Evidence map›Paper›PMID 35033866›Full record

ReviewCancer treatment reviews2022

Management of adverse events associated with cabozantinib plus nivolumab in renal cell carcinoma: A review.

Bradley McGregor, Amir Mortazavi, Lisa Cordes, Cristina Salabao, Susan Vandlik, Andrea B Apolo

Open access · greenAbstract readReview
In one paragraph

Review in Cancer treatment reviews, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 4 pooled it
4.4field-weighted citation impact, top 4% 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

32 citing papers in PubMed, 4 syntheses or guidelines pooled it, 45 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Trial
  7. Review
  8. Post-Marketing Surveillance of the Safety and Effectiveness of Cabozantinib in Japanese Patients With Advanced Renal Cell Carcinoma.International journal of urology : official journal of the Japanese Urological Association · 2026
    Observational
  9. Review
  10. Review
  11. Review
  12. Review
  13. Article
  14. Review
  15. Enhanced anti-tumor effects of combined electric fields, cabozantinib, and radiation therapy in metastatic renal cell carcinoma.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2025
    Article
  16. Article
  17. Article
  18. Immune Checkpoint Inhibitors in Clear Cell Renal Cell Carcinoma (ccRCC).International journal of molecular sciences · 2025
    Review
  19. Review
  20. 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

6 authors at 5 institutions in 1 country.

Bradley McGregorDana-Farber Cancer Institute, Boston, Massachusetts, USA.
Amir MortazaviDivision of Medical Oncology, Department of Internal Medicine, College of Medicine, The Ohio State University, and the Comprehensive Cancer Center, Columbus, OH, USA.
Lisa CordesNational Cancer Institute and the Office of Clinical Research at the National Institutes of Health, Bethesda, MD, USA.
Cristina SalabaoDana-Farber Cancer Institute, Boston, Massachusetts, USA.
Susan VandlikThe Ohio State University Wexner Medical Center and the Comprehensive Cancer Center, Columbus, OH, USA.
Andrea B ApoloCenter for Cancer Research, National Cancer Institute, Bethesda, MD, USA. Electronic address: andrea.apolo@nih.gov.
Dana-Farber Cancer Institute · USNational Cancer Institute · USNational Institutes of Health · USThe Ohio State University · USThe Ohio State University Wexner Medical Center · US

Funding

Bladder Cancer ProgramZIABC011351 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI APOLO, ANDREA · 2010 to 2025
$9.4M
Targeting the MET Pathway in Urothelial CarcinomaZIABC011594 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI APOLO, ANDREA · 2014 to 2025
$7.9M
Intramural NIH HHS ZIA BC011351Intramural NIH HHS ZIA BC011594
6 · The paper itself

Abstract

Tyrosine kinase inhibitors have been successfully developed in combination with immune checkpoint inhibitors to treat advanced renal cell carcinoma (RCC), further advancing treatment. While safety profiles are generally manageable with combination regimens, overlapping adverse events (AEs) and immune-related AEs can make treatment more complex. The CheckMate 9ER study evaluated the tyrosine kinase inhibitor cabozantinib in combination with the anti-programmed cell death protein-1 antibody nivolumab in patients with previously untreated advanced RCC. Cabozantinib + nivolumab demonstrated superiority over sunitinib for progression-free survival, overall survival, and objective response rate. These outcomes supported the approval of cabozantinib + nivolumab as a first-line therapy for advanced RCC. The safety profile was manageable with prophylaxis, supportive care, dose holds and reductions for cabozantinib, and dose holds and immunosuppressive therapy for nivolumab. This review discusses the safety results of CheckMate 9ER and provides guidance on managing some of the more clinically relevant AEs with a focus on overlapping AEs, including diarrhea, elevated amylase/lipase, hepatotoxicity, dermatologic reactions, fatigue, endocrine disorders, and nephrotoxicity. We discuss AE management strategies (prophylaxis, supportive care, dose modification, and immunosuppressive therapy), and provide recommendations for identifying the causative agent of overlapping AEs and for consulting specialists about organ-specific immune-related AEs. Optimizing AE management can maintain tolerability and should be a priority with cabozantinib + nivolumab treatment.

Indexed as

AnilidesAntineoplastic Combined Chemotherapy ProtocolsCarcinoma, Renal CellClinical Trials as TopicDiarrheaEndocrine System DiseasesExanthemaFatigueGastrointestinal DiseasesHumansKidney NeoplasmsNivolumabPyridinesAnilidescabozantinibNivolumabPyridinesAdvanced renal cell carcinomaAdverse event managementCabozantinibCheckMate 9ERNivolumab

Identifiers

PMID35033866
PMCPMC9590624
OpenAlexW4200316157

What OpenQuestion holds

Textmetadata
LicenceTDM
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.