Evidence map›Paper›PMID 37773115›Full record

ArticleBMC cancer2023

Identification of characteristics predictive of long-term survival with durvalumab or durvalumab plus tremelimumab in metastatic urothelial carcinoma.

Marie Alt, Carlos Stecca, Yian Lin, Gbenga Kazeem, Erik T Goluboff, Srikala S Sridhar

Open access · goldAbstract read
In one paragraph

Article in BMC cancer, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.3field-weighted citation impact, top 37% 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

0 citing papers in PubMed, 1 citations in OpenAlex.

No citing paper in PubMed yet.

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

6 authors at 5 institutions in 4 countries.

Marie AltPrincess Margaret Cancer Centre, Princess Margaret Hospital, University of Toronto, Toronto, ON, Canada.
Carlos SteccaPrincess Margaret Cancer Centre, Princess Margaret Hospital, University of Toronto, Toronto, ON, Canada.
Yian LinAstraZeneca, San Francisco, CA, USA.
Gbenga KazeemAstraZeneca, Cambridge, UK.
Erik T GoluboffAstraZeneca, Gaithersburg, MD, USA.
Srikala S SridharPrincess Margaret Cancer Centre, Princess Margaret Hospital, University of Toronto, Toronto, ON, Canada. Srikala.Sridhar@uhn.ca.
AstraZeneca (United States) · USAstraZeneca (United Kingdom) · GBCentre Hospitalier De Pau · FRPrincess Margaret Cancer Centre · CAUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis retrospective analysis of data from clinical trials in metastatic urothelial carcinoma (mUC) was conducted to determine baseline patient characteristics associated with long-term survival (LTS) following treatment with immune checkpoint inhibitors.

methodsData for this analysis were from patients with platinum-refractory mUC who received durvalumab or durvalumab plus tremelimumab in phase 1/2 studies. The primary outcome measure was LTS. Patients were categorised as overall survival (OS) ≥ 2 years (from first dose) or OS < 2 years. A univariable analysis assessed independent associations with LTS and multivariable logistic regression was employed including each variable with P ≤ 0.05 as covariates.

resultsAmong 360 patients, 88 (24.4%) had OS ≥ 2 years and 272 (75.6%) had OS < 2 years. In univariable analysis, several baseline characteristics and laboratory measurements were associated with LTS including sex, ECOG PS, PD-L1 expression, prior surgery, time from initial diagnosis, lymph node-only involvement, visceral disease, haemoglobin level, absolute neutrophil count, neutrophil-lymphocyte ratio and lactate dehydrogenase level. In multivariable analysis, LTS was significantly associated with ECOG PS, PD-L1 expression, haemoglobin level and absolute neutrophil count.

conclusionsSeveral baseline clinical characteristics and laboratory measurements were associated with LTS for patients with platinum-refractory mUC treated with durvalumab or durvalumab plus tremelimumab.

Indexed as

Carcinoma, Transitional CellUrinary Bladder NeoplasmsAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedAntineoplastic Combined Chemotherapy ProtocolsB7-H1 AntigenHemoglobinsHumansPlatinumRetrospective StudiesAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedB7-H1 AntigendurvalumabHemoglobinsPlatinumtremelimumabDurvalumabImmune checkpoint inhibitorLong-term survivalMultivariable analysisPredictive factorsUnivariable analysisUrothelial carcinoma

Identifiers

PMID37773115
PMCPMC10540375
OpenAlexW4387157256

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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.