Table 3.
Variables | Number (%) | Kaplan–Meier Median OS (Months, 95%CI) |
p-Value (Log-Rank) |
Cox Proportional Hazards Hazard Ratio (95%CI) |
p-Value (Cox) |
---|---|---|---|---|---|
RECIST response 3 months | |||||
DC PD |
22 (62.8%) 8 (22.8%) |
22 (10.9–33.1) 10 (0.0–21.9) |
0.053 | 0.41 (0.16–1.1) | 0.065 |
RECIST response 6 months | |||||
DC PD |
16 (45.7%) 9 (25.7%) |
40 (17.6–62.4) 17 (8.1–25.9) |
0.007 | 0.25 (0.08–0.75) | 0.013 |
RECIST response 9 months | |||||
DC PD |
6 (17.1%) 9 (25.7%) |
94 (0.0–242.1) 37 (26.7–47.3) |
0.290 | 0.47 (0.1–1.9) | 0.299 |
Liver PFS | |||||
9 months 9 months |
13 (37.1%) 22 (62.9%) |
50 (30.8–69.1) 8 (5.0–10.9) |
<0.0001 | 0.14 (0.04–0.4) | <0.0001 |
TACE post-TARE | |||||
Yes No |
6 (17.1%) 29 (82.9%) |
99 (90.9–107.0) 16 (4.9–27.0) |
0.003 | 0.14 (0.03–0.6) | 0.009 |
Repeat TARE | |||||
Yes No |
5 (14.3%) 30 (85.7%) |
33 (3.7–30.3) 17 (4.9–27.0) |
0.517 | 0.73 (0.3–1.9) | 0.524 |
Primary Metastases | |||||
Yes No |
16 (45.7%) 19 (54.3%) |
17 (11.1–22.9) 22 (0.0–57.5) |
0.173 | 1.8 (0.8–4.1) | 0.185 |
Extrahepatic Metastases | |||||
Yes No |
22 (62.8%) 13 (37.2%) |
17 (1.6–32.4) 37 (4.6–69.4) |
0.186 | 1.7 (0.8–3.8) | 0.197 |
Liver Involvement | |||||
Bilobar Single lobe |
29 (82.8%) 6 (17.1%) |
22 (7.9–35.6) 16 (0.0–35.6) |
0.348 | 0.6 (0.2–1.7) | 0.359 |
Baseline Liver Volume | |||||
1.5 L 1.5 L |
25 (71.4%) 10 (28.6%) |
17 (2.0–32.0) 20 (0.0–49.3) |
0.474 | 1.3 (0.6–3.0) | 0.481 |
Child-Turcotte-Pugh Class | |||||
B A |
8 (22.9%) 27 (77.1%) |
6 (4.7–7.3) 22 (13.1–30.9) |
0.018 | 2.6 (1.1–6.2) | 0.025 |
Baseline MELD | |||||
9 9 |
8 (22.9%) 27 (77.1%) |
33 (0.0–91.1) 17 (11.2–22.8) |
0.668 | 1.2 (0.5–2.9) | 0.673 |
Baseline ALBI grade | |||||
Grade 2–3 Grade 1 |
22 (62.9%) 13 (37.1%) |
16 (2.6–29.4) 33 (10.4–55.6) |
0.308 | 1.5 (0.7–3.4) | 0.318 |
Chemotherapy Post-TARE | |||||
Yes No |
22 (62.9%) 13 (37.1%) |
17 (1.9–32.1) 22 (13.7–30.3) |
0.773 | 1.1 (0.5–2.4) | 0.776 |
Chemotherapy Pre-TARE | |||||
Yes No |
27 (77.1%) 8 (22.9%) |
17 (3.1–30.9) 33 (9.6–56.4) |
0.619 | 1.2 (0.5–3.2) | 0.624 |
Liver Surgery Pre-TARE | |||||
Yes No |
9 (25.7%) 26 (74.3%) |
20 (11.2–28.8) 22 (3.3–40.7) |
0.851 | 0.92 (0.41–2.1) | 0.853 |
Radiotherapy Pre-TARE | |||||
Yes No |
16 (45.7%) 19 (54.3%) |
8 (6.1–9.9) 25 (3.5–46.5) |
0.244 | 1.5 (0.73–3.3) | 0.254 |
Liver-directed therapy Pre-TARE | |||||
Yes No |
3 (8.6%) 32 (91.4%) |
37 (3.4–70.6) 20 (8.7–31.3) |
0.598 | 0.68 (0.16–2.9) | 0.606 |
Type of Y90 Microspheres | |||||
Resin (SIR) Glass (Theraspheres) |
31 (88.6%) 4 (11.4%) |
20 (13.0–26.9) 17 (0.0–46.4) |
0.631 | 0.77 (0.3–2.3) | 0.637 |
TARE Distribution | |||||
Bilobar Single Lobe/Segmental |
22 (62.8%) 13 (37.2%) |
22 (10.9–33.1) 16 (0.5–31.6) |
0.181 | 0.57 (0.25–1.3) | 0.193 |
Baseline ECOG | |||||
2 0–1 |
6 (17.2%) 29 (82.8%) |
6 (0.0–12.3) 22 (14.2–29.8) |
0.042 | 2.7 (0.9–7.2) | 0.054 |
Histotype | |||||
Leiomyosarcoma Other |
20 (57.1%) 15 (42.9%) |
20 (8.1–31.9) 16 (0.0–53.6) |
0.405 | 0.71 (0.3–1.6) | 0.413 |
ECOG, Eastern Cooperative Oncology Groups; ALBI, albumin–bilirubin; MELD, Model for End-Stage Liver Disease; PFS, progression-free survival; RECIST, Response Evaluation Criteria in Solid Tumors; DC, disease control; PD, disease progression; TARE, trans-arterial radioembolization; Y90, Yttrium-90; TACE, trans-arterial chemioembolization; 95%CI, 95% confidence interval.