Evidence map›Paper›PMID 37988648›Full record

Trial reportJournal of clinical oncology : official journal of the American Society of Clinical Oncology2024

Efficacy and Safety of Disitamab Vedotin in Patients With Human Epidermal Growth Factor Receptor 2-Positive Locally Advanced or Metastatic Urothelial Carcinoma: A Combined Analysis of Two Phase II Clinical Trials.

Xinan Sheng, Lin Wang, Zhisong He, Yanxia Shi, Hong Luo, Weiqing Han, Xin Yao, Benkang Shi, Jiyan Liu, Changlu Hu and 12 more

2 registry-linked trialsOpen access · hybridAbstract readClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 121 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
121citing papers in PubMed, 5 pooled it
41.6field-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.

NCT06210490 phase2recruitingnot on this map

A Clinical Study of the Efficacy and Safety of Disitamab Vedotin in Combination With Radiotherapy for the Adjuvant Treatment of HER2 Overexpressing UTUC Patients With High Risk Factors for Recurrence After Radical Surgery

TypeinterventionalSponsorPeking University First HospitalRan2024 to 2028Enrolled60ConditionsUpper Urinary Tract Urothelial CarcinomaArmsDisitamab Vedotin, Radiotherapy, Standard of Care
NCT07201675 phase2not yet recruitingnot on this mapstarted 2025, after this paper: background citation

Vedisertib (RC48/ADC) Combined With Toripalimab in Bladder-preserving Treatment

TypeinterventionalSponsorQilu Hospital of Shandong UniversityRan2025 to 2027Enrolled59ConditionsMuscle Invasive Bladder Cancer (MIBC)ArmsRC48-ADC combined with toripalimab for bladder-sparing therapy
3 · Its place in the literature

Who cites it

121 citing papers in PubMed, 5 syntheses or guidelines pooled it, 132 citations in OpenAlex.

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  17. Coordinated Expression of ADC TargetsCurrent issues in molecular biology · 2026
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61 more citing papers are in PubMed but not listed here.

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

22 authors at 16 institutions in 2 countries.

Xinan ShengDepartment of Genitourinary Oncology, Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Peking University Cancer Hospital & Institute, Beijing, China.ORCID 0000-0001-9359-0975
Lin WangDepartment of Medical Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Zhisong HeDepartment of Urology, Peking University First Hospital, Institute of Urology, National Urological Cancer Center of China, Peking University, Beijing, China.
Yanxia ShiDepartment of Medical Oncology, State Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Sun Yat-sen University Cancer Center, Guangzhou, China.
Hong LuoDepartment of Genitourinary Oncology, Chongqing University Cancer Hospital and Chongqing Cancer Institute and Chongqing Cancer Hospital, Chongqing, China.
Weiqing HanDepartment of Urology, Hunan Cancer Hospital/The Affiliated Cancer Hospital of Xiangya School of Medicine of Central South University, Changsha, China.
Xin YaoDepartment of Genitourinary Oncology, Tianjin Medical University Cancer Institute and Hospital, National Clinical Research Center for Cancer, Tianjin Key Laboratory of Cancer Prevention and Therapy, Tianjin's Clinical Research Center for Cancer, Tianjin, China.
Benkang ShiDepartment of Urology, Qilu Hospital of Shandong University, Jinan, China.
Jiyan LiuDepartment of Biotherapy, Cancer Center, and National Clinical Research Center for Geriatrics, West China Hospital of Sichuan University, Chengdu, China.ORCID 0000-0003-4885-5481
Changlu HuDepartment of Medical Oncology, Anhui Provincial Cancer Hospital, Hefei, China.
Ziling LiuDepartment of Cancer Centre, First Hospital of Jilin University, Changchun, China.
Hongqian GuoDepartment of Urology, Nanjing Drum Tower Hospital, Nanjing, China.ORCID 0000-0002-3121-5157
Guohua YuDepartment of Medical Oncology, Weifang People's Hospital, Weifang, China.
Zhigang JiDepartment of Urology, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Jianming YingDepartment of Pathology, National Cancer Center/National Clinical Research Center for Cancer /Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.ORCID 0000-0002-7301-4118
Yun LingDepartment of Pathology, National Cancer Center/National Clinical Research Center for Cancer /Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Shiying YuDepartment of Urology, Tongji Hospital, Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China.
Yi HuDepartment of Medical Oncology, Chinese PLA General Hospital, Beijing, China.
Jianming GuoDepartment of Urology, Zhongshan Hospital, Fudan University, Shanghai, China.
Jianmin FangRemeGen, Ltd, Yantai, China.ORCID 0000-0002-4332-4967
Aiping ZhouDepartment of Medical Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Jun GuoDepartment of Genitourinary Oncology, Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Peking University Cancer Hospital & Institute, Beijing, China.ORCID 0000-0003-1759-0986
Chinese Academy of Medical Sciences & Peking Union Medical College · CNSun Yat-sen University · CNPeking University · CNAcademy of Medical Sciences · GBAnhui Provincial Hospital · CNCentral South University · CNChinese PLA General Hospital · CNChongqing University · CNJilin University · CNNanjing Drum Tower Hospital · CNQilu Hospital of Shandong University · CNSichuan University · CNTianjin Medical University Cancer Institute and Hospital · CNTongji Hospital · CNTongji University · CNWeifang People's Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate the efficacy and safety of disitamab vedotin (DV, RC48-ADC), a novel humanized anti-human epidermal growth factor receptor 2 (HER2) antibody conjugated with monomethyl auristatin E, in patients with HER2-positive locally advanced or metastatic urothelial carcinoma (UC) refractory to standard or regular therapies. PATIENTS AND

methodsThe data analyzed and reported are from two phase II, open-label, multicenter, single-arm studies (RC48-C005 and RC48-C009) in patients with HER2-positive (immunohistochemistry 3+ or 2+) locally advanced or metastatic UC who have progressed on at least one previous line of systemic chemotherapy. Patients received DV treatment (2 mg/kg IV infusion, once every 2 weeks). The primary end point was objective response rate (ORR) assessed by a blinded independent review committee (BIRC). Progression-free survival (PFS), overall survival (OS), and safety were also assessed.

resultsOne hundred and seven patients were enrolled in total. The overall confirmed ORR by BIRC was 50.5% (95% CI, 40.6 to 60.3). Consistent results were observed in prespecified subgroups including patients with liver metastasis and patients previously treated with anti-PD-1/L1 therapies. By the cutoff date of May 10, 2022, the median duration of response was 7.3 months (95% CI, 5.7 to 10.8). The median PFS and OS were 5.9 months (95% CI, 4.3 to 7.2) and 14.2 months (95% CI, 9.7 to 18.8), respectively. The most common treatment-related adverse events (TRAEs) were peripheral sensory neuropathy (68.2%), leukopenia (50.5%), AST increased (42.1%), and neutropenia (42.1%). Fifty-eight (54.2%) patients experienced grade ≥3 TRAEs, including peripheral sensory neuropathy (18.7%) and neutropenia (12.1%).

conclusionDV demonstrated a promising efficacy with a manageable safety profile in patients with HER2-positive locally advanced or metastatic UC who had progressed on at least one line of systemic chemotherapy.

Indexed as

Antibodies, MonoclonalCarcinoma, Transitional CellErb-b2 Receptor Tyrosine KinasesNeutropeniaOligopeptidesUrinary Bladder NeoplasmsAntineoplastic Combined Chemotherapy ProtocolsHumansAntibodies, Monoclonaldisitamab vedotinERBB2 protein, humanErb-b2 Receptor Tyrosine KinasesOligopeptides

Identifiers

PMID37988648
PMCPMC11095880
OpenAlexW4388852914

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LicenceCC BY
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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.