Evidence map›Paper›PMID 40694260›Full record

ArticleDiscover oncology2025

Yttrium90-TARE with or without chemotherapy may improve survival in patients with locally advanced unresectable intrahepatic cholangiocarcinoma.

Esteban Garita, Ammar Sarwar, Mohid Tahir, Santiago Sucre, Juan J Juarez-Vignon Whaley, Mary L Peters, Andrea J Bullock

Abstract read
In one paragraph

Article in Discover oncology, 2025. 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

7 authors.

Esteban GaritaBeth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA. egarita@montefiore.org.
Ammar SarwarBeth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA.
Mohid TahirBeth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA.
Santiago SucreBeth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA.
Juan J Juarez-Vignon WhaleyBeth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA.
Mary L PetersBeth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA.
Andrea J BullockBeth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA.

Funding

Cost Effectiveness of Germline Genetic Testing in Pancreatic CancerK08CA248473 · NCI · BETH ISRAEL DEACONESS MEDICAL CENTER · PI PETERS, MARY LINTON B · 2020 to 2024
$1.3M
NCI NIH HHS K08 CA248473
6 · The paper itself

Abstract

purposeThe prognosis for patients with unresectable intrahepatic cholangiocarcinoma (iCCA) is poor. This retrospective observational cohort study evaluates survival outcomes in patients with unresectable iCCA after having received one of three different treatment plans offered at a tertiary referral center, chemotherapy alone, chemotherapy plus y90-TARE, or y90-TARE alone, and compares results with the published evidence. PATIENTS AND

methodsPatients seen at a tertiary center who received one of three treatments (chemotherapy only, chemotherapy plus y90-TARE, or y90-TARE only) were grouped as per their plan. Overall survival, resection rate, and progression free survival were compared.

resultsAmong the N = 56 patients included CT-only were younger (64 vs. 67.5 vs. 71yrs, p = 0.023) and higher stage III (78% vs. 29% vs. 32%, p = 0.001). More patients in the CT + y90 (36%) and y90-only (37%) groups were downstaged to resection than patients in the CT-only (4%) group; p = 0.014. Median OS for CT-only, CT + y90 and y90 were 13.9, 19.6, and 24.2 months, respectively; p = 0.076. In the adjusted model there was a trend toward improved OS and PFS for patients treated with y90-TARE compared to CT-only; the HR however remained below 1.

conclusionAlthough not statistically significant in the adjusted model, in univariate analysis patients with unresectable iCCA who received Y90-TARE in their treatment plan experienced better survival outcomes compared to those treated with CT-only.

Indexed as

Intrahepatic cholangiocarcinomaLiver-directed therapyY90-TARE Chemotherapy

Identifiers

PMID40694260
PMCPMC12283486

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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.