Evidence map›Paper›PMID 28419248›Full record

Trial reportJapanese journal of clinical oncology2017

Nivolumab versus everolimus in advanced renal cell carcinoma: Japanese subgroup analysis from the CheckMate 025 study.

Yoshihiko Tomita, Satoshi Fukasawa, Nobuo Shinohara, Hiroshi Kitamura, Mototsugu Oya, Masatoshi Eto, Kazunari Tanabe, Go Kimura, Junji Yonese, Masahiro Yao and 5 more

Registry-linked trialAbstract readClinical Trial, Phase IIIRandomized Controlled Trial
In one paragraph

Trial report in Japanese journal of clinical oncology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03379012 (Phase 2 Randomized Study of Efficacy and Safety of Testosterone in Metastatic Renal Cell Carcinoma Patients With Fatigue), which is not on this map. Cited by 37 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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.

NCT03379012 phase2completednot on this map

Phase 2 Randomized Study of Efficacy and Safety of Testosterone in Metastatic Renal Cell Carcinoma Patients With Fatigue

TypeinterventionalSponsorKidney Cancer Research BureauRan2016 to 2019Enrolled60ConditionsMetastatic Renal Cell CarcinomaArmsTestosterone undecanoate and sunitinib or pazopanib
3 · Its place in the literature

Who cites it

37 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  4. Trial
  5. From glioma gloom to immune bloom: unveiling novel immunotherapeutic paradigms-a review.Journal of experimental & clinical cancer research : CR · 2024
    Review
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  7. Observational
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  15. Journal for immunotherapy of cancer · 2020
    Article
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  19. Immunotherapy in Renal Cell Carcinoma: The Future Is Now.International journal of molecular sciences · 2020
    Review
  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

15 authors.

Yoshihiko TomitaDepartment of Urology, Yamagata University Hospital, Yamagata.
Satoshi FukasawaProstate Center and Division of Urology, Chiba Cancer Center, Chiba.
Nobuo ShinoharaDepartment of Urology, Hokkaido University, Sapporo.
Hiroshi KitamuraDepartment of Urology, Sapporo Medical University Hospital, Sapporo.
Mototsugu OyaDepartment of Urology, Keio University Hospital, Tokyo.
Masatoshi EtoDepartment of Urology, Kumamoto University, Kumamoto.
Kazunari TanabeDepartment of Urology, Tokyo Women's Medical University Hospital, Tokyo.
Go KimuraDepartment of Urology, Nippon Medical School Hospital, Tokyo.
Junji YoneseDepartment of Urology, Cancer Institute Hospital, Tokyo.
Masahiro YaoDepartment of Urology, Yokohama City University Hospital, Yokohama, Japan.
Robert J MotzerDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Hirotsugu UemuraDepartment of Urology, Kindai University Faculty of Medicine, Osaka, Japan.
M Brent McHenryGlobal Biometric Sciences, Bristol-Myers Squibb, Princeton, NJ, USA.
Elmer BerghornGlobal Clinical Research, Bristol-Myers Squibb, Princeton, NJ, USA.
Seiichiro OzonoDepartment of Urology, Hamamatsu University School of Medicine, Hamamatsu, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNivolumab improved overall survival (OS) and objective response rate (ORR) versus everolimus in previously treated patients with advanced renal cell carcinoma in the phase III CheckMate 025 study (minimum follow-up: 14 months). We report efficacy and safety in the global and Japanese populations (minimum follow-up: 26 months).

methodsPatients were randomized 1:1 to receive nivolumab 3 mg/kg intravenously every 2 weeks or everolimus 10-mg tablet orally once daily. Primary endpoint: OS, key secondary endpoints: ORR, progression-free survival and safety.

resultsOf 410 (nivolumab) and 411 (everolimus) patients, 37 (9%) and 26 (6%), respectively, were Japanese. Median OS for the global population was 26.0 months (nivolumab) and 19.7 months (everolimus; hazard ratio 0.73 [95% confidence interval [CI]: 0.61-0.88]; P = 0.0006), with medians not reached for Japanese patients. ORR for the global population was 26% (nivolumab) versus 5% (everolimus; odds ratio 6.13; 95% CI: 3.77-9.95); ORR for Japanese patients: 43% versus 8% (odds ratio 9.14; 95% CI: 1.76-88.33). In Japanese patients, any-grade treatment-related adverse events (AEs) occurred in 78% (Grade 3-4, 19%; most common, anemia [5%]) treated with nivolumab and 100% (Grade 3-4, 58%; most common, hypertriglyceridemia [12%]) treated with everolimus; the most common with nivolumab was diarrhea (19%) and with everolimus was stomatitis (77%). Quality of life was stable in the nivolumab arm.

conclusionsWith >2 years of follow-up, Japanese patients had a higher response rate with nivolumab versus everolimus that was more pronounced yet consistent with the global population, with median OS not reached, and a favorable safety profile.

Indexed as

AdultAgedAged, 80 and overAntibodies, MonoclonalCarcinoma, Renal CellDisease-Free SurvivalEverolimusFemaleHumansImmunosuppressive AgentsKidney NeoplasmsMaleMiddle AgedNivolumabQuality of LifeYoung AdultAntibodies, MonoclonalEverolimusImmunosuppressive AgentsNivolumabeverolimusimmune checkpoint inhibitorJapanesenivolumabrenal cell carcinoma

Identifiers

PMID28419248
PMCPMC5896687

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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.