Evidence map›Paper›PMID 42265476›Full record

Trial reportCardiovascular and interventional radiology2026

Transarterial Embolization Alone Versus Drug-Eluting Microspheres Chemoembolization for Hepatocellular Carcinoma (RAD-18-TAcE): A Multicenter Randomized Clinical Trial.

Cristina Mosconi, Makoto Taninokuchi Tomassoni, Sara Zanella, Alexandro Paccapelo, Giovanni Marasco, Simone Gusmini, Francesca Ratti, Diego Palumbo, Sandro Sironi, Riccardo Muglia and 8 more

Abstract readRandomized Controlled TrialMulticenter StudyComparative Study
In one paragraph

Trial report in Cardiovascular and interventional radiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

18 authors.

Cristina MosconiDepartment of Radiology, IRCCS Azienda Ospedaliero-Universitaria Di Bologna, Via Albertoni 15, Bologna, Italy.
Makoto Taninokuchi TomassoniDepartment of Radiology, IRCCS Azienda Ospedaliero-Universitaria Di Bologna, Via Albertoni 15, Bologna, Italy. makoto.taninokuchitomassoni@aosp.bo.it.ORCID http://orcid.org/0009-0003-2699-7128
Sara ZanellaDepartment of Radiology, IRCCS Azienda Ospedaliero-Universitaria Di Bologna, Via Albertoni 15, Bologna, Italy.
Alexandro PaccapeloEpidemiology and Statistics, IRCCS Azienda Ospedaliero-Universitaria Di Bologna, Bologna, Italy.
Giovanni MarascoDepartment of Medical and Surgical Sciences-DIMEC, Alma Mater Studiorum-University of Bologna, Bologna, Italy.
Simone GusminiDepartment of Radiology, IRCCS San Raffaele Hospital, Milan, Italy.
Francesca RattiHepatobiliary Surgery Division, IRCCS San Raffaele Hospital, Milano Vita Salute San Raffaele University, Milan, Italy.
Diego PalumboDepartment of Radiology, IRCCS San Raffaele Hospital, Milano Vita Salute San Raffaele University, Milan, Italy.
Sandro SironiSchool of Medicine and Surgery, University of Milano-Bicocca, Piazza Dell'Atteneo Nuovo 1, Milan, Italy.
Riccardo MugliaSchool of Medicine and Surgery, University of Milano-Bicocca, Piazza Dell'Atteneo Nuovo 1, Milan, Italy.
Marco Mario Edgardo FrondaDepartment of Diagnostic Imaging and Interventional Radiology, AOU Città Della Salute E Della Scienza Di Torino, Corso Bramante 88, 10128, Turin, Italy.
Marco CalandriDepartment of Diagnostic Imaging and Interventional Radiology, AOU Città Della Salute E Della Scienza Di Torino, Corso Bramante 88, 10128, Turin, Italy.
Paolo FonioDepartment of Diagnostic Imaging and Interventional Radiology, AOU Città Della Salute E Della Scienza Di Torino, Corso Bramante 88, 10128, Turin, Italy.
Paolo MarraSchool of Medicine and Surgery, University of Milano-Bicocca, Piazza Dell'Atteneo Nuovo 1, Milan, Italy.
Andrea Doriguzzi BreattaDepartment of Diagnostic Imaging and Interventional Radiology, AOU Città Della Salute E Della Scienza Di Torino, Corso Bramante 88, 10128, Turin, Italy.
Alessandro CucchettiDepartment of Surgery, Morgagni-Pierantoni Hospital, Forlì, Italy.
Francesco De Cobelli *Department of Radiology, IRCCS San Raffaele Hospital, Milan, Italy.
Matteo Renzulli *Department of Medical and Surgical Sciences-DIMEC, Alma Mater Studiorum-University of Bologna, Bologna, Italy.

Funding

Agenzia Italiana del Farmaco, Ministero della Salute RF-2016-02361157
6 · The paper itself

Abstract

purposeTo compare transarterial embolization (TAE) and drug-eluting microspheres transarterial chemoembolization (DEM-TACE) in the treatment of hepatocellular carcinoma (HCC) through a non-inferiority randomized clinical trial. MATERIALS AND

methodsPatients diagnosed with unresectable HCC were randomly assigned to either the TAE or DEM-TACE group. The primary endpoint was time to progression (TTP), and secondary endpoints included overall survival, hospitalization stay, tumor response rates, and severe adverse events (SAE).

resultsAt the end of the trial, a total of 111 patients (56 TAE and 55 DEM-TACE) were enrolled between 2019 and 2022. The median TTP was similar between TAE and DEM-TACE (7.56 vs. 7.98 months, p = 0.432). In patients with confirmed disease progression, the mean TTP was 6.68 vs. 8.43 months for TAE and DEM-TACE, respectively, with a mean difference of 1.75 months (95% CI - 1.47-4.97), falling within the predefined equivalence range; two one side test (TOST) analysis confirmed equivalence (p < 0.001 and p = 0.022 for lower and upper bounds. Overall survival, tumor response rates, and adverse events were also not statistically different between groups (p > 0.05 for each outcome). Finally, Days of hospitalization were not statistically different (median 4 days for both arms, p = 0.638).

conclusionTAE and DEM-TACE had comparable results in the treatment of early and intermediate stage unresectable HCC.

Indexed as

Carcinoma, HepatocellularChemoembolization, TherapeuticEmbolization, TherapeuticLiver NeoplasmsAgedFemaleHumansMaleMicrospheresMiddle AgedTreatment OutcomeChemoembolizationDrug-eluting microspheres embolizationHepatocellular carcinomaRandomized clinical trialTransarterial embolization

Identifiers

PMID42265476
PMCPMC13642458

What OpenQuestion holds

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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.