Evidence map›Paper›PMID 36691441›Full record

ArticleCase reports in urology2023

Response of Patients with Taxane-Refractory Advanced Urothelial Cancer to Enfortumab Vedotin, a Microtubule-Disrupting Agent.

Makito Miyake, Nobutaka Nishimura, Tatsuki Miyamoto, Takuto Shimizu, Kenta Ohnishi, Shunta Hori, Yosuke Morizawa, Daisuke Gotoh, Yasushi Nakai, Kazumasa Torimoto and 2 more

Open access · goldAbstract readCase Reports
In one paragraph

Article in Case reports in urology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.0field-weighted citation impact, top 27% 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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. 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

12 authors at 1 institution in 1 country.

Makito MiyakeDepartment of Urology, Nara Medical University, 840 Shijo, Kashihara, Nara 634-8522, Japan.ORCID https://orcid.org/0000-0001-9503-7356
Nobutaka NishimuraDepartment of Urology, Nara Medical University, 840 Shijo, Kashihara, Nara 634-8522, Japan.
Tatsuki MiyamotoDepartment of Urology, Nara Medical University, 840 Shijo, Kashihara, Nara 634-8522, Japan.
Takuto ShimizuDepartment of Urology, Nara Medical University, 840 Shijo, Kashihara, Nara 634-8522, Japan.
Kenta OhnishiDepartment of Urology, Nara Medical University, 840 Shijo, Kashihara, Nara 634-8522, Japan.
Shunta HoriDepartment of Urology, Nara Medical University, 840 Shijo, Kashihara, Nara 634-8522, Japan.
Yosuke MorizawaDepartment of Urology, Nara Medical University, 840 Shijo, Kashihara, Nara 634-8522, Japan.ORCID https://orcid.org/0000-0001-7142-5901
Daisuke GotohDepartment of Urology, Nara Medical University, 840 Shijo, Kashihara, Nara 634-8522, Japan.ORCID https://orcid.org/0000-0002-6056-3820
Yasushi NakaiDepartment of Urology, Nara Medical University, 840 Shijo, Kashihara, Nara 634-8522, Japan.ORCID https://orcid.org/0000-0002-7579-0372
Kazumasa TorimotoDepartment of Urology, Nara Medical University, 840 Shijo, Kashihara, Nara 634-8522, Japan.ORCID https://orcid.org/0000-0003-2870-0466
Tomomi FujiiDepartment of Diagnostic Pathology, Nara Medical University, 840 Shijo, Kashihara, Nara 634-8522, Japan.ORCID https://orcid.org/0000-0002-7207-4127
Kiyohide FujimotoDepartment of Urology, Nara Medical University, 840 Shijo, Kashihara, Nara 634-8522, Japan.ORCID https://orcid.org/0000-0003-1507-2464
Nara Medical University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Enfortumab vedotin (EV), a nectin-4-directed antibody conjugated to monomethyl auristatin E (MMAE), has been approved for patients with advanced urothelial carcinoma (aUC) previously treated with platinum-based chemotherapy and immune inhibitors. Taxane agents and MMAE share antitumor mechanisms through microtubule disruption, thus raising a notable concern regarding cross-resistance between these drugs. This case report describes two patients with taxane-based chemotherapy-refractory aUC who responded well to EV. A 71-year-old man (case 1) with pT3N0M0 renal pelvic UC showed a partial response to EV in metastatic lesions of the bilateral lungs and right pelvic lymph nodes after three cycles of paclitaxel plus gemcitabine chemotherapy. A 53-year-old man (case 2) with cT3bN2M0 bladder UC underwent platinum-based neoadjuvant chemotherapy and the following radial cystectomy (ypTis ypN0). He developed bilateral lung metastases and showed a complete response to EV in the metastatic lesions after 20 cycles of paclitaxel plus nedaplatin chemotherapy. Our experience of two cases demonstrated that tumor response to EV can be expected in patients with taxane-refractory aUC.

Identifiers

PMID36691441
PMCPMC9867573
OpenAlexW4316143899

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Registered trials

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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.