Hepatic Artery Injection of 131I-Metuximab Combined with Transcatheter Arterial Chemoembolization for Unresectable Hepatocellular Carcinoma: A Prospective Nonrandomized, Multicenter Clinical Trial

This prospective nonrandomized, multicenter clinical trial was performed to investigate the efficacy and safety of 131I-labeled metuximab in adjuvant treatment of unresectable hepatocellular carcinoma. Methods: Patients were assigned to treatment with transcatheter arterial chemoembolization (TACE)...

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Veröffentlicht in:The Journal of nuclear medicine (1978) 2022-04, Vol.63 (4), p.556-559
Hauptverfasser: Chen, Hui, Nan, Gang, Wei, Ding, Zhai, Ren-You, Huang, Ming, Yang, Wu-Wei, Xing, Bao-Cai, Zhu, Xu, Xu, Hai-Feng, Wang, Xiao-Dong, Zhang, Xiao-Yong, Zhu, Bao-Rang, Liu, Peng, Cao, Guang, Gao, Song, Hao, Chun-Yi, Yang, Ren-Jie, Guo, Jian-Hai, Zhang, Xin, Gao, Kun, Wang, Kun, Wang, Jian-Feng, Li, Zi-Yu, Zhu, Lin-Zhong, Ding, Rong, Li, Jing, Zhao, Ling, Shao, Yu-Jun, Liu, Hai-Chun, Xia, Jie-Lai, Wang, Ling, Kong, Ling-Min, Chen, Zhi-Nan, Bian, Huijie
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container_issue 4
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container_title The Journal of nuclear medicine (1978)
container_volume 63
creator Chen, Hui
Nan, Gang
Wei, Ding
Zhai, Ren-You
Huang, Ming
Yang, Wu-Wei
Xing, Bao-Cai
Zhu, Xu
Xu, Hai-Feng
Wang, Xiao-Dong
Zhang, Xiao-Yong
Zhu, Bao-Rang
Liu, Peng
Cao, Guang
Gao, Song
Hao, Chun-Yi
Yang, Ren-Jie
Guo, Jian-Hai
Zhang, Xin
Gao, Kun
Wang, Kun
Wang, Jian-Feng
Li, Zi-Yu
Zhu, Lin-Zhong
Ding, Rong
Li, Jing
Zhao, Ling
Shao, Yu-Jun
Liu, Hai-Chun
Xia, Jie-Lai
Wang, Ling
Kong, Ling-Min
Chen, Zhi-Nan
Bian, Huijie
description This prospective nonrandomized, multicenter clinical trial was performed to investigate the efficacy and safety of 131I-labeled metuximab in adjuvant treatment of unresectable hepatocellular carcinoma. Methods: Patients were assigned to treatment with transcatheter arterial chemoembolization (TACE) combined with 131I-metuximab or TACE alone. The primary outcome was overall tumor recurrence. The secondary outcomes were safety and overall survival. Results: The median time to tumor recurrence was 6 mo in the TACE + 131I-metuximab group (n = 160) and 3 mo in the TACE group (n = 160) (hazard ratio, 0.55; 95% CI, 0.43–0.70; P < 0.001). The median overall survival was 28 mo in the TACE + 131I-metuximab group and 19 mo in the TACE group (hazard ratio, 0.62; 95% CI, 0.47–0.82; P = 0.001). Conclusion: TACE + 131I-metuximab showed a greater antirecurrence benefit, significantly improved the 5-y survival of patients with advanced hepatocellular carcinoma, and was well tolerated by patients.
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Methods: Patients were assigned to treatment with transcatheter arterial chemoembolization (TACE) combined with 131I-metuximab or TACE alone. The primary outcome was overall tumor recurrence. The secondary outcomes were safety and overall survival. Results: The median time to tumor recurrence was 6 mo in the TACE + 131I-metuximab group (n = 160) and 3 mo in the TACE group (n = 160) (hazard ratio, 0.55; 95% CI, 0.43–0.70; P &lt; 0.001). The median overall survival was 28 mo in the TACE + 131I-metuximab group and 19 mo in the TACE group (hazard ratio, 0.62; 95% CI, 0.47–0.82; P = 0.001). 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Methods: Patients were assigned to treatment with transcatheter arterial chemoembolization (TACE) combined with 131I-metuximab or TACE alone. The primary outcome was overall tumor recurrence. The secondary outcomes were safety and overall survival. Results: The median time to tumor recurrence was 6 mo in the TACE + 131I-metuximab group (n = 160) and 3 mo in the TACE group (n = 160) (hazard ratio, 0.55; 95% CI, 0.43–0.70; P &lt; 0.001). The median overall survival was 28 mo in the TACE + 131I-metuximab group and 19 mo in the TACE group (hazard ratio, 0.62; 95% CI, 0.47–0.82; P = 0.001). Conclusion: TACE + 131I-metuximab showed a greater antirecurrence benefit, significantly improved the 5-y survival of patients with advanced hepatocellular carcinoma, and was well tolerated by patients.</description><subject>Brief Communication</subject><subject>Chemoembolization</subject><subject>Clinical trials</subject><subject>Hepatic artery</subject><subject>Hepatocellular carcinoma</subject><subject>Liver cancer</subject><subject>Patients</subject><subject>Safety</subject><subject>Survival</subject><subject>Tumors</subject><issn>0161-5505</issn><issn>1535-5667</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><recordid>eNpdkU1v1DAQhi0EokvhB3CzxIUDWWI7_ggHpFUEdKUWOGzPkT8mrFeJHZyk0P4-fhhO2wuc5jAzz_vOOwi9JuWW1kK-P4VlALcllGypoISJJ2hDOOMFF0I-RZuSCFJwXvIz9GKaTmVZCqXUc3TGqkpyyvgG_bmAUc_e4l2aId3ifTiBnX0MOHaYMLIvrmBefvtBG9zEwfgADv_y8xEfkg6T1fMR8uLDutc9bo4wRBhM7P2dvgd1MeHrkGDKYG16wPeS0ULfL71OuNHJ-hAH_QHv8PcUp3F1cAP4awxZw8XB34F7h6-WPhuFsMo1vQ_eZrnDKvoSPet0P8Grx3qOrj9_OjQXxeW3L_tmd1mMtKrmQqm6A0eYUabSGirlrDMMrJXQWSCUO3CCSK50p5gRDDouVSUdMdI6pQQ7Rx8fuONicvCrl6T7dkw5nnTbRu3bfzvBH9sf8aZVtWT5Yxnw9hGQ4s8Fprkd_LQGoQPEZWopFzVTVX5lHn3z3-gpLink81oqOFFVTahkfwH5NqYT</recordid><startdate>20220401</startdate><enddate>20220401</enddate><creator>Chen, Hui</creator><creator>Nan, Gang</creator><creator>Wei, Ding</creator><creator>Zhai, Ren-You</creator><creator>Huang, Ming</creator><creator>Yang, Wu-Wei</creator><creator>Xing, Bao-Cai</creator><creator>Zhu, Xu</creator><creator>Xu, Hai-Feng</creator><creator>Wang, Xiao-Dong</creator><creator>Zhang, Xiao-Yong</creator><creator>Zhu, Bao-Rang</creator><creator>Liu, Peng</creator><creator>Cao, Guang</creator><creator>Gao, Song</creator><creator>Hao, Chun-Yi</creator><creator>Yang, Ren-Jie</creator><creator>Guo, Jian-Hai</creator><creator>Zhang, Xin</creator><creator>Gao, Kun</creator><creator>Wang, Kun</creator><creator>Wang, Jian-Feng</creator><creator>Li, Zi-Yu</creator><creator>Zhu, Lin-Zhong</creator><creator>Ding, Rong</creator><creator>Li, Jing</creator><creator>Zhao, Ling</creator><creator>Shao, Yu-Jun</creator><creator>Liu, Hai-Chun</creator><creator>Xia, Jie-Lai</creator><creator>Wang, Ling</creator><creator>Kong, Ling-Min</creator><creator>Chen, Zhi-Nan</creator><creator>Bian, Huijie</creator><general>Society of Nuclear Medicine</general><scope>4T-</scope><scope>8FD</scope><scope>FR3</scope><scope>K9.</scope><scope>M7Z</scope><scope>NAPCQ</scope><scope>P64</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20220401</creationdate><title>Hepatic Artery Injection of 131I-Metuximab Combined with Transcatheter Arterial Chemoembolization for Unresectable Hepatocellular Carcinoma: A Prospective Nonrandomized, Multicenter Clinical Trial</title><author>Chen, Hui ; 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subjects Brief Communication
Chemoembolization
Clinical trials
Hepatic artery
Hepatocellular carcinoma
Liver cancer
Patients
Safety
Survival
Tumors
title Hepatic Artery Injection of 131I-Metuximab Combined with Transcatheter Arterial Chemoembolization for Unresectable Hepatocellular Carcinoma: A Prospective Nonrandomized, Multicenter Clinical Trial
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