RT Journal Article SR Electronic T1 Hepatic artery injection of 131I-metuximab combined with transcatheter arterial chemoembolization for unresectable hepatocellular carcinoma: a prospective non-randomized, multicenter clinical trial JF Journal of Nuclear Medicine JO J Nucl Med FD Society of Nuclear Medicine SP jnumed.121.262136 DO 10.2967/jnumed.121.262136 A1 Hui Chen A1 Gang Nan A1 Ding Wei A1 Ren-You Zhai A1 Ming Huang A1 Wu-Wei Yang A1 Bao-Cai Xing A1 Xu Zhu A1 Hai-Feng Xu A1 Xiao-Dong Wang A1 Xiao-Yong Zhang A1 Bao-Rang Zhu A1 Peng Liu A1 Guang Cao A1 Song Gao A1 Chun-Yi Hao A1 Ren-Jie Yang A1 Jian-Hai Guo A1 Xin Zhang A1 Kun Gao A1 Kun Wang A1 Jian-Feng Wang A1 Zi-Yu Li A1 Lin-Zhong Zhu A1 Rong Ding A1 Jing Li A1 Ling Zhao A1 Yu-Jun Shao A1 Hai-Chun Liu A1 Jie-Lai Xia A1 Ling Wang A1 Ling-Ming Kong A1 Zhi-Nan Chen A1 Huijie Bian YR 2021 UL http://jnm.snmjournals.org/content/early/2021/09/02/jnumed.121.262136.abstract AB This prospective non-randomized, multicenter clinical trial was performed to investigate 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 months in the TACE+131I-metuximab group (n = 160) and 3 months in the TACE group (n = 160) (hazard ratio, 0.55; 95% confidence interval, 0.43 to 0.70; P < 0.001). The median overall survival was 28 months in the TACE+131I-metuximab group and 19 months in the TACE group (hazard ratio, 0.62; 95% confidence interval, 0.47 to 0.82; P = 0.001). Conclusion: TACE+131I-metuximab showed a greater anti-recurrence benefit, significantly improved the 5-year survival of patients with advanced hepatocellular carcinoma, and was well tolerated by patients.