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Publication Name World Journal of Gastrointestinal Pharmacology and Therapeutics
Manuscript ID 120377
Country Italy
Received
2026-02-27 03:17
Peer-Review Started
2026-02-27 03:17
First Decision by Editorial Office Director
2026-04-15 08:59
Return for Revision
2026-04-15 08:59
Revised
2026-04-30 08:46
Publication Fee Transferred
Second Decision by Editor
2026-05-22 02:37
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director
2026-05-22 06:07
Articles in Press
2026-05-22 06:07
Edit the Manuscript by Language Editor
Typeset the Manuscript
2026-08-24 08:35
Publish the Manuscript Online
2026-09-01 04:34
ISSN 2150-5349 (online)
Open Access This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc.
Copyright ©Author(s) (or their employer(s)) 2026. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc.
Article Reprints For details, please visit: http://www.wjgnet.com/bpg/gerinfo/247
Permissions For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
Publisher Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
Website http://www.wjgnet.com
Category Oncology
Manuscript Type Systematic Reviews
Article Title Survival in unresectable hepatocellular carcinoma: Comparison of four treatments based on patients reconstructed from Kaplan–Meier curves of randomized trials
Manuscript Source Invited Manuscript
All Author List Vera Damuzzo, Stefano Vecchia, Lorenzo Gasperoni, Luna Del Bono, Andrea Ossato, Elena Orlandi and Andrea Messori
ORCID
Author(s) ORCID Number
Vera Damuzzo http://orcid.org/0000-0002-3685-6789
Stefano Vecchia http://orcid.org/0000-0003-0578-0870
Lorenzo Gasperoni http://orcid.org/0000-0001-6427-0809
Luna Del Bono http://orcid.org/0009-0007-8094-1677
Andrea Ossato http://orcid.org/0000-0001-8984-4733
Elena Orlandi http://orcid.org/0000-0002-2559-7558
Andrea Messori http://orcid.org/0000-0002-5829-107X
Funding Agency and Grant Number
Corresponding Author Andrea Messori, Osservatorio Innovazione Section, HTA Regione Toscana, via Alderotti 26/N, Firenze 50139, Italia, Italy. andrea.messori@osservatorioinnovazione.net
Key Words Hepatocellular carcinoma; Immune checkpoint inhibitors; Tyrosine kinase inhibitors; Indirect comparison; Overall survival
Core Tip In the absence of head-to-head trials for first-line unresectable hepatocellular carcinoma, we reconstructed individual patient data from eight phase III trials to indirectly compare immune checkpoint inhibitor and tyrosine kinase inhibitor combinations. Most regimens outperformed sorafenib, with camrelizumab plus rivoceranib emerging as the most effective option, demonstrating superiority over tremelimumab plus durvalumab and anlotinib plus penpulimab. Restricted mean survival time analyses revealed revealed that nivolumab plus ipilimumab, lenvatinib, and pembrolizumab plus lenvatinib achieved results similar to those of camrelizumab plus rivoceranib. These findings provide a practical framework for treatment positioning and underscore the critical influence of comparator on estimated efficacy.
Publish Date 2026-09-01 04:34
Citation

Damuzzo V, Vecchia S, Gasperoni L, Del Bono L, Ossato A, Orlandi E, Messori A. Survival in unresectable hepatocellular carcinoma: Comparison of four treatments based on patients reconstructed from Kaplan–Meier curves of randomized trials. World J Gastrointest Pharmacol Ther 2026; 17(3): 120377

URL https://www.wjgnet.com/2150-5349/full/v17/i3/120377.htm
DOI https://doi.org/10.4292/wjgpt.120377
Full Article (PDF) WJGPT-17-120377-with-cover.pdf
PRISMA 2009 Checklist 120377-PRISMA-2009-Checklist.pdf
Manuscript File 120377_Auto_Edited_013112.docx
Answering Reviewers 120377-answering-reviewers.pdf
Audio Core Tip 120377-audio.mp3
Biostatistics Review Certificate 120377-biostatistics-statement.pdf
Conflict-of-Interest Disclosure Form 120377-conflict-of-interest-statement.pdf
Copyright License Agreement 120377-copyright-assignment.pdf
Non-Native Speakers of English Editing Certificate 120377-non-native-speakers.pdf
Supplementary Material 120377-supplementary-material.pdf
Peer-review Report 120377-peer-reviews.pdf
Scientific Misconduct Check 120377-scientific-misconduct-check.png
CrossCheck Report 120377-crosscheck-report.pdf