antibodies, Monoclonal, HumanizedAntineoplastic Combined Chemotherapy ProtocolsCarcinoma, HepatocellularChemoembolization, TherapeuticLiver NeoplasmsAdultAgedFemaleHumansMaleMiddle AgedProgression-Free SurvivalAntibodies, Monoclonal, Humanizedcamrelizumab

Identifiers

PMID41734362
PMCPMC13075789

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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.