Evidence map›Paper›PMID 35168844›Full record

Trial reportEuropean urology2022

Health-related Quality of Life of Patients with Locally Advanced or Metastatic Urothelial Cancer Treated with Enfortumab Vedotin after Platinum and PD-1/PD-L1 Inhibitor Therapy: Results from Cohort 1 of the Phase 2 EV-201 Clinical Trial.

Bradley McGregor, Peter H O'Donnell, Arjun Balar, Daniel Petrylak, Jonathan Rosenberg, Evan Y Yu, David I Quinn, Elisabeth I Heath, Mary Campbell, Zsolt Hepp and 5 more

Registry-linked trialOpen access · greenAbstract readClinical Trial, Phase II
In one paragraph

Trial report in European urology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03219333 (A Single-arm, Open-label, Multicenter Study of Enfortumab Vedotin), which is not on this map. Cited by 16 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 4 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.

NCT03219333 phase2completednot on this map

A Single-arm, Open-label, Multicenter Study of Enfortumab Vedotin (ASG-22CE) for Treatment of Patients With Locally Advanced or Metastatic Urothelial Cancer Who Previously Received Immune Checkpoint Inhibitor (CPI) Therapy

TypeinterventionalSponsorAstellas Pharma IncRan2017 to 2023Enrolled219ConditionsCarcinoma, Transitional Cell, Urinary Bladder Neoplasms, Urologic Neoplasms, Renal Pelvis NeoplasmsArmsEnfortumab vedotin
3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 4 syntheses or guidelines pooled it, 28 citations in OpenAlex.

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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

15 authors at 12 institutions in 2 countries.

Bradley McGregorDana-Farber Cancer Institute, Boston, MA, USA.
Peter H O'DonnellUniversity of Chicago, Chicago, IL, USA.
Arjun BalarPerlmutter Cancer Center at NYU Langone Health, New York, NY, USA.
Daniel PetrylakYale Cancer Center, New Haven, CT, USA.
Jonathan RosenbergMemorial Sloan Kettering Cancer Center and Weill Cornell Medical College, New York, NY, USA.
Evan Y YuFred Hutchinson Cancer Research Center and University of Washington, Seattle, WA, USA.
David I QuinnUniversity of Southern California Norris Comprehensive Cancer Center, Los Angeles, CA, USA.
Elisabeth I HeathKarmanos Cancer Institute, Wayne State University School of Medicine, Detroit, MI, USA.
Mary CampbellSeagen Inc., Bothell, WA, USA.
Zsolt HeppSeagen Inc., Bothell, WA, USA.
Caroline McKayAstellas Pharma US, Inc., Northbrook, IL, USA.
Joyce SteinbergAstellas Pharma US, Inc., Northbrook, IL, USA.
Antoine RegnaultModus Outcomes, Lyon, France.
Flora MazerolleModus Outcomes, Lyon, France.
Matthew D GalskyTisch Cancer Institute, Icahn School of Medicine at Mount Sinai, New York, NY, USA. Electronic address: matthew.galsky@mssm.edu.
Astellas Pharma (United States) · USPathophysiology, Diagnosis and Treatment of Bone Diseases · FRSeagen (United States) · USDana-Farber Cancer Institute · USIcahn School of Medicine at Mount Sinai · USMemorial Sloan Kettering Cancer Center · USNYU Langone Health · USUniversity of Chicago · USUniversity of Southern California · USUniversity of Washington · USWayne State University · USYale Cancer Center · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI SELWYN M VICKERS · 1985 to 2026
$347.4M
THE TISCH CANCER INSTITUTE - CANCER CENTER SUPPORT GRANTP30CA196521 · NCI · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI Ramon E Parsons · 2015 to 2026
$35.4M
NCI NIH HHS P30 CA008748NCI NIH HHS P30 CA196521
6 · The paper itself

Abstract

backgroundThe EV-201 trial (NCT03219333) demonstrated a clinically meaningful and durable response rate and a tolerable safety profile with enfortumab vedotin (EV) in patients with locally advanced/metastatic urothelial carcinoma (LA/mUC) treated with prior PD-1/PD-L1 inhibitor therapy and platinum-containing chemotherapy (cohort 1). Patient-reported outcome (PRO) measures were included in EV-201 as exploratory endpoints.

objectiveTo evaluate PRO data for cohort 1 of EV-201 to better understand the relationship between EV therapy and health-related quality of life (HRQoL). DESIGN, SETTING, AND

participantsEnrolled patients with LA/mUC who received EV were invited to electronically complete two HRQoL instruments (EORTC QLQ-C30 and EQ-5D-3L) at baseline and day 1 of each cycle until treatment discontinuation. OUTCOME MEASUREMENTS AND STATISTICAL ANALYSIS: Patient demographics, completion and compliance rates, and PRO scores were analysed using descriptive statistics. Selected EORTC QLQ-C30 scores were analysed post hoc using a repeated-measures mixed model. RESULTS AND LIMITATIONS: Among treated patients (n = 125), 95% completed both baseline questionnaires. Compliance rates were ≥86% throughout the study. Descriptive analyses showed that global health status, physical functioning, and symptom scores remained stable over time, with average scores similar at each cycle. Lower pain and fatigue scores were observed in responders at cycles following an objective response. Pain was lower at cycle 3 than at baseline in patients with bone metastases. Mean EQ-5D-3L utility score (0.80 at baseline; range from 0.77 at cycle 2 to 0.91 at cycle 10) and visual analogue scale scores (66.9 at baseline; range from 65.5 at cycle 2 to 78.4 at cycle 10) remained similar over time. Variability and the small sample size limited definitive conclusions.

conclusionsPRO scores remained stable throughout EV treatment, further supporting the overall value of EV in the treatment of patients with LA/mUC. The potential benefit of EV therapy on overall HRQoL and symptoms such as pain and fatigue is currently being explored. PATIENT SUMMARY: In this study of adult patients with advanced cancer of the urinary tract that progressed after previous medications, quality of life, ability to function, and symptoms did not worsen on treatment with enfortumab vedotin, which is an antibody + drug combination. Some improvements in pain and fatigue were reported by patients, but further research needs to be conducted. These data complement the efficacy and safety data from the EV-201 trial.

Indexed as

Carcinoma, Transitional CellUrinary Bladder NeoplasmsAdultAntibodies, MonoclonalFatigueFemaleHumansImmune Checkpoint InhibitorsMalePainPlatinumProgrammed Cell Death 1 ReceptorQuality of LifeAntibodies, Monoclonalenfortumab vedotinImmune Checkpoint InhibitorsPlatinumProgrammed Cell Death 1 ReceptorEnfortumab vedotinHealth-related quality of lifePatient-reported outcomesUrothelial cancer

Identifiers

PMID35168844
PMCPMC9385268
OpenAlexW4211216724

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Registered trials

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.