Evidence map›Paper›PMID 34755056›Full record

ArticleIJU case reports2021

Successful treatment of metastatic bladder cancer by gemcitabine-cisplatin re-challenge after pembrolizumab.

Takayuki Arai, Nobuyoshi Takeuchi, Tomokazu Sazuka, Hiroaki Sato, Yusuke Imamura, Shinichi Sakamoto, Akira Komiya, Tomohiko Ichikawa

Open access · goldAbstract readCase Reports
In one paragraph

Article in IJU case reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 46% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. 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

8 authors at 1 institution in 1 country.

Takayuki AraiDepartment of Urology Chiba University Graduate School of Medicine Chiba Japan.ORCID https://orcid.org/0000-0002-3888-9576
Nobuyoshi TakeuchiDepartment of Urology Chiba University Graduate School of Medicine Chiba Japan.
Tomokazu SazukaDepartment of Urology Chiba University Graduate School of Medicine Chiba Japan.ORCID https://orcid.org/0000-0002-8902-7853
Hiroaki SatoDepartment of Urology Chiba University Graduate School of Medicine Chiba Japan.
Yusuke ImamuraDepartment of Urology Chiba University Graduate School of Medicine Chiba Japan.
Shinichi SakamotoDepartment of Urology Chiba University Graduate School of Medicine Chiba Japan.ORCID https://orcid.org/0000-0002-7508-7521
Akira KomiyaDepartment of Urology Chiba University Graduate School of Medicine Chiba Japan.
Tomohiko IchikawaDepartment of Urology Chiba University Graduate School of Medicine Chiba Japan.
Chiba University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe advent of pembrolizumab has contributed to improved treatment outcomes for metastatic urothelial carcinoma, but the outcomes of treatments after second-line treatment have not been established. CASE PRESENTATION: A 72-year-old man was referred to our hospital with gross hematuria and diagnosed with suspicion of bladder cancer cT1N0M0. Transurethral resection of the bladder tumor was performed, but local recurrence and multiple lung metastases appeared 5 months after surgery. Although gemcitabine-cisplatin was performed as first-line chemotherapy, the local lesion increased, and pembrolizumab was used as a second-line treatment. Pembrolizumab was also ineffective; however, re-challenge with gemcitabine-cisplatin as third-line treatment produced a good therapeutic effect.

conclusionWe report a successful case in which gemcitabine-cisplatin re-challenge after pembrolizumab therapy was effective in metastatic bladder cancer. Re-administration of chemotherapy after immune checkpoint inhibitors may be a broadly effective treatment option.

Indexed as

gemcitabine‐cisplatin re‐challengemetastatic urothelial carcinomapembrolizumab

Identifiers

PMID34755056
PMCPMC8560445
OpenAlexW3185692434

What OpenQuestion holds

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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.