Evidence map›Paper›PMID 36010930›Full record

ArticleCancers2022

Efficacy and Effect on Liver Functional Reserve of Atezolizumab and Bevacizumab for Unresectable Hepatocellular Carcinoma in Patients Who Do Not Meet Eligibility Criteria of IMbrave150.

Takuya Sho, Goki Suda, Yoshiya Yamamoto, Ken Furuya, Masaru Baba, Koji Ogawa, Akinori Kubo, Yoshimasa Tokuchi, Qingjie Fu, Zijian Yang and 19 more

Open access · goldAbstract read
In one paragraph

Article in Cancers, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 9% of its field
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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Pooled it
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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

29 authors at 7 institutions in 1 country.

Takuya ShoDepartments of Gastroenterology and Hepatology, Graduate School of Medicine, Hokkaido University, Sapporo 060-0808, Japan.
Goki SudaDepartments of Gastroenterology and Hepatology, Graduate School of Medicine, Hokkaido University, Sapporo 060-0808, Japan.
Yoshiya YamamotoHakodate City Hospital, Hokkaido 041-8680, Japan.
Ken FuruyaDepartment of Gastroenterology and Hepatology, Japan Community Health Care Organization (JCHO) Hokkaido Hospital, Hokkaido 062-8618, Japan.
Masaru BabaDepartment of Gastroenterology and Hepatology, Japan Community Health Care Organization (JCHO) Hokkaido Hospital, Hokkaido 062-8618, Japan.ORCID 0000-0002-4142-3267
Koji OgawaDepartments of Gastroenterology and Hepatology, Graduate School of Medicine, Hokkaido University, Sapporo 060-0808, Japan.
Akinori KuboDepartments of Gastroenterology and Hepatology, Graduate School of Medicine, Hokkaido University, Sapporo 060-0808, Japan.
Yoshimasa TokuchiDepartments of Gastroenterology and Hepatology, Graduate School of Medicine, Hokkaido University, Sapporo 060-0808, Japan.
Qingjie FuDepartments of Gastroenterology and Hepatology, Graduate School of Medicine, Hokkaido University, Sapporo 060-0808, Japan.
Zijian YangDepartments of Gastroenterology and Hepatology, Graduate School of Medicine, Hokkaido University, Sapporo 060-0808, Japan.
Megumi KimuraDepartments of Gastroenterology and Hepatology, Graduate School of Medicine, Hokkaido University, Sapporo 060-0808, Japan.
Takashi KitagatayaDepartments of Gastroenterology and Hepatology, Graduate School of Medicine, Hokkaido University, Sapporo 060-0808, Japan.
Osamu MaeharaLaboratory of Molecular and Cellular Medicine, Faculty of Pharmaceutical Sciences, Hokkaido University, Sapporo 060-0808, Japan.
Shunsuke OhnishiLaboratory of Molecular and Cellular Medicine, Faculty of Pharmaceutical Sciences, Hokkaido University, Sapporo 060-0808, Japan.ORCID 0000-0003-1194-4149
Akihisa NakamuraDepartments of Gastroenterology and Hepatology, Graduate School of Medicine, Hokkaido University, Sapporo 060-0808, Japan.
Ren YamadaDepartments of Gastroenterology and Hepatology, Graduate School of Medicine, Hokkaido University, Sapporo 060-0808, Japan.
Masatsugu OharaDepartments of Gastroenterology and Hepatology, Graduate School of Medicine, Hokkaido University, Sapporo 060-0808, Japan.
Naoki KawagishiDepartments of Gastroenterology and Hepatology, Graduate School of Medicine, Hokkaido University, Sapporo 060-0808, Japan.
Mitsuteru NatsuizakaDepartments of Gastroenterology and Hepatology, Graduate School of Medicine, Hokkaido University, Sapporo 060-0808, Japan.ORCID 0000-0002-1819-1955
Masato NakaiDepartments of Gastroenterology and Hepatology, Graduate School of Medicine, Hokkaido University, Sapporo 060-0808, Japan.ORCID 0000-0002-4860-1353
Kazuharu SuzukiDepartments of Gastroenterology and Hepatology, Graduate School of Medicine, Hokkaido University, Sapporo 060-0808, Japan.
Takaaki IzumiSapporo City General Hospital, Hokkaido 060-8604, Japan.
Takashi MeguroHokkaido Gastroenterology Hospital, Hokkaido 065-0041, Japan.
Katsumi TerashitaJapan Community Health Care Organization (JCHO) Sapporo Hokushin Hospital, Hokkaido 004-8618, Japan.
Tomofumi TakagiJapan Community Health Care Organization (JCHO) Sapporo Hokushin Hospital, Hokkaido 004-8618, Japan.
Jun ItoThe Hokkaido Medical Center, Hokkaido 063-0005, Japan.
Tomoe KobayashiTomakomai City Hospital, Tomakomai 053-8567, Japan.
Takuto MiyagishimaKushiro Rosai Hospital, Hokkaido 085-8533, Japan.
Naoya SakamotoDepartments of Gastroenterology and Hepatology, Graduate School of Medicine, Hokkaido University, Sapporo 060-0808, Japan.
Hokkaido University · JPHokkaido hospital · JPHakodate National Hospital · JPKushiro Rosai Hospital · JPNational Hospital Organization Hokkaido Medical Center · JPNational Institute of Technology, Tomakomai College · JPSapporo City General Hospital · JP

Funding

Japan Agency for Medical Research and Development JP22fk0310501, JP22fk0210072, JP22fk0310518, JP22fk0210103, JP22fk0210113, JP22fk0210064, JP22fk0210066, JP22fk0210104, JP22fk0210111, JP22fk0210112, JP22fk0310524, JP22fk0210067
6 · The paper itself

Abstract

The IMbrave150 trial demonstrated the high efficacy and safety of atezolizumab and bevacizumab for unresectable hepatocellular carcinoma (HCC). In this multicenter study, the efficacy of this combination and its effect on liver functional reserve were evaluated in patients not meeting the eligibility criteria of IMbrave150. Of 115 patients with unresectable HCC treated with atezolizumab and bevacizumab between October 2020 and January 2022, 72 did not meet the eligibility criteria of IMbrave150, most frequently due to a history of systemic therapy (60/72), platelet counts < 75 × 109/L (7/72), Child-Pugh B (9/72), and 2+ proteinuria (8/72). Atezolizumab and bevacizumab therapy was equally effective for patients who did or did not meet the eligibility criteria (PFS, 6.5 vs. 6.9 months, p = 0.765), consistent with subgroup analyses of histories of systemic therapy, platelet counts, Child-Pugh, and proteinuria. Baseline ALBI scores were worse in patients who did not meet the criteria than in those who did and significantly worsened after treatment initiation in patients not meeting the criteria (baseline vs. 12 weeks; 2.35 ± 0.43 vs. −2.18 ± 0.54; p = 0.007). Accordingly, atezolizumab plus bevacizumab was effective for patients not meeting the eligibility criteria of IMbrave150, although careful monitoring for changes in liver functional reserve is needed.

Indexed as

atezolizumabbevacizumabeligibility criteria of IMbrave150hepatocellular carcinoma

Identifiers

PMID36010930
PMCPMC9405784
OpenAlexW4291743893

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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 Socratic graph.