Evidence map›Paper›PMID 34759043›Full record

ArticleClinical cancer research : an official journal of the American Association for Cancer Research2021

Treatment-free Survival after Immune Checkpoint Inhibitor Therapy versus Targeted Therapy for Advanced Renal Cell Carcinoma: 42-Month Results of the CheckMate 214 Trial.

Meredith M Regan, Opeyemi A Jegede, Charlene M Mantia, Thomas Powles, Lillian Werner, Robert J Motzer, Nizar M Tannir, Chung-Han Lee, Yoshihiko Tomita, Martin H Voss and 11 more

Open access · hybridAbstract read
In one paragraph

Article in Clinical cancer research : an official journal of the American Association for Cancer Research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 2 pooled it
5.9field-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

36 citing papers in PubMed, 2 syntheses or guidelines pooled it, 56 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Trial
  4. Trial
  5. Trial
  6. Trial
  7. Trial
  8. Standard Versus Modified Ipilimumab, in Combination With Nivolumab, in Advanced Renal Cell Carcinoma: A Randomized Phase II Trial (PRISM).Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2024
    Trial
  9. Trial
  10. Progress in management of advanced clear-cell renal cell carcinoma.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Review
  11. Article
  12. Outcomes of Nivolumab-Plus-Ipilimumab in Metastatic Renal Cell Carcinoma: Second Interim Analysis of the J-ENCORE Study.International journal of urology : official journal of the Japanese Urological Association · 2026
    Observational
  13. National Cancer Institute's Working Group on Biochemically Recurrent Prostate Cancer: Clinical Trial Design Considerations.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2025
    Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Immunotherapy in Renal Cell Carcinoma.Cancer treatment and research · 2025
    Review
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

21 authors at 13 institutions in 5 countries.

Meredith M ReganDivision of Biostatistics, Dana-Farber Cancer Institute, Boston, Massachusetts. mregan@jimmy.harvard.edu.ORCID 0000-0002-2428-6109
Opeyemi A JegedeDivision of Biostatistics, Dana-Farber Cancer Institute, Boston, Massachusetts.ORCID 0000-0003-1763-8214
Charlene M MantiaDepartment of Medicine, Harvard Medical School, Boston, Massachusetts.
Thomas PowlesDepartment of Genitourinary Oncology, Barts Cancer Institute, Cancer Research UK Experimental Cancer Medicine Centre, Queen Mary University of London, Royal Free National Health Service Trust, London, United Kingdom.
Lillian WernerDivision of Biostatistics, Dana-Farber Cancer Institute, Boston, Massachusetts.
Robert J MotzerDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York.ORCID 0000-0001-6925-2327
Nizar M TannirDepartment of Genitourinary Medical Oncology, University of Texas MD Anderson Cancer Center, Houston, Texas.
Chung-Han LeeDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York.ORCID 0000-0001-5511-0635
Yoshihiko TomitaDepartment of Urology, Niigata University, Niigata, Japan.ORCID 0000-0002-7465-9591
Martin H VossDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York.ORCID 0000-0003-0551-5807
Elizabeth R PlimackDivision of Genitourinary Medical Oncology, Fox Chase Cancer Center, Philadelphia, Pennsylvania.
Toni K ChoueiriDepartment of Medicine, Harvard Medical School, Boston, Massachusetts.
Brian I RiniVanderbilt Ingram Cancer Center, Nashville, Tennessee.
Hans J HammersDivision of Hematology and Oncology, UT Southwestern, Dallas, Texas.
Bernard EscudierDepartment of Medical Oncology, Gustave Roussy, Villejuif, France.
Laurence AlbigesDepartment of Medical Oncology, Gustave Roussy, Villejuif, France.
Stephen HuoWorldwide Health Economics and Outcomes Research-US Market, Bristol Myers Squibb, Princeton, New Jersey.
Viviana Del TejoUS Medical Oncology, Bristol Myers Squibb, Princeton, New Jersey.
Brian StwalleyWorldwide Health Economics and Outcomes Research-US Market, Bristol Myers Squibb, Princeton, New Jersey.
Michael B AtkinsDivision of Hematology/Oncology, Georgetown-Lombardi Comprehensive Cancer Center, Washington, District of Columbia.ORCID 0000-0003-3901-9924
David F McDermottDepartment of Medicine, Harvard Medical School, Boston, Massachusetts.
Bristol-Myers Squibb (Sweden) · SEHarvard University · USMemorial Sloan Kettering Cancer Center · USDana-Farber Cancer Institute · USInstitut Gustave Roussy · FRBeth Israel Deaconess Medical Center · USFox Chase Cancer Center · USGeorgetown University · USNiigata University of Rehabilitation · JPQueen Mary University of London · GBSouthwestern Medical Center · USThe University of Texas MD Anderson Cancer Center · USVanderbilt University · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
VectorP30CA006516 · NCI · DANA-FARBER CANCER INSTITUTE · PI A. Heather Eliassen · 1985 to 2026
$330.6M
Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Scott Kopetz · 1985 to 2026
$290.8M
Tissue Culture Shared ResourceP30CA051008 · NCI · GEORGETOWN UNIVERSITY · PI STEPHEN W BYERS · 1990 to 2026
$71.5M
Treating the P13-Kinase/AKTP50CA101942 · NCI · BETH ISRAEL DEACONESS MEDICAL CENTER · PI Wanling Xie · 2003 to 2026
$53.4M
NCI NIH HHS P30 CA006516NCI NIH HHS P30 CA008748NCI NIH HHS P30 CA016672NCI NIH HHS P30 CA051008NCI NIH HHS P50 CA101942
6 · The paper itself

Abstract

purposePatients discontinuing immuno-oncology regimens may experience periods of disease control without need for ongoing anticancer therapy, but toxicity may persist. We describe treatment-free survival (TFS), with and without toxicity. PATIENTS AND

methodsData were analyzed from the randomized phase III CheckMate 214 trial of nivolumab plus ipilimumab (

resultsAt 42 months since randomization, 52% of nivolumab plus ipilimumab and 39% of sunitinib intermediate/poor-risk patients were alive; 18% and 5% surviving treatment-free, respectively. Among favorable-risk patients, 70% and 73% of nivolumab plus ipilimumab and sunitinib patients were alive; 20% and 9% treatment-free. Over the 42-month period, mean TFS was over twice as long after nivolumab plus ipilimumab than sunitinib for intermediate/poor-risk (6.9 vs. 3.1 months) and three times as long for favorable-risk patients (11.0 vs. 3.7 months). Mean TFS with grade ≥3 TRAEs was a small proportion of time for both treatments (0.6 vs. 0.3 months after nivolumab plus ipilimumab vs. sunitinib for intermediate/poor-risk, and 0.9 vs. 0.3 months for favorable-risk patients).

conclusionsPatients initiating first-line nivolumab plus ipilimumab for aRCC spent more survival time treatment-free without toxicity versus those on sunitinib, regardless of risk group.

Indexed as

Carcinoma, Renal CellKidney NeoplasmsAntineoplastic Combined Chemotherapy ProtocolsHumansImmune Checkpoint InhibitorsIpilimumabSunitinibImmune Checkpoint InhibitorsIpilimumabSunitinib

Identifiers

PMID34759043
PMCPMC9357269
OpenAlexW3213770712

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.