Evidence map›Paper›PMID 36765903›Full record

ArticleCancers2023

The Efficacy and Safety of Immune Checkpoint Inhibitor and Tyrosine Kinase Inhibitor Combination Therapy for Advanced or Metastatic Renal Cell Carcinoma: A Multicenter Retrospective Real-World Cohort Study.

Koji Iinuma, Toyohiro Yamada, Koji Kameyama, Tomoki Taniguchi, Kei Kawada, Takashi Ishida, Shingo Nagai, Torai Enomoto, Shota Ueda, Kimiaki Takagi and 7 more

Abstract read
In one paragraph

Article in Cancers, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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

18 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  3. Anti-PD-1/L1 antibody plus anti-VEGF antibodyExploration of targeted anti-tumor therapy · 2024
    Pooled it
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  10. Nutritional care in metastatic RCC: patient experiences and reported unaddressed needs.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
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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

17 authors.

Koji IinumaDepartment of Urology, Graduate School of Medicine, Gifu University, Gifu 5011194, Japan.ORCID 0000-0002-0362-8624
Toyohiro YamadaDepartment of Urology, Graduate School of Medicine, Gifu University, Gifu 5011194, Japan.
Koji KameyamaDepartment of Urology, Central Japan International Medical Center, 1-1 Kenkonomachi, Minokamo 5058510, Japan.
Tomoki TaniguchiDepartment of Urology, Ogaki Municipal Hospital, Ogaki 5038502, Japan.ORCID 0000-0002-2612-2191
Kei KawadaDepartment of Urology, Gifu Prefectural General Medical Center, Gifu 5008717, Japan.
Takashi IshidaDepartment of Urology, Gifu Municipal Hospital, Gifu 5008513, Japan.
Shingo NagaiDepartment of Urology, Toyota Memorial Hospital, Toyota 4718513, Japan.
Torai EnomotoDepartment of Urology, Matsunami General Hospital, Hashima-gun 5016062, Japan.
Shota UedaDepartment of Urology, Japanese Red Cross Takayama Hospital, 3-113-11 Tenman-machi, Takayama 5068550, Japan.
Kimiaki TakagiDepartment of Urology, Daiyukai Daiichi Hospital, Ichinomiya 4918551, Japan.ORCID 0000-0003-2774-925X
Makoto KawaseDepartment of Urology, Graduate School of Medicine, Gifu University, Gifu 5011194, Japan.ORCID 0000-0001-7269-2462
Shinichi TakeuchiDepartment of Urology, Graduate School of Medicine, Gifu University, Gifu 5011194, Japan.
Kota KawaseDepartment of Urology, Graduate School of Medicine, Gifu University, Gifu 5011194, Japan.
Daiki KatoDepartment of Urology, Graduate School of Medicine, Gifu University, Gifu 5011194, Japan.ORCID 0000-0003-4932-0497
Manabu TakaiDepartment of Urology, Graduate School of Medicine, Gifu University, Gifu 5011194, Japan.
Keita NakaneDepartment of Urology, Graduate School of Medicine, Gifu University, Gifu 5011194, Japan.ORCID 0000-0002-2589-1722
Takuya KoieDepartment of Urology, Graduate School of Medicine, Gifu University, Gifu 5011194, Japan.ORCID 0000-0002-2980-127X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We evaluated the efficacy and safety of combination therapy with immune checkpoint inhibitors (ICIs) and tyrosine kinase inhibitors (TKI) as first-line therapy for patients diagnosed as having advanced or metastatic renal cell carcinoma (mRCC). We enrolled 51 patients to receive ICI+TKI therapy for mRCC at 9 Japanese institutions. The overall survival (OS) of the patients treated with ICI+TKI was the primary endpoint., and the secondary endpoints were progression-free survival (PFS), objective response rate (ORR), and disease control rate (DCR). Furthermore, we analyzed the clinical prognostic and predictive factors in patients with mRCC treated with ICI+TKI therapy. Seven months was the median follow-up period. The OS rates at 6, 12, and 18 months were 93.1, 82.5, and 68.8%, respectively. The median PFS for patients who received ICI+TKI was 19.0 months, ORR was 68.6%, and DCR was 88.2%. ICI+TKI-related adverse events occurred in 43 patients (84.3%) with any grade and in 22 patients (43.1%) with grade ≥3. Treatment selection with poor prognostic factors may be prudent, even though ICI+TKI is an efficacious and safe first-line treatment in patients with mRCC.

Indexed as

advanced or metastatic renal cell carcinomacombination first-line treatmentimmune checkpoint inhibitorJapanese patientstyrosine kinase inhibitor

Identifiers

PMID36765903
PMCPMC9913458

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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.