Evidence map›Paper›PMID 38215355›Full record

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

Patient-Reported Outcomes in Patients With Advanced Urothelial Cancer Who Are Ineligible for Cisplatin and Treated With First-Line Enfortumab Vedotin Alone or With Pembrolizumab.

Matthew I Milowsky, Peter H O'Donnell, Christopher J Hoimes, Daniel P Petrylak, Thomas W Flaig, Helen H Moon, Terence W Friedlander, Nataliya Mar, Rana R McKay, Sandy Srinivas and 13 more

Open access · hybridAbstract readClinical Trial, Phase IClinical Trial, Phase IIRandomized Controlled Trial
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. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
10.3field-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

11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 18 citations in OpenAlex.

  1. Pooled it
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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

23 authors at 19 institutions in 3 countries.

Matthew I MilowskyLineberger Comprehensive Cancer Center, University of North Carolina, Chapel Hill, NC.ORCID 0000-0002-8965-8129
Peter H O'DonnellUniversity of Chicago, Chicago, IL.
Christopher J HoimesDuke Cancer Institute, Duke University, Durham, NC.ORCID 0000-0001-8980-2410
Daniel P PetrylakYale Cancer Center, New Haven, CT.ORCID 0000-0001-6165-5797
Thomas W FlaigUniversity of Colorado Comprehensive Cancer Center, Aurora, CO.ORCID 0000-0001-6145-9040
Helen H MoonKaiser Permanente Southern California, Riverside, CA.
Terence W FriedlanderUniversity of California San Francisco Medical Center, San Francisco, CA.ORCID 0000-0002-3630-4941
Nataliya MarUniversity of California Irvine, Irvine, CA.ORCID 0000-0003-2485-6201
Rana R McKayUniversity of California San Diego, San Diego, CA.ORCID 0000-0002-0581-7963
Sandy SrinivasStanford University Medical Center, Stanford, CA.
Gwenaelle GravisInstitut Paoli-Calmettes, Marseille, France.ORCID 0000-0002-3127-1554
Chethan RamamurthyMD Anderson Cancer Center, University of Texas Health, San Antonio, TX.ORCID 0000-0003-3935-9638
Manojkumar BupathiRocky Mountain Cancer Centers, Littleton, CO.
Sergio BracardaAzienda Ospedaliera Santa Maria Terni, Terni, Italy.ORCID 0000-0002-0703-2959
Phoebe WrightSeagen Inc, Bothell, WA.ORCID 0009-0008-9260-2303
Zsolt HeppSeagen Inc, Bothell, WA.
Anne-Sophie CarretSeagen Inc, Bothell, WA.ORCID 0000-0001-6723-6948
Yao YuSeagen Inc, Bothell, WA.
Ryan DillonAstellas Pharma Inc, Northbrook, IL.
Ritesh KatariaMerck & Co, Inc, Rahway, NJ.
Jennifer L BeaumontClinical Outcomes Solutions Ltd, Tucson, AZ.ORCID 0000-0002-1484-260X
Intan PurnajoClinical Outcomes Solutions Ltd, Tucson, AZ.ORCID 0000-0001-9381-5644
Jonathan E RosenbergMemorial Sloan Kettering Cancer Center and Weill Cornell Medical College, New York, NY.ORCID 0000-0003-2637-4249
Seagen (United States) · USHealth Outcomes Solutions (United States) · USAstellas Pharma (United States) · USAzienda Ospedaliera S.Maria · ITDuke Medical Center · USInstitut Paoli-Calmettes · FRKaiser Permanente Riverside Medical Center · USMemorial Sloan Kettering Cancer Center · USMerck & Co., Inc., Rahway, NJ, USA (United States) · USRocky Mountain Cancer Centers · USStanford Medicine · USThe University of Texas MD Anderson Cancer Center · USUniversity of California, Irvine · USUniversity of California San Diego · USUniversity of California San Francisco Medical Center · USUniversity of Chicago · USUniversity of Colorado Cancer Center · USUniversity of North Carolina at Chapel Hill · USYale Cancer Center · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI SELWYN M VICKERS · 1985 to 2026
$347.4M
Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
NCATS NIH HHS UL1 TR001863NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

purposeLocally advanced/metastatic urothelial cancer (la/mUC) affects patients' quality of life (QOL) and functioning. We describe the impact of first-line (1L) enfortumab vedotin (EV) alone or with pembrolizumab (P) on QOL/functioning/symptoms in patients with la/mUC who were cisplatin-ineligible from EV-103 Cohort K.

methodsIn this phase Ib/II trial, patients were randomly assigned 1:1 to EV + P or EV monotherapy (mono). Exploratory patient-reported outcomes (PROs) were assessed using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Core Questionnaire (EORTC QLQ-C30) and Brief Pain Inventory Short Form (BPI-SF) at baseline, once per week for cycles 1-3, and then in every cycle through the end of treatment. Changes in scores from baseline to week 24, reported as least squares mean (standard error), were assessed by mixed models for repeated measures. There were no formal statistical comparisons between treatment arms.

resultsOf 149 patients treated, 65 (EV + P) and 63 (EV mono) comprised the PRO analysis set. For EV + P, EORTC QLQ-C30 QOL was maintained through week 24 with improvements in emotional functioning, pain, and insomnia. Clinically meaningful improvements were seen in EORTC QLQ-C30 pain after EV + P at weeks 12 (-14.41 [3.14]) and 24 (-14.99 [3.56]) and BPI-SF worst pain at week 24 (-2.07 [0.37]). For EV mono, EORTC QLQ-C30 QOL remained stable with clinically meaningful improvements in EORTC QLQ-C30 pain (-12.55 [4.27]), insomnia (-14.46 [4.69]), and constipation (-10.09 [4.35]) at week 24. There were small-to-moderate improvements in BPI-SF worst pain at week 24.

conclusionEV + P in patients with la/mUC who were cisplatin-ineligible was associated with preservation or improvement of QOL/functioning/symptoms. Improvement in pain was seen in both PRO instruments and treatment arms. These data complement clinical outcomes of 1L EV + P.

Indexed as

Antibodies, MonoclonalAntibodies, Monoclonal, HumanizedCarcinoma, Transitional CellSleep Initiation and Maintenance DisordersCisplatinHumansPainPatient Reported Outcome MeasuresQuality of LifeAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedCisplatinenfortumab vedotinpembrolizumab

Identifiers

PMID38215355
PMCPMC11095879
OpenAlexW4390796877

What OpenQuestion holds

Textmetadata
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.