Evidence map›Paper›PMID 39071976›Full record

ArticleMolecular and clinical oncology2024

Efficacy of lenvatinib and transarterial chemoembolization combination therapy in patients with hepatocellular carcinoma administered an insufficient dose of early lenvatinib.

Panuwat Promsorn, Takashi Yamaguchi, Hisashi Kosaka, Kazunori Aoi, Katsunori Yoshida, Hideyuki Matsushima, Kosuke Matsui, Shinji Shimoda, Masaki Kaibori, Makoto Naganuma

Abstract read
In one paragraph

Article in Molecular and clinical oncology, 2024. 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. Review
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.

Panuwat PromsornDepartment of Gastroenterology and Hepatology, Kansai Medical University, Hirakata, Osaka 573-1101, Japan.
Takashi YamaguchiDepartment of Gastroenterology and Hepatology, Kansai Medical University, Hirakata, Osaka 573-1101, Japan.
Hisashi KosakaDepartment of Surgery, Kansai Medical University, Hirakata, Osaka 573-1010, Japan.
Kazunori AoiDepartment of Gastroenterology and Hepatology, Kansai Medical University, Hirakata, Osaka 573-1101, Japan.
Katsunori YoshidaDepartment of Gastroenterology and Hepatology, Kansai Medical University, Hirakata, Osaka 573-1101, Japan.
Hideyuki MatsushimaDepartment of Surgery, Kansai Medical University, Hirakata, Osaka 573-1010, Japan.
Kosuke MatsuiDepartment of Surgery, Kansai Medical University, Hirakata, Osaka 573-1010, Japan.
Shinji ShimodaDepartment of Gastroenterology and Hepatology, Kansai Medical University, Hirakata, Osaka 573-1101, Japan.
Masaki KaiboriDepartment of Surgery, Kansai Medical University, Hirakata, Osaka 573-1010, Japan.
Makoto NaganumaDepartment of Gastroenterology and Hepatology, Kansai Medical University, Hirakata, Osaka 573-1101, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Recently, the relationship between the relative dose intensity (RDI) and efficacy was demonstrated for lenvatinib therapy in patients with advanced hepatocellular carcinoma (HCC), with a higher RDI of lenvatinib monotherapy indicating a higher efficacy. However, not every patient can tolerate a high RDI during the course of treatment; therefore, add-on combination therapy may be necessary for patients requiring a low RDI. The addition of transarterial chemoembolization (TACE) to lenvatinib therapy improves clinical outcomes. Therefore, the aim of the present study was to compare the clinical outcomes of lenvatinib plus TACE (the LEN-TACE group) with those of lenvatinib alone (the LEN group) in patients with unresectable HCC with a high- or low-RDI. A total of 66 patients with advanced HCC were enrolled in the present retrospective study. Eligible patients were those who initiated lenvatinib monotherapy between April 2018 and September 2020. Of these patients, 29 had an 8-week RDI of ≥60%, 6 of which received LEN-TACE. A further 37 patients had an 8-week RDI of <60%, 7 of which received LEN-TACE. In the high-RDI group, both the radiological evaluations and the overall survival (OS) time were improved in those in the low-RDI group. In addition, the median OS of patients treated with LEN-TACE was longer compared with that of patients treated with lenvatinib alone in the low-RDI group (P=0.0467). Therefore, the results of the present study revealed that early TACE should be considered instead of continuing lenvatinib only treatment in patients receiving an insufficient dose of lenvatinib, such as those with an 8-week RDI of <60%.

Indexed as

combination therapyhepatocellular carcinomalenvatinibrelative dose intensitytransarterial chemoembolization

Identifiers

PMID39071976
PMCPMC11273243

What Socratic 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 Socratic graph.