Evidence map›Paper›PMID 42338692›Full record

ArticleLiver cancer2026

Nivolumab plus Ipilimumab versus Lenvatinib or Sorafenib as First-Line Treatment for Unresectable Hepatocellular Carcinoma: CheckMate 9DW Japanese Subgroup Analysis.

Masatoshi Kudo, Atsushi Hiraoka, Kazushi Numata, Tatsuya Yamashita, Masayuki Kurosaki, Tadashi Namisaki, Shuhei Hige, Yoshito Itoh, Satoshi Mochida, Tetsuya Hosaka and 9 more

Abstract read
In one paragraph

Article in Liver cancer, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

19 authors.

Masatoshi KudoKindai University Hospital, Osakasayama, Japan.
Atsushi HiraokaEhime Prefectural Central Hospital, Matsuyama, Japan.
Kazushi NumataYokohama City University Medical Center, Yokohama, Japan.
Tatsuya YamashitaKanazawa University Hospital, Kanazawa, Japan.
Masayuki KurosakiJapanese Red Cross Musashino Hospital, Musashino, Japan.
Tadashi NamisakiNara Medical University Hospital, Nara, Japan.
Shuhei HigeSapporo-Kosei General Hospital, Sapporo, Japan.
Yoshito ItohUniversity Hospital Kyoto Prefectural University of Medicine, Kyoto, Japan.
Satoshi MochidaSaitama Medical University Hospital, Saitama, Japan.
Tetsuya HosakaToranomon Hospital Kajigaya, Kawasaki, Japan.
Norio AkutaToranomon Hospital, Tokyo, Japan.
Tomokazu KawaokaHiroshima University Hospital, Hiroshima, Japan.
Takuya GendaJuntendo University Shizuoka Hospital, Izunokuni, Japan.
Satoshi KobayashiKanagawa Cancer Center, Yokohama, Japan.
Sawako Uchida-KobayashiOsaka Metropolitan University Hospital, Osaka, Japan.
Yuting LuBristol Myers Squibb, Princeton, NJ, USA.
Tatsuya OgataBristol Myers Squibb, Princeton, NJ, USA.
Maria Jesus Jimenez ExpositoBristol Myers Squibb, Princeton, NJ, USA.
Masafumi IkedaNational Cancer Center Hospital East, Kashiwa, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: In the preplanned interim analysis of the phase 3 CheckMate 9DW trial, first-line nivolumab plus ipilimumab demonstrated significant overall survival (OS) benefit versus lenvatinib or sorafenib (hazard ratio [HR] = 0.79; 95% confidence interval [CI]: 0.65-0.96; Methods: Patients with unresectable HCC without prior systemic therapy were randomized 1:1 to receive nivolumab (1 mg/kg) plus ipilimumab (3 mg/kg) every 3 weeks (up to 4 doses, then nivolumab 480 mg every 4 weeks) or investigator's choice of lenvatinib or sorafenib. The primary endpoint was OS. Secondary endpoints included objective response rate (ORR) and duration of response (DOR) per blinded independent central review (BICR); safety was an exploratory endpoint. Results: Fifty-six Japanese patients were randomized to nivolumab plus ipilimumab ( Conclusion: Consistent with the global population, first-line nivolumab plus ipilimumab showed clinically meaningful improvement in OS and ORR versus lenvatinib or sorafenib in Japanese patients with unresectable HCC, along with manageable safety. These results support nivolumab plus ipilimumab as a potential new first-line treatment for unresectable HCC in Japan.

Indexed as

Hepatocellular carcinomaImmunotherapyIpilimumabNivolumab

Identifiers

PMID42338692
PMCPMC13286555

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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.