Evidence map›Paper›PMID 38418804›Full record

ArticleInternational journal of clinical oncology2024

Peripheral neuropathy and nerve electrophysiological changes with enfortumab vedotin in patients with advanced urothelial carcinoma: a prospective multicenter cohort study.

Rikiya Taoka, Masaki Kamada, Kazuyoshi Izumi, Ryuta Tanimoto, Kei Daizumoto, Yushi Hayashida, Katsutoshi Uematsu, Hironobu Arai, Takeshi Sano, Ryoichi Saito and 12 more

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in International journal of clinical oncology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
9.7field-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

12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 17 citations in OpenAlex.

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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

22 authors at 10 institutions in 1 country.

Rikiya TaokaDepartment of Urology, Faculty of Medicine, Kagawa University, 1750-1, Ikenobe, Miki-cho, Kita-gun, Kagawa, Japan. taoka.rikiya@kagawa-u.ac.jp.ORCID http://orcid.org/0000-0003-3243-499X
Masaki KamadaDepartment of Neurological Intractable Disease Research, Kagawa University School of Medicine, Kita, Japan.
Kazuyoshi IzumiDepartment of Urology, Takamatsu Red Cross Hospital, Takamatsu, Japan.
Ryuta TanimotoDepartment of Urology, Kagawa Prefectural Central Hospital, Takamatsu, Japan.
Kei DaizumotoDepartment of Urology, Tokushima University Graduate School of Biomedical Sciences, Tokushima, Japan.
Yushi HayashidaDepartment of Urology, Sakaide City Hospital, Sakaide, Japan.
Katsutoshi UematsuDepartment of Urology, Mitoyo General Hospital, Kanonji, Japan.
Hironobu AraiDepartment of Urology, Shodoshima Central Hospital, Shodoshima, Japan.
Takeshi SanoDepartment of Urology, Kansai Medical University, Hirakata, Japan.
Ryoichi SaitoDepartment of Urology, Kyoto University Graduate School of Medicine, Kyoto, Japan.
Hiromi HiramaDepartment of Urology, KKR Takamatsu Hospital, Takamatsu, Japan.
Toshihiro KobayashiDepartment of Endocrinology and Metabolism, Faculty of Medicine, Kagawa University, Kita, Japan.
Tomoko HondaDepartment of Urology, Faculty of Medicine, Kagawa University, 1750-1, Ikenobe, Miki-cho, Kita-gun, Kagawa, Japan.
Yu OsakiDepartment of Urology, Faculty of Medicine, Kagawa University, 1750-1, Ikenobe, Miki-cho, Kita-gun, Kagawa, Japan.
Yohei AbeDepartment of Urology, Faculty of Medicine, Kagawa University, 1750-1, Ikenobe, Miki-cho, Kita-gun, Kagawa, Japan.
Hirohito NaitoDepartment of Urology, Faculty of Medicine, Kagawa University, 1750-1, Ikenobe, Miki-cho, Kita-gun, Kagawa, Japan.
Yoichiro TohiDepartment of Urology, Faculty of Medicine, Kagawa University, 1750-1, Ikenobe, Miki-cho, Kita-gun, Kagawa, Japan.
Yuki MatsuokaDepartment of Urology, Faculty of Medicine, Kagawa University, 1750-1, Ikenobe, Miki-cho, Kita-gun, Kagawa, Japan.
Takuma KatoDepartment of Urology, Faculty of Medicine, Kagawa University, 1750-1, Ikenobe, Miki-cho, Kita-gun, Kagawa, Japan.
Homare OkazoeDepartment of Urology, Faculty of Medicine, Kagawa University, 1750-1, Ikenobe, Miki-cho, Kita-gun, Kagawa, Japan.
Nobufumi UedaDepartment of Urology, Faculty of Medicine, Kagawa University, 1750-1, Ikenobe, Miki-cho, Kita-gun, Kagawa, Japan.
Mikio SugimotoDepartment of Urology, Faculty of Medicine, Kagawa University, 1750-1, Ikenobe, Miki-cho, Kita-gun, Kagawa, Japan.
Kagawa University · JPKagawa Prefectural Central Hospital · JPKansai Medical University · JPKobe Central Hospital · JPKyoto University · JPMito Saiseikai General Hospital · JPNational Hospital Organization Takamatsu Medical Center · JPSakai Municipal Hospital · JPTakamatsu Red Cross Hospital · JPTokushima University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEnfortumab vedotin is a novel antibody-drug conjugate used as a third-line therapy for the treatment of urothelial cancer. We aimed to elucidate the effect of enfortumab vedotin-related peripheral neuropathy on its efficacy and whether enfortumab vedotin-induced early electrophysiological changes could be associated with peripheral neuropathy onset.

methodsOur prospective multicenter cohort study enrolled 34 patients with prior platinum-containing chemotherapy and programmed cell death protein 1/ligand 1 inhibitor-resistant advanced urothelial carcinoma and received enfortumab vedotin. The best overall response, progression-free survival, overall survival, and safety were assessed. Nerve conduction studies were also performed in 11 patients.

resultsThe confirmed overall response rate and disease control rate were 52.9% and 73.5%, respectively. The median overall progression-free survival and overall survival were 6.9 and 13.5 months, respectively, during a median follow-up of 8.6 months. The patients with disease control had significantly longer treatment continuation and overall survival than did those with uncontrolled disease. Peripheral neuropathy occurred in 12.5% of the patients. The overall response and disease control rates were 83.3% and 100%, respectively: higher than those in patients without peripheral neuropathy (p = 0.028 and p = 0.029, respectively). Nerve conduction studies indicated that enfortumab vedotin reduced nerve conduction velocity more markedly in sensory nerves than in motor nerves and the lower limbs than in the upper limbs, with the sural nerve being the most affected in the patients who developed peripheral neuropathy (p = 0.011).

conclusionOur results indicated the importance of focusing on enfortumab vedotin-induced neuropathy of the sural nerve to maximize efficacy and improve safety.

Indexed as

Antibodies, MonoclonalPeripheral Nervous System DiseasesAgedAged, 80 and overCarcinoma, Transitional CellFemaleHumansMaleMiddle AgedNeural ConductionProgression-Free SurvivalProspective StudiesUrinary Bladder NeoplasmsUrologic NeoplasmsAntibodies, Monoclonalenfortumab vedotinEnfortumab vedotinNerve conduction studyPeripheral neuropathyUrothelial carcinoma

Identifiers

PMID38418804
OpenAlexW4392771714

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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.