Evidence map›Paper›PMID 33776447›Full record

ArticleOncoTargets and therapy2021

Organ-Specific Tumor Response to Pembrolizumab in Advanced Urothelial Carcinoma After Platinum-Based Chemotherapy.

Nobuki Furubayashi, Takahito Negishi, Naotaka Sakamoto, Hozumi Shimokawa, Futoshi Morokuma, Yoohyun Song, Yoshifumi Hori, Toshihisa Tomoda, Noriaki Tokuda, Narihito Seki and 2 more

Open access · goldAbstract read
In one paragraph

Article in OncoTargets and therapy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 10% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Response rate specific to bone metastasis of various cancers for immune checkpoint inhibitors: a systematic review.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024
    Pooled it
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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

12 authors at 6 institutions in 1 country.

Nobuki FurubayashiDepartment of Urology, National Hospital Organization Kyushu Cancer Center, Fukuoka, Japan.ORCID 0000-0001-9159-493X
Takahito NegishiDepartment of Urology, National Hospital Organization Kyushu Cancer Center, Fukuoka, Japan.
Naotaka SakamotoDepartment of Urology, National Hospital Organization Kyushu Medical Center, Fukuoka, Japan.
Hozumi ShimokawaDepartment of Medical Oncology, National Hospital Organization Kyushu Medical Center, Fukuoka, Japan.
Futoshi MorokumaDepartment of Urology, Saga-ken Medical Centre Koseikan, Saga, Japan.ORCID 0000-0002-3798-8644
Yoohyun SongDepartment of Urology, Kyushu Central Hospital of the Mutual Aid Association of Public School Teachers, Fukuoka, Japan.
Yoshifumi HoriDepartment of Urology, Miyazaki Prefectural Miyazaki Hospital, Miyazaki, Japan.
Toshihisa TomodaDepartment of Urology, Oita Prefectural Hospital, Oita, Japan.ORCID 0000-0002-9346-1900
Noriaki TokudaDepartment of Urology, Saga-ken Medical Centre Koseikan, Saga, Japan.
Narihito SekiDepartment of Urology, Kyushu Central Hospital of the Mutual Aid Association of Public School Teachers, Fukuoka, Japan.
Kentaro KuroiwaDepartment of Urology, Miyazaki Prefectural Miyazaki Hospital, Miyazaki, Japan.
Motonobu NakamuraDepartment of Urology, National Hospital Organization Kyushu Cancer Center, Fukuoka, Japan.
National Hospital Organization Kyushu Cancer Center · JPKyushu Central Hospital of the Mutual Aid Association of Public School Teachers · JPMiyazaki Prefectural Hospital · JPNational Kyushu Medical Center · JPSaga-Ken Medical Centre Koseikan · JPOita Prefectural Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo evaluate the organ-specific therapeutic effect of pembrolizumab after the failure of platinum-based chemotherapy for advanced urothelial carcinoma (UC). MATERIALS AND

methodsPatients with advanced UC who received pembrolizumab after the failure of platinum-based chemotherapy and who had measurable disease were retrospectively analyzed. The objective response rate (ORR) and organ-specific response rate (OSRR) were evaluated according to Response Evaluation Criteria in Solid Tumors, version 1.1.

resultsWe analyzed 69 patients (male, n=51; median age, 71 years) with 226 metastases. The ORR was 23.2%. In total, 32, 31, 16, 14, 13 and 7 patients had measurable lung (OSSR 31.3%), lymph node (OSSR 29.0%), local recurrence (OSSR 12.5%), primary tumor organ (OSSR 7.1%), liver (OSSR 23.1%) and bone (OSSR 28.6%) disease, respectively. The median overall survival (OS) for pembrolizumab was 10.9 months (95% confidence interval, 5.9‑13.7 months). Regarding organ-specific OS, a Log rank test significant differences in OS were confirmed between patients with and without primary tumor organ disease (p=0.046) and liver metastasis (p<0.001).

conclusionMetastases and primary tumor organ disease showed different tumor responses to pembrolizumab. The most prominent tumor response was found in lung metastasis and the least response was found in primary organ sites. The mechanisms of these different responses were unclear and there does not appear to be a constant trend between tumor shrinkage and OS in tumor sites. Further studies are needed.

Indexed as

organ-specific response ratepembrolizumabplatinum-based chemotherapytumor microenvironmenturothelial carcinoma

Identifiers

PMID33776447
PMCPMC7987306
OpenAlexW3137150467

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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.