Evidence map›Paper›PMID 37814696›Full record

ArticleTranslational andrology and urology2023

Clinical outcomes of immune checkpoint inhibitor plus nab-paclitaxel in metastatic upper tract urothelial carcinoma.

Ruopeng Su, Zeyu Chen, Hailong Hu, Shuai Jiang, Minfeng Chen, Qiong Chen, Paul Thomas Gellhaus, Antonio Augusto Ornellas, Davide Campobasso, Qiang Wei and 3 more

Open access · diamondAbstract read
In one paragraph

Article in Translational andrology and urology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.3field-weighted citation impact, top 20% 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, 4 citations in OpenAlex.

  1. Article
  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

13 authors at 10 institutions in 4 countries.

Ruopeng Su *Department of Urology, Ren Ji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Zeyu Chen *Department of Urology and Institute of Urology, West China Hospital, Sichuan University, Chengdu, China.
Hailong Hu *Department of Urology, The Second Hospital of Tianjin Medical University, Tianjin, China.
Shuai JiangDepartment of Urology, Zhongshan Hospital, Fudan University, Shanghai, China.
Minfeng ChenDepartment of Urology, Xiangya Hospital, Central South University, Changsha, China.
Qiong ChenDepartment of Urology, Ren Ji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Paul Thomas GellhausDepartment of Urology, University of Iowa Hospitals & Clinics, Iowa City, IA, USA.
Antonio Augusto OrnellasDepartment of Urology, Brazilian National Institute of Cancer, Rio de Janeiro, Brazil.
Davide CampobassoDivision of Urology, Azienda Ospedaliero-Universitaria of Parma, Parma, Italy.
Qiang WeiDepartment of Urology and Institute of Urology, West China Hospital, Sichuan University, Chengdu, China.
Jiwei HuangDepartment of Urology, Ren Ji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Yige BaoDepartment of Urology and Institute of Urology, West China Hospital, Sichuan University, Chengdu, China.
Wei XueDepartment of Urology, Ren Ji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Shanghai Jiao Tong University · CNWest China Hospital of Sichuan University · CNCentral South University · CNInstituto Nacional do Câncer · BROspedale di Parma · ITRenji Hospital · CNSecond Hospital of Tianjin Medical University · CNSichuan University · CNSun Yat-sen University · CNUniversity of Iowa Hospitals and Clinics · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Metastatic upper tract urothelial carcinoma (mUTUC) is a malignant cancer associated with poor prognosis. Few studies have investigated the clinical outcome of a recently developed combination regimen of programmed cell death 1 (PD-1) inhibitor plus nab-paclitaxel in mUTUC. Methods: We retrospectively retrieved data from the electronic medical records of cisplatin-ineligible or cisplatin-refractory mUTUC patients from five participating Chinese centers, who received treatment of PD-1 inhibitor plus nab-paclitaxel between April 2018 and January 2022. Clinical response was assessed according to Response Evaluation Criteria in Solid Tumors criteria version 1.1 (RECIST 1.1). Duration of response (DOR), overall survival (OS), and progression-free survival (PFS) were evaluated by the Kaplan-Meier method. Results: The confirmed overall response rate (ORR) was 14/34 (41.2%), and the disease control rate (DCR) was 24/34 (70.6%). Complete response (CR) was achieved in one case, partial response (PR) in 13 cases (38.2%), stable disease (SD) in 10 cases (29.4%), and progressive disease (PD) occurred in 10 cases (29.4%). After a median follow-up period of 16.0 months [95% confidence interval (CI): 9.9-22.1], 14 deaths were reported, with a median OS of 15.0 months (95% CI: 9.9-20.1); 22 progressions were reported, with a median PFS of 6.0 months (95% CI: 2.4-9.6). Patients with visceral metastasis had a similar PFS [hazard ratio (HR): 1.28, 95% CI: 0.53-3.09, P=0.574) and OS (HR: 1.94, 95% CI: 0.64-5.83, P=0.279] to patients with lymph node metastasis only. Conclusions: This real-world study suggests that PD-1 inhibitor plus nab-paclitaxel is effective in cisplatin-ineligible and cisplatin-refractory mUTUC patients with acceptable toxicity, especially for patients with visceral metastasis.

Indexed as

130-nm albumin-bound paclitaxelcisplatin-ineligibleImmune checkpoint inhibitorsmetastatic upper tract urothelial carcinoma (mUTUC)retrospective study

Identifiers

PMID37814696
PMCPMC10560336
OpenAlexW4386782942

What OpenQuestion holds

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LicenceCC BY-NC-ND
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.