Evidence map›Paper›PMID 34410980›Full record

ArticleIn vivo (Athens, Greece)

Clinical Outcomes of Mixed Response to Pembrolizumab in Advanced Urothelial Carcinoma After Platinum-based Chemotherapy.

Nobuki Furubayashi, Takahito Negishi, Naotaka Sakamoto, Shingo Tamura, Futoshi Morokuma, Yoohyun Song, Yoshifumi Hori, Toshihisa Tomoda, Narihito Seki, Kentaro Kuroiwa and 1 more

Open access · diamondAbstract read
In one paragraph

Article in In vivo (Athens, Greece). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.8field-weighted citation impact, top 27% 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

5 citing papers in PubMed, 5 citations in OpenAlex.

  1. Mixed Response to Nivolumab Among Different Metastatic Sites in Patients With Metastatic Renal Cell Carcinoma: Incidence and Clinical Implications.International journal of urology : official journal of the Japanese Urological Association · 2026
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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

11 authors at 6 institutions in 1 country.

Nobuki FurubayashiDepartment of Urology, National Hospital Organization Kyushu Cancer Center, Fukuoka, Japan; nobumduro@gmail.com.
Takahito NegishiDepartment of Urology, National Hospital Organization Kyushu Cancer Center, Fukuoka, Japan.
Naotaka SakamotoDepartment of Urology, National Hospital Organization Kyushu Medical Center, Fukuoka, Japan.
Shingo TamuraDepartment of Medical Oncology, National Hospital Organization Kyushu Medical Center, Fukuoka, Japan.
Futoshi MorokumaDepartment of Urology, Saga-ken Medical Centre Koseikan, Saga, Japan.
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.
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 · JPOita Prefectural Hospital · JPSaga-Ken Medical Centre Koseikan · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

aimDespite the presence of a mixed response (MR) in patients with urothelial carcinoma (UC) who receive immune checkpoint inhibitors, the clinical outcome of these patient has not been reported. We evaluated the clinical outcome of MR to pembrolizumab for advanced UC. PATIENTS AND

methodsAdvanced UC patients who received pembrolizumab after platinum-based chemotherapy failure with measurable disease in multiple organs were retrospectively analyzed.

resultsAmong 31 patients, MR [including progressive disease (PD)+complete response (CR) or partial response (PR)] was confirmed in 4 (12.9%). The median overall survival (OS) of the CR+PR (including CR+SD±PR), stable disease (SD), PD (including PD±SD) and MR groups was 16.0, 5.1, 5.4 and 4.3 months, respectively. There was no significant difference in the OS between the MR and CR+PR response groups (log-rank test, p=0.069).

conclusionA mixed response to pembrolizumab in advanced UC was not uncommon. Despite the non-significant difference in the OS between the mixed and CR+PR response groups, the OS of the MR group tended to be similar to that of the SD and PD response groups.

Indexed as

Carcinoma, Transitional CellUrinary Bladder NeoplasmsAntibodies, Monoclonal, HumanizedHumansPlatinumRetrospective StudiesAntibodies, Monoclonal, HumanizedpembrolizumabPlatinummixed responseorgan-specific responsepembrolizumabtumor microenvironmentUrothelial carcinoma

Identifiers

PMID34410980
PMCPMC8408739
OpenAlexW3194663175

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.