Evidence map›Paper›PMID 37537512›Full record

ReviewClinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico2024

Outcomes with atezolizumab in metastatic urothelial cancer: real-world data from a single institution.

Marta Sotelo, Nerea Muñoz-Unceta, Antonio Matorras, Pablo Jara, Clara Castro, Diego Cacho, Belén Caramelo, Ainara Azueta, Ignacio Durán

Abstract readReview
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In one paragraph

Review in Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 24% 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it, 3 citations in OpenAlex.

  1. Pooled it
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

9 authors at 2 institutions in 1 country.

Marta Sotelo *Medical Oncology Department, Hospital Universitario Marques de Valdecilla, Santander, Spain.
Nerea Muñoz-Unceta *Medical Oncology Department, Hospital Universitario Marques de Valdecilla, Santander, Spain.
Antonio MatorrasSchool of Medicine, University of Cantabria, Santander, Spain.
Pablo JaraMedical Oncology Department, Hospital Universitario Marques de Valdecilla, Santander, Spain.
Clara CastroMedical Oncology Department, Hospital Universitario Marques de Valdecilla, Santander, Spain.
Diego CachoMedical Oncology Department, Hospital Universitario Marques de Valdecilla, Santander, Spain.
Belén CarameloMedical Oncology Department, Hospital Universitario Marques de Valdecilla, Santander, Spain.
Ainara AzuetaPathology Department, Hospital Universitario Marques de Valdecilla, Santander, Spain.
Ignacio DuránMedical Oncology Department, Hospital Universitario Marques de Valdecilla, Santander, Spain. ignacioduranmartinez@gmail.com.ORCID http://orcid.org/0000-0001-8571-7163
Marqués de Valdecilla University Hospital · ESUniversidad de Cantabria · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeImmune checkpoint inhibitors (ICIs) have been incorporated in the treatment of metastatic urothelial carcinoma (mUC) upon platinum-based chemotherapy according to the positive results of large clinical trials. Nevertheless, results from unselected populations reflecting real-world data (RWD) are highly informative to the clinician. We reviewed daily clinical practice outcomes in patients with mUC who received atezolizumab in our institution.

methodsHere we evaluated the clinical activity and safety of atezolizumab in an unselected population of mUC patients who received atezolizumab between 2018 and 2022 reflecting RWD. Efficacy and safety information were retrospectively collected.

resultsA total of 63 patients were included. The mean age was 68 years and the objective response rate was 14.3%. The median progression-free survival was 3 months and the median overall survival 6 months. At 1 year, 42% of the patients were alive. ECOG (0 vs 1) and neutrophil-lymphocytes ratio < 2 at the start of ICI were positive prognostic factors that discriminated between long vs short survivors. Overall tolerance was good with no new safety signals. Five patients (17%) had treatment-related adverse events grade ≥ 2 that required corticosteroids.

conclusionIn this retrospective study, atezolizumab was an effective and tolerable treatment option for patients with mUC after progression to platinum-based chemotherapy. Yet, patient selection remains critical to improve outcomes.

Indexed as

Antibodies, Monoclonal, HumanizedCarcinoma, Transitional CellUrinary Bladder NeoplasmsUrologic NeoplasmsAgedHumansPlatinumRetrospective StudiesAntibodies, Monoclonal, HumanizedatezolizumabPlatinumAtezolizumabBladder cancerImmune checkpoint inhibitorsReal-world data

Identifiers

PMID37537512
OpenAlexW4385521043

What OpenQuestion holds

Textmetadata
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.