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. 2020 Aug 3;55(10):927–943. doi: 10.1007/s00535-020-01711-w

Table 5.

Studies assessing sarcopenia in patients undergoing Sorafenib therapy

Author (year) Region N. patients Outcome Methods N. sarcopenic Cut off
Mir (2012) [16] Europe 40 Dose limiting toxicities L3-SMI 11

M: < 55.4 cm2/m2

F: < 38.9 cm2/m2

Imai (2015) [66] Asia 40 Mortality L3-SMI 15  < 29.2 cm2/m2
Nishikawa (2017) [67] Asia 232

OS

Progression-free survival

L3-SMI 151

M: < 36.2 cm2/m2

F: < 29.6 cm2/m2

Hiraoka (2017) [68] Asia 93

OS

Time to progression

Time on treatment

PSI 20

M: < 4.24 cm2/m2

F: < 2.50 cm2/m2

Yamashima (2017) [69] Asia 40

OS

Progression free survival

ΔTPMT/height 0.59 mm/m
Takada (2018) [70] Asia 214 OS L3-SMI 123

M: < 42 cm2/m2

F: < 38 cm2/m2

Antonelli (2018) [15] Europe 96

OS

Time on treatment

L3-SMI 47

M: < 53 cm2/m2 if BMI > 25

 < 43 cm2/m2 if BMI < 25

W: < 41 cm2/m2

Saeki (2018) [71] Asia 100 OS

L3-SMI

VFA

46

M: < 42 cm2/m2

F: < 38 cm2/m2

VFA > 100 cm2

Imai (2019) [72] Asia 61 OS

L3-SMI

ΔVFMI, ΔSFMI,

ΔL3-SMI

25 before sorafenib

M: < 42 cm2/m2

F: < 38 cm2/m2

ΔL3SMI > -5.73 cm2/m2/120 days

ΔSFMI > -5.33 cm2/m2/120 days

∆VFMI >  − 3.95 cm2/m2/120 days

N Number, L3 third lumbar vertebra, SMI cross-sectional areas of skeletal muscle (cm2)/patient’s height (m2), OS Overall Survival, PSI psoas muscle area at level of middle of third lumbar vertebra (cm2) / height (m2), TPMT/height Transversal psoas muscle thickness (mm)/ height (m), VFA Visceral fat area, VFMI visceral fat mass index, SFMI subcutaneous fat mass index