Evidence map›Paper›PMID 36576173›Full record

Trial reportThe oncologist2023

Avelumab Plus Axitinib as First-Line Therapy for Advanced Renal Cell Carcinoma: Long-Term Results from the JAVELIN Renal 100 Phase Ib Trial.

James Larkin, Mototsugu Oya, Marcella Martignoni, Fiona Thistlethwaite, Paul Nathan, Moshe C Ornstein, Thomas Powles, Kathryn E Beckermann, Arjun V Balar, David McDermott and 9 more

Registry-linked trialOpen access · goldAbstract readClinical Trial, Phase IIIRandomized Controlled TrialClinical Trial, Phase I
In one paragraph

Trial report in The oncologist, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02493751 (A PHASE 1B, OPEN-LABEL, DOSE-FINDING STUDY TO EVALUATE SAFETY, PHARMACOKINETICS AND PHARMACODYNAMICS OF AVELUMAB), which is not on this map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.0field-weighted citation impact, top 12% 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.

NCT02493751 phase1completednot on this map

A phase 1b, open-label, dose-finding study to evaluate safety, pharmacokinetics and pharmacodynamics of avelumab (msb0010718c) in combination with axitinib (ag-013736) in patients with previously untreated advanced renal cell cancer

TypeinterventionalSponsorPfizerRan2015 to 2021Enrolled55ConditionsRenal Cell CancerArmsAvelumab (MSB0010718C), Axitinib (AG-013736)
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 13 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Review
  8. Review
  9. CombinationThyroid : official journal of the American Thyroid Association · 2023
    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

19 authors at 17 institutions in 4 countries.

James LarkinDepartment of Medical Oncology, Royal Marsden NHS Foundation Trust, London, UK.ORCID 0000-0001-5569-9523
Mototsugu OyaDepartment of Urology, Keio University Hospital, Tokyo, Japan.
Marcella MartignoniClinical Development and Operations, Pfizer, Milan, Italy.
Fiona ThistlethwaiteThe Christie NHS Foundation Trust, Manchester, UK; Faculty of Biology, Medicine and Health, University of Manchester, Manchester, UK.
Paul NathanDepartment of Medical Oncology, Mount Vernon Cancer Centre, Northwood, UK.
Moshe C OrnsteinDepartment of Hematology and Medical Oncology, Cleveland Clinic, Cleveland, OH, USA.
Thomas PowlesBarts Cancer Institute, Experimental Cancer Medicine Centre, Queen Mary University of London, St Bartholomew's Hospital, London, UK.
Kathryn E BeckermannDepartment of Internal Medicine, Vanderbilt University Medical Center, Nashville, TN, USA.
Arjun V BalarDepartment of Medicine, Perlmutter Cancer Center at NYU Langone Health, New York, NY, USA.
David McDermottDepartment of Medical Oncology, Beth Israel Deaconess Medical Center, Boston, MA, USA.
Sumati GuptaDepartment of Medicine, Huntsman Cancer Institute, University of Utah, Salt Lake City, UT, USA.
George K PhilipsDepartment of Medicine, Georgetown University Medical Center, Washington, DC, USA.
Michael S GordonDivision of Cancer Research, HonorHealth Research Institute, Scottsdale, AZ, USA.
Hirotsugu UemuraDepartment of Medicine, Kindai University Hospital, Osaka, Japan.
Yoshihiko TomitaDepartment of Urology, Graduate School of Medical and Dental Sciences, Niigata University, Niigata, Japan.ORCID 0000-0002-7465-9591
Jing WangBiostatistics, Pfizer, Cambridge, MA, USA.
Elisabete MichelonSafety Surveillance & Risk Management, New York, NY, USA.
Alessandra di PietroGlobal Product Development, Pfizer, Milan, Italy.
Toni K ChoueiriLank Center for Genitourinary Oncology, Dana-Farber Cancer Institute and Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA.
Pfizer (Italy) · ITBeth Israel Deaconess Medical Center · USBrigham and Women's Hospital · USCleveland Clinic · USGeorgetown University · USHonorHealth · USKeio University Hospital · JPKindai University Hospital · JPMount Vernon Cancer Centre · GBNiigata University · JPNYU Langone Health · USPfizer (United States) · USRoyal Marsden NHS Foundation Trust · GBSt Bartholomew's Hospital · GBUniversity of Manchester · GBUniversity of Utah · USVanderbilt University Medical Center · US

Funding

Vanderbilt Clinical Oncology Research Career Development ProgramK12CA090625 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Debra L. Friedman, Paula Jill Hurley · 2001 to 2026
$16.9M
NCI NIH HHS K12 CA090625
6 · The paper itself

Abstract

backgroundProgression-free survival was significantly longer in patients who received avelumab plus axitinib versus sunitinib as first-line treatment for advanced renal cell carcinoma (aRCC) in a randomized phase III trial. We report long-term safety and efficacy of avelumab plus axitinib as first-line treatment for patients with aRCC from the JAVELIN Renal 100 phase Ib trial (NCT02493751). MATERIALS AND

methodsIn this open-label, multicenter, phase Ib study, patients with untreated aRCC received avelumab 10 mg/kg every 2 weeks plus axitinib 5 mg twice daily or with axitinib for 7 days followed by avelumab plus axitinib. Safety and efficacy were assessed in all patients receiving at least one dose of avelumab or axitinib.

resultsOverall, 55 patients were enrolled and treated. Median follow-up was 55.7 months (95% CI, 54.5-58.7). Treatment-related adverse events of any grade or grade ≥3 occurred in 54 (98.2%) and 34 (61.8%) patients, respectively. The confirmed objective response rate was 60.0% (95% CI, 45.9-73.0), including complete response in 10.9% of patients. Median duration of response was 35.9 months (95% CI, 12.7-52.9); the probability of response was 65.8% (95% CI, 46.7-79.4) at 2 years. Median progression-free survival was 8.3 months (95% CI, 5.3-32.0). Median overall survival was not reached (95% CI, 40.8-not estimable); the 5-year overall survival rate was 57.3% (95% CI, 41.2-70.5).

conclusionFive-year follow-up for combination treatment with avelumab plus axitinib in previously untreated patients with aRCC showed long-term clinical activity with no new safety signals, supporting use of this regimen within its approved indication in clinical practice (Clinicaltrials.gov NCT02493751).

Indexed as

Carcinoma, Renal CellKidney NeoplasmsAntibodies, Monoclonal, HumanizedAntineoplastic Combined Chemotherapy ProtocolsAxitinibHumansAntibodies, Monoclonal, HumanizedavelumabAxitinibclinical trials as topicdrug therapyimmunotherapykidney neoplasms

Identifiers

PMID36576173
PMCPMC10078905
OpenAlexW4313237043

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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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.