Evidence map›Paper›PMID 37563779›Full record

ArticleJournal of the National Cancer Institute2023

Safety and efficacy of immune checkpoint inhibitors in advanced penile cancer: report from the Global Society of Rare Genitourinary Tumors.

Talal El Zarif, Amin H Nassar, Gregory R Pond, Tony Zibo Zhuang, Viraj Master, Bassel Nazha, Scot Niglio, Nicholas Simon, Andrew W Hahn, Curtis A Pettaway and 45 more

Open access · bronzeAbstract read
In one paragraph

Article in Journal of the National Cancer Institute, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
16.5field-weighted citation impact, top 1% 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

31 citing papers in PubMed, 52 citations in OpenAlex.

  1. Trial
  2. Article
  3. Prognostic value of the tumor immune microenvironment, PD-L1 and p16Virchows Archiv : an international journal of pathology · 2026
    Article
  4. Article
  5. Article
  6. [Current diagnostics and treatment of penile cancer].Urologie (Heidelberg, Germany) · 2026
    Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Tumor-infiltrating plasma cells are a prognostic factor in penile squamous cell carcinoma.Virchows Archiv : an international journal of pathology · 2025
    Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. Review
  20. 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

55 authors at 20 institutions in 9 countries.

Talal El ZarifLank Center for Genitourinary Oncology, Dana-Farber Cancer Institute, Boston, MA, USA; Harvard Medical School, Boston, MA, USA.ORCID 0000-0002-4507-2396
Amin H NassarYale Cancer Center, Yale School of Medicine, New Haven, CT, USA.
Gregory R PondDepartment of Oncology, McMaster University, Hamilton, ON, Canada.
Tony Zibo ZhuangDepartment of Medicine, Emory University School of Medicine, Atlanta, GA, USA.
Viraj MasterDepartment of Hematology and Medical Oncology, Emory University School of Medicine, Winship Cancer Institute, Atlanta, GA, USA.
Bassel NazhaDepartment of Hematology and Medical Oncology, Emory University School of Medicine, Winship Cancer Institute, Atlanta, GA, USA.ORCID 0000-0001-6385-1329
Scot NiglioNew York University Grossman School of Medicine, New York, NY, USA.
Nicholas SimonGenitourinary Malignancies Branch, Center for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, MD, USA.
Andrew W HahnUniversity of Texas MD Anderson Cancer Center, Houston, TX, USA.ORCID 0000-0002-4153-205X
Curtis A PettawayUniversity of Texas MD Anderson Cancer Center, Houston, TX, USA.
Shi-Ming TuDivision of Hematology and Oncology, University of Arkansas for Medical Sciences, Winthrop P. Rockefeller Cancer Institute, Little Rock, AR, USA.
Noha Abdel-WahabUniversity of Texas MD Anderson Cancer Center, Houston, TX, USA.
Maud VelevDépartement d'Innovation Thérapeutique et Essais Précoces, Gustave Roussy-Paris-Saclay University, Villejuif, France.
Ronan FlippotMedical Oncology Department, Institute Gustave Roussy, Villejuif, France.
Sebastiano ButiDepartment of Medicine and Surgery, Oncology Unit, University Hospital of Parma, Parma, Italy.
Marco MaruzzoOncology 1 Unit, Istituto Oncologico Veneto IOV-Istituto Di Ricovero e Cura a Carattere Scientifico, Padova, Italy.
Arjun MittraDivision of Medical Oncology, The Ohio State University Comprehensive Cancer Center, Columbus, OH, USA.
Jinesh GheeyaGenitourinary Oncology Section, Division of Medical Oncology, The Ohio State University Comprehensive Cancer Center-James Cancer Hospital, Columbus, OH, USA.
Yuanquan YangGenitourinary Oncology Section, Division of Medical Oncology, The Ohio State University Comprehensive Cancer Center-James Cancer Hospital, Columbus, OH, USA.
Pablo Alvarez RodriguezDepartment of Medical Oncology, Hospital Universitario, 12 de Octubre, Madrid, Spain.
Daniel CastellanoDepartment of Medical Oncology, Hospital Universitario, 12 de Octubre, Madrid, Spain.
Guillermo de VelascoDepartment of Medical Oncology, Hospital Universitario, 12 de Octubre, Madrid, Spain.
Giandomenico RovielloSection of Clinical Pharmacology and Oncology, Department of Health Sciences, University of Florence, Florence, Italy.
Lorenzo AntonuzzoClinical Oncology Unit, Careggi University Hospital, Florence, Italy.ORCID 0000-0003-3349-5604
Rana R McKayUniversity of California San Diego, San Diego, CA, USA.
Bruno VincenziMedical Oncology Department, Fondazione Policlinico Universitario Campus Bio-Medico, Rome, Italy.
Alessio CortelliniMedical Oncology Department, Fondazione Policlinico Universitario Campus Bio-Medico, Rome, Italy.
Gavin HuiUniversity of California Los Angeles, Los Angeles, CA, USA.
Alexandra DrakakiUniversity of California Los Angeles, Los Angeles, CA, USA.
Michael GloverDivision of Medical Oncology, Department of Medicine, Stanford University, Stanford, CA, USA.
Ali Raza KhakiDivision of Medical Oncology, Department of Medicine, Stanford University, Stanford, CA, USA.ORCID 0000-0002-4655-4426
Edward El-AmDepartment of Cardiovascular Medicine, Mayo Clinic, Rochester, MN, USA.ORCID 0000-0002-1105-9310
Nabil AdraIndiana University Simon Comprehensive Cancer Center, Indianapolis, IN, USA.
Tarek H MouhieddineDivision of Hematology and Medical Oncology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Vaibhav PatelDivision of Hematology and Medical Oncology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Aida PiedraMedical Oncology Department, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain.
Angela GernoneUnit of Medical Oncology Policlinico, Bari, Italy.
Nancy B DavisVanderbilt-Ingram Cancer Center, Vanderbilt University Medical Center, Nashville, TN, USA.
Harrison MatthewsDuke Cancer Institute Center for Prostate and Urologic Cancers, Durham, NC, USA.
Michael R HarrisonDuke Cancer Institute Center for Prostate and Urologic Cancers, Durham, NC, USA.
Ravindran KanesvaranNational Cancer Centre Singapore, Singapore.
Giulia Claire GiudiceDepartment of Medicine and Surgery, Oncology Unit, University Hospital of Parma, Parma, Italy.
Pedro BarataUniversity Hospitals Seidman Cancer Center, Cleveland, OH, USA.
Alberto FarolfiDepartment of Medical Oncology, IRCCS Istituto Romagnolo per lo Studio dei Tumori "Dino Amadori," Meldola, Italy.
Jae Lyun LeeUniversity of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea.
Matthew I MilowskyUniversity of North Carolina, Lineberger Comprehensive Cancer Center, Chapel Hill, NC, USA.
Charlotte StahlfeldDivision of Hematology/Oncology, Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Leonard ApplemanDivision of Hematology/Oncology, Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.ORCID 0000-0003-4951-7388
Joseph W KimYale Cancer Center, Yale School of Medicine, New Haven, CT, USA.
Dory FreemanLank Center for Genitourinary Oncology, Dana-Farber Cancer Institute, Boston, MA, USA; Harvard Medical School, Boston, MA, USA.
Toni K ChoueiriLank Center for Genitourinary Oncology, Dana-Farber Cancer Institute, Boston, MA, USA; Harvard Medical School, Boston, MA, USA.ORCID 0000-0002-9201-3217
Philippe E SpiessDepartment of Genitourinary Oncology, H. Lee Moffitt Cancer Center & Research Institute, Tampa, FL, USA.ORCID 0000-0002-5723-1972
Andrea NecchiDepartment of Genitourinary Oncology, Vita-Salute San Raffaele University, Milan, Italy.ORCID 0000-0002-3007-2756
Andrea B ApoloGenitourinary Malignancies Branch, Center for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, MD, USA.
Guru P SonpavdeDivision of Medical Oncology, Advent Health Cancer Institute, Orlando, FL, USA.ORCID 0000-0002-1010-9611
Emory University · USHarvard University · USHospital Universitario 12 De Octubre · ESThe University of Texas MD Anderson Cancer Center · USIcahn School of Medicine at Mount Sinai · USNational Institutes of Health · USProstate Cancer Foundation · USStanford University · USThe Ohio State University Comprehensive Cancer Center – Arthur G. James Cancer Hospital and Richard J. Solove Research Institute · USUniversity of California, Los Angeles · USUniversity of Parma · ITUniversity of Pittsburgh · USYale Cancer Center · USAzienda Ospedaliero-Universitaria Careggi · ITCampus Bio Medico University Hospital · ITFlorida Hospital Cancer Institute · USHammersmith Hospital · GBHospital de Sant Pau · ESIndiana University Health · USInstitut Gustave Roussy · FR

Funding

Conduits: Mount Sinai Health System Translational Science HubUL1TR004419 · NCATS · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI Rosalind J Wright · 2022 to 2026
$46.4M
Hutchinson Center as Lead Academic Participating Site (UG1)UG1CA233328 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI Evan Yu · 2019 to 2026
$4.3M
Training Hematology and Oncology Fellows in Clinical ResearchT32CA247815 · NCI · OHIO STATE UNIVERSITY · PI VERSCHRAEGEN, CLAIRE F., WESOLOWSKI, ROBERT · 2020 to 2024
$862k
Immune-Related Adverse Events in Melanoma Patients Receiving Adjuvant Immune Checkpoint Inhibitor TherapyK01AI163412 · NIAID · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI HASSAN, NOHA ABDELWAHAB HASSAN ALI · 2021 to 2025
$569k
NCATS NIH HHS UL1 TR004419NCI NIH HHS T32 CA247815NCI NIH HHS UG1 CA233328NIAID NIH HHS K01 AI163412
6 · The paper itself

Abstract

backgroundTreatment options for penile squamous cell carcinoma are limited. We sought to investigate clinical outcomes and safety profiles of patients with penile squamous cell carcinoma receiving immune checkpoint inhibitors.

methodsThis retrospective study included patients with locally advanced or metastatic penile squamous cell carcinoma receiving immune checkpoint inhibitors between 2015 and 2022 across 24 centers in the United States, Europe, and Asia. Overall survival and progression-free survival were estimated using the Kaplan-Meier method. Objective response rates were determined per Response Evaluation Criteria in Solid Tumours 1.1 criteria. Treatment-related adverse events were graded per the Common Terminology Criteria for Adverse Events, version 5.0. Two-sided statistical tests were used for comparisons.

resultsAmong 92 patients, 8 (8.7%) were Asian, 6 (6.5%) were Black, and 24 (29%) were Hispanic and/or Latinx. Median (interquartile range) age was 62 (53-70) years. In all, 83 (90%) had metastatic penile squamous cell carcinoma, and 74 (80%) had received at least second-line treatment. Most patients received pembrolizumab monotherapy (n = 26 [28%]), combination nivolumab-ipilimumab with or without multitargeted tyrosine kinase inhibitors (n = 23 [25%]), or nivolumab (n = 16 [17%]) or cemiplimab (n = 15 [16%]) monotherapies. Median overall and progression-free survival were 9.8 months (95% confidence interval = 7.7 to 12.8 months) and 3.2 months (95% confidence interval = 2.5 to 4.2 months), respectively. The objective response rate was 13% (n = 11/85) in the overall cohort and 35% (n = 7/20) in patients with lymph node-only metastases. Visceral metastases, Eastern Cooperative Oncology Group (ECOG) performance status of 1 or higher, and a higher neutrophil/lymphocyte ratio were associated with worse overall survival. Treatment-related adverse events occurred in 27 (29%) patients, and 9.8% (n = 9) of the events were grade 3 or higher.

conclusionsImmune checkpoint inhibitors are active in a subset of patients with penile squamous cell carcinoma. Future translational studies are warranted to identify patients more likely to derive clinical benefit from immune checkpoint inhibitors.

Indexed as

Antineoplastic Agents, ImmunologicalCarcinoma, Squamous CellPenile NeoplasmsAgedAntineoplastic Combined Chemotherapy ProtocolsHumansImmune Checkpoint InhibitorsMaleMiddle AgedNivolumabRetrospective StudiesAntineoplastic Agents, ImmunologicalImmune Checkpoint InhibitorsNivolumab

Identifiers

PMID37563779
PMCPMC11032703
OpenAlexW4385751567

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