Evidence map›Paper›PMID 27726966›Full record

ArticleEuropean urology2017

Nomogram-based Prediction of Overall Survival in Patients with Metastatic Urothelial Carcinoma Receiving First-line Platinum-based Chemotherapy: Retrospective International Study of Invasive/Advanced Cancer of the Urothelium (RISC).

Andrea Necchi, Guru Sonpavde, Salvatore Lo Vullo, Daniele Giardiello, Aristotelis Bamias, Simon J Crabb, Lauren C Harshman, Joaquim Bellmunt, Ugo De Giorgi, Cora N Sternberg and 25 more

Registry-linked trialOpen access · greenAbstract readValidation Study
In one paragraph

Article in European urology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03824691 (Cabozantinib Plus Durvalumab in Patients With Advanced and Chemotherapy-treated Bladder Carcinoma, of Urothelial and Non-urothelial Histology), which is not on this map. Cited by 40 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 1 pooled it
9.1field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03824691 phase2unknown statusnot on this mapstarted 2019, after this paper: background citation

Cabozantinib Plus Durvalumab in Patients With Advanced and Chemotherapy-treated Bladder Carcinoma, of Urothelial and Non-urothelial Histology: an Open-label, Single-centre, Phase 2, Single-arm Proof-of-concept Trial: ARCADIA Study

TypeinterventionalSponsorFondazione IRCCS Istituto Nazionale dei Tumori, MilanoRan2019 to 2023Enrolled122ConditionsBladder CarcinomaArmsCabozantinib, Durvalumab
3 · Its place in the literature

Who cites it

40 citing papers in PubMed, 1 synthesis or guideline pooled it, 66 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Regional differences in metastatic urothelial carcinoma of the urinary bladder patients across the United States SEER registries.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2023
    Article
  11. Article
  12. Review
  13. Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. When are results of single-arm studies dramatic?Nature reviews. Clinical oncology · 2020
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

35 authors at 20 institutions in 13 countries.

Andrea NecchiFondazione IRCCS Istituto Nazionale dei Tumori, Milano, Italy. Electronic address: andrea.necchi@istitutotumori.mi.it.
Guru SonpavdeUAB Comprehensive Cancer Center, Birmingham, AL, USA.
Salvatore Lo VulloFondazione IRCCS Istituto Nazionale dei Tumori, Milano, Italy.
Daniele GiardielloFondazione IRCCS Istituto Nazionale dei Tumori, Milano, Italy.
Aristotelis BamiasUniversity of Athens, Athens, Greece.
Simon J CrabbUniversity of Southampton, Southampton, UK.
Lauren C HarshmanDana-Farber Cancer Institute, Boston, MA, USA.
Joaquim BellmuntDana-Farber Cancer Institute, Boston, MA, USA.
Ugo De GiorgiIRCCS Istituto Scientifico Romagnolo per lo studio e la Cura dei Tumori, Meldola, Italy.
Cora N SternbergSan Camillo Forlanini Hospital, Rome, Italy.
Linda CerboneSan Camillo Forlanini Hospital, Rome, Italy.
Sylvain LadoireCenter Georges-François Leclerc, Dijon, France.
Yu-Ning WongFox Chase Cancer Center, Philadelphia, PA, USA.
Evan Y YuUniversity of Washington, Seattle, WA, USA.
Simon ChowdhuryGuy's and St. Thomas' Hospital, London, UK.
Gunter NiegischHeinrich-Heine-University, Medical Faculty, Department of Urology, Düsseldorf, Germany.
Sandy SrinivasStanford University School of Medicine, Stanford, CA, USA.
Ulka N VaishampayanKarmanos Cancer Institute, Detroit, MI, USA.
Sumanta K PalCity of Hope Comprehensive Cancer Center, Duarte, CA, USA.
Neeraj AgarwalUniversity of Utah, Salt Lake City, UT, USA.
Ajjai AlvaUniversity of Michigan, Ann Arbor, MI, USA.
Jack BanielRabin Medical Center, Petach Tikva, Israel.
Ali-Reza GolshayanMedical University of South Carolina, Charleston, SC, USA.
Rafael Morales-BarreraVall d'Hebron Institute of Oncology, Vall d'Hebron University Hospital, Universitat Autonoma de Barcelona, Barcelona, Spain.
Daniel W BowlesDenver Veterans Affairs Medical Center, Eastern Colorado Health Care System, Denver, CO, USA.
Matthew I MilowskyUniversity of North Carolina at Chapel Hill, Lineberger Comprehensive Cancer Center, NC, USA.
Christine TheodoreHopital Foch, Suresnes, France.
Dominik R BertholdCentre Hospitalier Universitaire Vaudois, Lausanne, Switzerland.
Gedske DaugaardCopenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark.
Srikala S SridharPrincess Margaret Hospital, University Health Network, Toronto, Canada.
Thomas PowlesBarts Health and the Royal Free NHS Trust, Queen Mary University of London, London, UK.
Jonathan E RosenbergMemorial Sloan-Kettering Cancer Center, New York, NY, USA.
Matthew D GalskyMount Sinai School of Medicine, Tisch Cancer Institute, New York, NY, USA.
Luigi MarianiFondazione IRCCS Istituto Nazionale dei Tumori, Milano, Italy.
RISC Investigators
Istituti di Ricovero e Cura a Carattere Scientifico · ITDana-Farber Cancer Institute · USBarts Health NHS Trust · GBCarlo Forlanini Hospital · ITCentre Georges François Leclerc · FRCity of Hope · USCopenhagen University Hospital · DKFondazione IRCCS Istituto Nazionale dei Tumori · ITFox Chase Cancer Center · USHebron University · PSHeinrich Heine University Düsseldorf · DEHôpital Foch · FRIcahn School of Medicine at Mount Sinai · USMedical University of South Carolina · USMemorial Sloan Kettering Cancer Center · USNational and Kapodistrian University of Athens · GRNini Hospital · LBRabin Medical Center · ILStanford University · USSt Thomas' Hospital · GB

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

backgroundThe available prognostic models for overall survival (OS) in patients with metastatic urothelial carcinoma (UC) have been derived from clinical trial populations of cisplatin-treated patients.

objectiveTo develop a new model based on real-world patients. DESIGN, SETTING, AND

participantsIndividual patient-level data from 29 centers were collected, including metastatic UC and first-line cisplatin- or carboplatin-based chemotherapy administered between January 2006 and January 2011.

interventionFirst-line, platinum-based, combination chemotherapy. OUTCOME MEASUREMENTS AND STATISTICAL ANALYSIS: The population was randomly split into a development and a validation cohort. Generalized boosted regression modelling was used to screen out irrelevant variables and address multivariable analyses. Two nomograms were built to estimate OS probability, the first based on baseline factors and platinum agent, the second incorporating objective response (OR). The performance of the above nomograms and that of other available models was assessed. We plotted decision curves to evaluate the clinical usefulness of the two nomograms. RESULTS AND LIMITATIONS: A total of 1020 patients were analyzed (development: 687, validation: 333). In a platinum-stratified Cox model, significant variables for OS were performance status (p<0.001), white blood cell count (p=0.013), body mass index (p=0.003), ethnicity (p=0.012), lung, liver, or bone metastases (p<0.001), and prior perioperative chemotherapy (p=0.012). The c-index was 0.660. The distribution of the nomogram scores was associated with OR (p<0.001), and incorporating OR into the model further improved the c-index in the validation cohort (0.670).

conclusionsWe developed and validated two nomograms for OS to be used before and after completion of first-line chemotherapy for metastatic UC. PATIENT SUMMARY: We proposed two models for estimating overall survival of patients with metastatic urothelial carcinoma receiving first-line, platinum-based chemotherapy. These nomograms have been developed on real-world patients who were treated outside of clinical trials and may be used irrespective of the chemotherapeutic platinum agent used.

Indexed as

NomogramsAgedAntineoplastic Combined Chemotherapy ProtocolsCarboplatinCarcinoma, Transitional CellCisplatinFemaleHumansInternationalityMaleMiddle AgedPrognosisRandom AllocationRetrospective StudiesSurvival AnalysisUrologic NeoplasmsCarboplatinCisplatinNomogramOverall survivalPlatinum chemotherapyPrognosisUrothelial carcinoma

Identifiers

PMID27726966
PMCPMC5576985
OpenAlexW2529206793

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.