Evidence map›Paper›PMID 38067235›Full record

ArticleCancers2023

Real-World Systemic Treatment Patterns after Atezolizumab and Bevacizumab in Patients with Hepatocellular Carcinoma in the United States.

Amit G Singal, Kirhan Özgürdal, Xiaozhou Fan, Zdravko Vassilev, Xiaoyun Pan, Jasjit K Multani, Chi-Chang Chen, Zifan Zhou, Jing He, Federica Pisa

Registry-linked trialAbstract read
In one paragraph

Article in Cancers, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06903663 (A Multi-Centric, Retrospective, Real-World Study on First-Line Therapy With Atezolizumab Plus Bevacizumab for Advanced or Unresectable Hepatocellular Carcinoma in Romanian Population), which is not on this map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing 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.

NCT06903663 not yet recruitingnot on this mapstarted 2025, after this paper: background citation

A Multi-Centric, Retrospective, Real-World Study on First-Line Therapy With Atezolizumab Plus Bevacizumab for Advanced or Unresectable Hepatocellular Carcinoma in Romanian Population

TypeobservationalSponsorInstitutul Regional de Gastroenterologie & Hepatologie Prof. dr. Octavian FodorRan2025 to 2025Enrolled100ConditionsHepatocellular Carcinoma (HCC)
3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. From Theory to Practice: Which Biomarkers Are Ready for Predicting Response in Advanced HCC?Liver international : official journal of the International Association for the Study of the Liver · 2026
    Review
  5. Article
  6. LenvatinibJHEP reports : innovation in hepatology · 2025
    Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. 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

10 authors.

Amit G SingalDepartment of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, TX 75390, USA.
Kirhan ÖzgürdalMedical Affairs Oncology, Bayer Consumer Care AG, 4052 Basel, Switzerland.ORCID 0000-0003-3812-0692
Xiaozhou FanOncology RWE, Bayer HealthCare Pharmaceuticals Inc., Whippany, NJ 07981, USA.ORCID 0000-0002-7992-3232
Zdravko VassilevOncology RWE, Bayer HealthCare Pharmaceuticals Inc., Whippany, NJ 07981, USA.ORCID 0000-0002-4902-6784
Xiaoyun PanGlobal Outcomes Research Department, Bayer HealthCare Pharmaceuticals Inc., Whippany, NJ 07981, USA.
Jasjit K MultaniHealth Economics and Outcomes Research, Real World Evidence Solutions, IQVIA US, Falls Church, VA 22042, USA.
Chi-Chang ChenHealth Economics and Outcomes Research, Real World Evidence Solutions, IQVIA US, Wayne, PA 19087, USA.
Zifan ZhouHealth Economics and Outcomes Research, Real World Evidence Solutions, IQVIA US, Wayne, PA 19087, USA.
Jing HeAdvanced Analytics, IQVIA US, Plymouth Meeting, PA 19462, USA.
Federica PisaReal World Evidence Oncology, Bayer AG, 13342 Berlin, Germany.

Funding

Bayer N/A
6 · The paper itself

Abstract

Real-world (RW) evidence is needed to evaluate atezolizumab plus bevacizumab (atezo + bev) utilization for hepatocellular carcinoma (HCC) in clinical practice. This retrospective cohort study used administrative claims databases to evaluate treatment patterns in individuals with HCC ≥18 years of age who were initiated on atezo + bev between June 2020 and June 2022. The endpoints of this study were the proportion of individuals who discontinued atezo + bev and received subsequent systemic therapies, time to discontinuation (TTD), and time to next treatment. Overall, 825 individuals were eligible (median age 67 years; 80% male). Over a median follow-up of 15.3 months, most (72%) discontinued atezo + bev, with a median TTD of 3.5 months. A minority (19%) received subsequent therapies, with the most common second-line agents being lenvatinib (6%), cabozantinib (4%), and nivolumab (4%). The median time from index to next treatment post-atezo + bev was 5.4 months. Further research is needed to identify the patients who are most likely to benefit from atezo + bev as well as later-line HCC therapies to optimize overall survival.

Indexed as

chemotherapyimmunotherapyliver cancertargeted therapytreatment patterns

Identifiers

PMID38067235
PMCPMC10705135

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

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 Socratic graph.