Evidence map›Paper›PMID 37917218›Full record

ArticleClinical and experimental medicine2023

Bone targeting agents, but not radiation therapy, improves survival in patients with bone metastases from advanced urothelial carcinoma receiving pembrolizumab: results from the ARON-2 study.

Matteo Santoni, Francesco Massari, Hideki Takeshita, Jose Carlos Tapia, Michele Dionese, Renate Pichler, Mimma Rizzo, Elaine T Lam, Enrique Grande, Robert Kemp and 20 more

Registry-linked trialOpen access · greenAbstract read
PubMed Publisher
In one paragraph

Article in Clinical and experimental medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05290038 (ARON-2 Study-Multicentric International Retrospective Study), which is not on this map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
3.2field-weighted citation impact, top 8% 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.

NCT05290038 recruitingnot on this map

ARON-2 Study-Multicentric International Retrospective Study

TypeobservationalSponsorMatteo SantoniRan2022 to 2027Enrolled367ConditionsUrothelial Carcinoma
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Observational
  6. Observational
  7. Article
  8. 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

30 authors at 20 institutions in 17 countries.

Matteo Santoni *Oncology Unit, Macerata Hospital, via Santa Lucia 2, 62100, Macerata, Italy.
Francesco Massari *Medical Oncology, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Via Albertoni - 15, Bologna, Italy.
Hideki TakeshitaDepartment of Urology, Saitama Medical Center, Saitama Medical University, Saitama, Japan.
Jose Carlos TapiaDepartment of Medical Oncology, Institut d'Investigació Biomèdica Sant Pau, Hospital de la Santa Creui Sant Pau, Barcelona, Spain.
Michele DioneseMedical Oncology 1 Unit, Department of Oncology, Istituto Oncologico Veneto IOV - IRCCS, 35128, Padua, Italy.
Renate PichlerDepartment of Urology, Medical University of Innsbruck, Anichstrasse 35, 6020, Innsbruck, Austria.
Mimma RizzoDivision of Medical Oncology, A.O.U. Consorziale Policlinico di Bari, Bari, Italy.
Elaine T LamUniversity of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Enrique GrandeDepartment of Medical Oncology, MD Anderson Cancer Center Madrid, Madrid, Spain.
Robert KempSouthampton Experimental Cancer Medicine Centre, University of Southampton, Southampton, UK.
Javier Molina-CerrilloDepartment of Medical Oncology, Hospital Ramón y Cajal, Madrid, Spain.
Fabio CalabròDepartment of Oncology, San Camillo Forlanini Hospital, Rome, Italy.
Deniz TuralDepartment of Medical Oncology, Bakirköy Dr.SadiKonuk Training and Research Hospital, Zuhuratbaba District, TevfikSaglam St. No: 11, Bakirkoy, Istanbul, Turkey.
Zsófia KüronyaDepartment of Genitourinary Medical Oncology and Clinical Pharmacology, National Institute of Oncology, Budapest, Hungary.
Jakub KucharzDepartment of Uro-Oncology, Maria Sklodowska-Curie National Research Institute of Oncology, Warsaw, Poland.
Ondrej FialaDepartment of Oncology and Radiotherapeutics, Faculty of Medicine and University Hospital in Pilsen, Charles University, Pilsen, Czech Republic.
Emmanuel SerontDepartment of Medical Oncology, Centre Hospitalier de Jolimont, Haine Saint Paul, La Louvière, Belgium.
Ray Manneh KoppClinical Oncology, Sociedad de Oncología y Hematología del Cesar, Valledupar, Colombia.
Halima AbahssainMedicine and Pharmacy Faculty, National Institute of Oncology, Medical Oncology Unit, Mohamed V University, Rabat, Morocco.
Jindrich KopeckyDepartment of Clinical Oncology and Radiotherapy, University Hospital Hradec Kralove, Hradec Kralove, Czech Republic.
Angelo MartignettiDipartimento oncologico usl sud-est toscana-area senese, Località Campostaggia s.n.c., 53036, Poggibonsi, Italy.
Ravindran KanesvaranNational Cancer Centre Singapore, Singapore, Singapore.
Roubini Zakopoulou2nd Propaedeutic Department of Internal Medicine, School of Medicine, ATTIKON University Hospital, National and Kapodistrian University of Athens, Athens, Greece.
Jawaher AnsariMedical Oncology, Tawam Hospital, Al Ain, United Arab Emirates.
Johannes LandmesserKlinik fürUrologie, Ratzeburger Allee 160, 23538, Lübeck, Germany.
Veronica MollicaMedical Oncology, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Via Albertoni - 15, Bologna, Italy. veronica.mollica7@gmail.com.
Camillo PortaChair of Oncology, Interdisciplinary Department of Medicine, University of Bari "Aldo Moro", Bari, Italy.
Joaquim BellmuntDana Farber Cancer Institute, Harvard Medical School, Boston, MA, USA.
Samer SalahDepartment of Medical Oncology, King Hussein Cancer Center, Amman, Jordan.
Daniele SantiniUOC Oncologia A, Policlinico Umberto I, Sapienza, University of Rome, Rome, Italy.
Azienda USL di Bologna · ITBakırköy Dr.Sadi Konuk Eğitim ve Araştırma Hastanesi · TRCarlo Forlanini Hospital · ITCharles University · CZDana-Farber Cancer Institute · USHôpital de Jolimont · BEHospital de Sant Pau · ESHospital Universitario Ramón y Cajal · ESInnsbruck Medical University · ATIstituti di Ricovero e Cura a Carattere Scientifico · ITKing Hussein Cancer Center · JOMD Anderson Cancer Center Madrid · ESNational and Kapodistrian University of Athens · GRNational Cancer Centre Singapore · SGNational Institute of Oncology · HUNIHR CRUK Experimental Cancer Medicine Centre · GBPoliclinico Umberto I · ITPopular University of Cesar · COSocial Insurance Saitama Chuo Hospital · JPTawam Hospital · AE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The ARON-2 study (NCT05290038) aimed to assess the real-world efficacy of pembrolizumab in patients recurred or progressed after platinum-based chemotherapy. This retrospective analysis reports the outcomes of urothelial carcinoma (UC) patients with bone metastases (BM). Medical records of patients with documented metastatic UC treated by pembrolizumab as second-line therapy were reviewed from60 institutions in 20 countries. Patients were assessed for Overall Response Rate (ORR), Progression-Free Survival (PFS), and Overall Survival (OS). Univariate and multivariate analyses were used to explore the association of variables of interest with OS and PFS. 881 patients were included; of them, 263 (30%) presented BM. Median follow-up time was 22.7 months. Patients with BM showed both shorter median OS (5.9 months vs 13.1 months, p < 0.001) and PFS (3.5 months, vs 7.3 months, p < 0.001) compared to patients without BM. Patients who received bone targeted agents (BTAs) showed a significantly longer median OS (8.5 months vs 4.6 months, p = 0.003) and PFS (6.1 months vs 3.2 months, p = 0.003), while no survival benefits were observed among patients who received radiation therapy for BM during pembrolizumab treatment compared to those who did not. In multivariate analysis, performance status, concomitant liver metastases, and the lack of use of BTAs were significantly associated with worse OS and PFS. Bone involvement in UC patients treated with pembrolizumab predicts inferior survival. Poor performance status and liver metastases may further worsen outcomes, while the use of BTAs is associated with improved outcomes.

Indexed as

Antineoplastic AgentsBone NeoplasmsCarcinoma, Transitional CellLiver NeoplasmsUrinary Bladder NeoplasmsAntibodies, Monoclonal, HumanizedHumansNeoplasm Recurrence, LocalRetrospective StudiesAntibodies, Monoclonal, HumanizedAntineoplastic AgentspembrolizumabARON-2 studyBone metastasesImmunotherapyNCT05290038PembrolizumabReal-world dataSurvivalTumor responseUrothelial cancer

Identifiers

PMID37917218
OpenAlexW4388232622

What OpenQuestion holds

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Registered trials

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.