Evidence map›Paper›PMID 35509782›Full record

ArticleIJU case reports2022

Case Study: A Japanese patient with metastatic renal cell carcinoma who achieved long-term treatment-free survival with pembrolizumab and axitinib in the KEYNOTE-426 phase III trial of pembrolizumab and axitinib versus sunitinib.

Koshiro Nishimoto, Suguru Shirotake, Yu Miyama, Go Kaneko, Kent Kanao, Daisuke Igarashi, Takayuki Takahashi, Yuta Umezawa, Masanori Yasuda, Masafumi Oyama

Open access · goldAbstract readCase Reports
In one paragraph

Article in IJU case reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.2field-weighted citation impact, top 54% 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

3 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. Article
  3. 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

10 authors at 2 institutions in 1 country.

Koshiro NishimotoDepartment of Uro-Oncology Saitama Medical University International Medical Center Hidaka Saitama Japan.ORCID https://orcid.org/0000-0002-3952-5643
Suguru ShirotakeDepartment of Uro-Oncology Saitama Medical University International Medical Center Hidaka Saitama Japan.
Yu MiyamaDepartment of Pathology Saitama Medical University International Medical Center Hidaka Saitama Japan.
Go KanekoDepartment of Uro-Oncology Saitama Medical University International Medical Center Hidaka Saitama Japan.ORCID https://orcid.org/0000-0002-1796-7301
Kent KanaoDepartment of Uro-Oncology Saitama Medical University International Medical Center Hidaka Saitama Japan.
Daisuke IgarashiDepartment of Uro-Oncology Saitama Medical University International Medical Center Hidaka Saitama Japan.
Takayuki TakahashiDepartment of Uro-Oncology Saitama Medical University International Medical Center Hidaka Saitama Japan.
Yuta UmezawaDepartment of Uro-Oncology Saitama Medical University International Medical Center Hidaka Saitama Japan.
Masanori YasudaDepartment of Pathology Saitama Medical University International Medical Center Hidaka Saitama Japan.
Masafumi OyamaDepartment of Uro-Oncology Saitama Medical University International Medical Center Hidaka Saitama Japan.
Saitama International Medical Center · JPSaitama Medical University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Our patient treated with pembrolizumab and axitinib is one of the longest survivors in Japan on KEYNOTE 426, despite adverse events, including delayed-onset hepatitis. We herein present a detailed clinical course and short discussion on the case. Case presentation: This was a 49-year-old male with clear cell renal cell carcinoma and lung metastases. After cytoreductive nephrectomy, treatment with pembrolizumab plus axitinib was initiated and the patient demonstrated a radiographic partial response as best response. The main adverse event was pembrolizumab-induced delayed-onset hepatitis, which was successfully treated with prednisolone. Pembrolizumab was re-initiated and completed. Conclusion: The survival benefit in the present case may be due to the initial potent anti-cancer effects of axitinib and durable immune effects of pembrolizumab, leading to long-term treatment-free survival.

Indexed as

axitinibKEYNOTE426metastatic renal cell carcinomapembrolizumab

Identifiers

PMID35509782
PMCPMC9057749
OpenAlexW4213356987

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.