Evidence map›Paper›PMID 33473164›Full record

Trial reportBritish journal of cancer2021

Natural history, response to systemic therapy, and genomic landscape of plasmacytoid urothelial carcinoma.

Min Yuen Teo, Hikmat Al-Ahmadie, Kenneth Seier, Christopher Tully, Ashley M Regazzi, Eugene Pietzak, David B Solit, Satish Tickoo, Victor Reuter, Eugene K Cha and 10 more

Erratum issuedOpen access · hybridAbstract readClinical Trial
In one paragraph

Trial report in British journal of cancer, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
5.6field-weighted citation impact, top 3% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 37 citations in OpenAlex.

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  14. Bladder cancer.Nature reviews. Disease primers · 2023
    Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

20 authors at 2 institutions in 1 country.

Min Yuen TeoDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA. teom@mskcc.org.ORCID http://orcid.org/0000-0003-2511-6731
Hikmat Al-AhmadieDepartment of Pathology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.ORCID http://orcid.org/0000-0002-2938-6627
Kenneth SeierDepartment of Epidemiology & Biostatistics, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Christopher TullyMorristown Medical Center, Morristown, NJ, USA.
Ashley M RegazziDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Eugene PietzakDepartment of Surgery, Urology Service, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
David B SolitMarie-Josée and Henry R. Kravis Center for Molecular Oncology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.ORCID http://orcid.org/0000-0002-6614-802X
Satish TickooDepartment of Pathology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Victor ReuterDepartment of Pathology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Eugene K ChaDepartment of Surgery, Urology Service, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Harry HerrDepartment of Surgery, Urology Service, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Timothy DonahueDepartment of Surgery, Urology Service, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Sherri M DonatDepartment of Surgery, Urology Service, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Guido DalbagniDepartment of Surgery, Urology Service, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Bernard H BochnerDepartment of Surgery, Urology Service, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Samuel FuntDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA.ORCID http://orcid.org/0000-0002-7235-6319
Gopakumar V IyerDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Dean F BajorinDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Irina OstrovnayaDepartment of Epidemiology & Biostatistics, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Jonathan E RosenbergDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Memorial Sloan Kettering Cancer Center · USMorristown Medical Center · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
SPORE in Bladder CancerP50CA221745 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI BAJORIN, DEAN F. · 2018 to 2024
$11.8M
NCI NIH HHS P30 CA008748NCI NIH HHS P50 CA221745
6 · The paper itself

Abstract

backgroundPlasmacytoid urothelial carcinoma (PUC) is a rare, aggressive histologic variant of urothelial cancer characterised by a diffuse growth pattern and CDH1 mutation. We studied the efficacy of preoperative platinum-based chemotherapy in nonmetastatic PUC and immune checkpoint inhibitors (ICIs) in advanced PUC.

methodsCases of nonmetastatic PUC and advanced PUC treated with ICIs at our institution were identified. Outcomes were compared to those of a published cohort of patients with urothelial carcinoma not otherwise specified.

resultsWe identified 81 patients with nonmetastatic PUC. Of the patients with localised disease who underwent neoadjuvant chemotherapy, pathologic complete response and downstaging rates were 12 and 21%, respectively. Pathologic downstaging was not associated with significant improvement in clinical outcomes. Up to 18% of localised disease and 28% of locally advanced cases had unresectable disease at the time of surgery. ICI-treated advanced PUC (N = 21) had progression-free and overall survival of 4.5 and 10.5 months, respectively, and a 38% response rate. FGFR3 and DNA damage response gene alterations were observed in 3 and 15% of cases, respectively.

conclusionsPUC is associated with high disease burden and poor chemosensitivity. Increased awareness and recognition of this disease variant will allow for new treatment strategies.

Indexed as

MutationAdultAgedAged, 80 and overAntineoplastic Combined Chemotherapy ProtocolsBiomarkers, TumorFemaleFollow-Up StudiesHumansImmune Checkpoint InhibitorsMaleMiddle AgedNeoadjuvant TherapyPrognosisRetrospective StudiesSurvival RateBiomarkers, TumorImmune Checkpoint Inhibitors

Identifiers

PMID33473164
PMCPMC8007750
OpenAlexW3125383247

What OpenQuestion holds

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Registered trials

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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.