Evidence map›Paper›PMID 37308983›Full record

ArticleJournal of medical case reports2023

Avelumab in metastatic collecting duct carcinoma of the kidney: a case report.

Nikolaos Pyrgidis, Ioannis Sokolakis, Gena Haltmair, Vitus Heller, Georgios Hatzichristodoulou

Open access · goldAbstract readCase Reports
In one paragraph

Article in Journal of medical case reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 30% 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, 1 synthesis or guideline pooled it, 2 citations in OpenAlex.

  1. Pooled it
  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

5 authors at 1 institution in 1 country.

Nikolaos PyrgidisDepartment of Urology, 'Martha-Maria' Hospital Nuremberg, Stadenstr. 58, 90491, Nuremberg, Germany.
Ioannis SokolakisDepartment of Urology, 'Martha-Maria' Hospital Nuremberg, Stadenstr. 58, 90491, Nuremberg, Germany.
Gena HaltmairDepartment of Urology, 'Martha-Maria' Hospital Nuremberg, Stadenstr. 58, 90491, Nuremberg, Germany.
Vitus HellerDepartment of Urology, 'Martha-Maria' Hospital Nuremberg, Stadenstr. 58, 90491, Nuremberg, Germany.
Georgios HatzichristodoulouDepartment of Urology, 'Martha-Maria' Hospital Nuremberg, Stadenstr. 58, 90491, Nuremberg, Germany. drhatzichristodoulou@gmail.com.
Martha-Maria Hospital · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCollecting duct carcinoma (CDC) of the kidney is associated with an aggressive course, limited response to treatment, and poor prognosis. Platinum-based chemotherapy is currently recommended as the first-line treatment in patients with metastatic CDC. Accumulating evidence supports the use of immunotherapy with checkpoint inhibitors as second-line therapy. CASE PRESENTATION: In this case report, we describe the first case of avelumab administration due to disease progression during chemotherapy with gemcitabine and cisplatin in a Caucasian, 71-year-old man presenting with multiple metastases due to CDC of the kidney. The patient initially responded well to four cycles of chemotherapy and his performance status improved. After two additional chemotherapy cycles, the patient presented with new bone and liver metastases (mixed response to chemotherapy with an overall 6-month progression-free survival). We offered him avelumab as a second-line treatment in this setting. The patient received a total of three cycles of avelumab. The disease remained stable (no new metastases during treatment with avelumab), and the patient developed no complications. To alleviate his symptoms, radiation therapy for the bone metastases was decided. Despite successful radiation of the bone lesions and further improvement of symptoms, the patient developed hospital-acquired pneumonia and died approximately ten months after the initial diagnosis of CDC.

conclusionsOur findings suggest that the applied treatment modality with gemcitabine and cisplatin chemotherapy followed by avelumab was effective in terms of both progression-free survival and quality of life. Still, further studies assessing the use of avelumab in this setting are mandatory.

Indexed as

Carcinoma, Renal CellKidney NeoplasmsNeoplasms, Second PrimaryAgedAntibodies, Monoclonal, HumanizedCisplatinGemcitabineHumansKidneyMaleQuality of LifeAntibodies, Monoclonal, HumanizedavelumabCisplatinGemcitabineAvelumabCase reportCollecting duct carcinoma of the kidneyImmunotherapy

Identifiers

PMID37308983
PMCPMC10262369
OpenAlexW4380358411

What OpenQuestion holds

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LicenceCC BY
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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.