Evidence map›Paper›PMID 42141752›Full record

ArticleCancer medicine2026

A Real-World Experience of Prognostic Factors of Survival Outcomes in a Taiwanese Population With Unresectable Hepatocellular Carcinoma Treated With First-Line Lenvatinib.

Shou-Wu Lee, Yi-Jie Huang, Hsin-Ju Tsai, Ying-Cheng Lin, Chia-Chang Chen, Teng-Yu Lee, Yen Chun-Peng

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Article in Cancer medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Shou-Wu LeeDivision of Gastroenterology, Department of Internal Medicine, Taichung Veterans General Hospital, Taichung, Taiwan.
Yi-Jie HuangDivision of Gastroenterology, Department of Internal Medicine, Taichung Veterans General Hospital, Taichung, Taiwan.
Hsin-Ju TsaiDivision of Gastroenterology, Department of Internal Medicine, Taichung Veterans General Hospital, Taichung, Taiwan.
Ying-Cheng LinDivision of Gastroenterology, Department of Internal Medicine, Taichung Veterans General Hospital, Taichung, Taiwan.
Chia-Chang ChenDivision of Gastroenterology, Department of Internal Medicine, Taichung Veterans General Hospital, Taichung, Taiwan.
Teng-Yu LeeDivision of Gastroenterology, Department of Internal Medicine, Taichung Veterans General Hospital, Taichung, Taiwan.
Yen Chun-PengDivision of Gastroenterology, Department of Internal Medicine, Taichung Veterans General Hospital, Taichung, Taiwan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionLenvatinib is approved as a first-line treatment for unresectable hepatocellular carcinoma (HCC), but real-world outcomes may vary due to patient heterogeneity. This study aimed to evaluate the real-world efficacy of lenvatinib in Taiwanese patients and to identify prognostic factors influencing outcomes.

methodsThis retrospective cohort study included 111 patients with unresectable HCC treated with the first-line lenvatinib between February 2020 and April 2023 at Taichung Veterans General Hospital. All patients were Child-Pugh class A and had at least one measurable lesion per mRECIST. Radiological tumor response, overall survival (OS), and progression-free survival (PFS) were recorded and analyzed.

resultsThe ORR and DCR were 36% and 81% respectively. The median OS of all patients was 17 months, and PFS was 10 months. Patients with ALBI grade 1 (HR 0.45, 95% CI 0.24-0.84, p = 0.011) and receiving combined locoregional therapy (LRT) (HR 0.38, 95% CI 0.20-0.79, p = 0.003) had significantly longer OS. AFP ≤ 400 ng/mL was associated with longer PFS (HR 0.35, 95% CI 0.35-0.94, p = 0.028).

conclusionLenvatinib is effective in real-world treatment of unresectable HCC, especially when combined with LRT. ALBI grade 1 and AFP ≤ 400 ng/mL are favorable prognostic indicators for survival and disease control. These findings support personalized treatment strategies and warrant further prospective validation.

Indexed as

Antineoplastic AgentsCarcinoma, HepatocellularLiver NeoplasmsPhenylurea CompoundsProtein Kinase InhibitorsQuinolinesAgedAged, 80 and overFemaleHumansMaleMiddle AgedPrognosisRetrospective StudiesTaiwanTreatment OutcomeAntineoplastic AgentslenvatinibPhenylurea CompoundsProtein Kinase InhibitorsQuinolineshepatocellular carcinomalenvatinibsurvival outcome

Identifiers

PMID42141752
PMCPMC13179444

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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.