Evidence map›Paper›PMID 38592548›Full record

ArticleJournal of cancer research and clinical oncology2024

Comparison of the efficacy of enfortumab vedotin between patients with metastatic urothelial carcinoma who were treated with avelumab or pembrolizumab: real-world data from a multi-institutional study in Japan.

Yosuke Hirasawa, Takahiro Adachi, Takeshi Hashimoto, Wataru Fukuokaya, Yuhei Koike, Yuji Yata, Kazumasa Komura, Taizo Uchimoto, Takuya Tsujino, Kazuki Nishimura and 9 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in Journal of cancer research and clinical oncology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
11.5field-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

15 citing papers in PubMed, 20 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

19 authors at 5 institutions in 1 country.

Yosuke HirasawaDepartment of Urology, Tokyo Medical University, 6-7-1, Nishi-shinjuku, Shinjuku-ku, Tokyo, 160-0023, Japan.
Takahiro AdachiDepartment of Urology, Tokyo Medical University, 6-7-1, Nishi-shinjuku, Shinjuku-ku, Tokyo, 160-0023, Japan.
Takeshi HashimotoDepartment of Urology, Tokyo Medical University, 6-7-1, Nishi-shinjuku, Shinjuku-ku, Tokyo, 160-0023, Japan.
Wataru FukuokayaDepartment of Urology, The Jikei University School of Medicine, Tokyo, Japan.
Yuhei KoikeDepartment of Urology, The Jikei University School of Medicine, Tokyo, Japan.
Yuji YataDepartment of Urology, The Jikei University School of Medicine, Tokyo, Japan.
Kazumasa KomuraDepartment of Urology, Osaka Medical and Pharmaceutical University, Osaka, Japan.
Taizo UchimotoDepartment of Urology, Osaka Medical and Pharmaceutical University, Osaka, Japan.
Takuya TsujinoDepartment of Urology, Osaka Medical and Pharmaceutical University, Osaka, Japan.
Kazuki NishimuraDepartment of Urology, Osaka Medical and Pharmaceutical University, Osaka, Japan.
Kiyoshi TakaharaDepartment of Urology, Fujita-Health University School of Medicine, Aichi, Japan.
Masanobu SarutaDepartment of Urology, Fujita-Health University School of Medicine, Aichi, Japan.
Kazutoshi FujitaDepartment of Urology, Faculty of Medicine, Kindai University, Osaka, Japan.
Mamoru HashimotoDepartment of Urology, Faculty of Medicine, Kindai University, Osaka, Japan.
Hirotsugu UemuraDepartment of Urology, Faculty of Medicine, Kindai University, Osaka, Japan.
Ryoichi ShirokiDepartment of Urology, Fujita-Health University School of Medicine, Aichi, Japan.
Takashi AzumaDepartment of Urology, Osaka Medical and Pharmaceutical University, Osaka, Japan.
Takahiro KimuraDepartment of Urology, The Jikei University School of Medicine, Tokyo, Japan.
Yoshio OhnoDepartment of Urology, Tokyo Medical University, 6-7-1, Nishi-shinjuku, Shinjuku-ku, Tokyo, 160-0023, Japan. yondk2005@gmail.com.
Osaka University of Pharmaceutical Sciences · JPJikei University School of Medicine · JPTokyo Medical University · JPFujita Health University · JPKindai University · JP

Funding

Japan Society for the Promotion of Science: JSPS 22K09512
6 · The paper itself

Abstract

objectivesEnfortumab vedotin (EV) is a novel antibody-drug conjugate approved for metastatic urothelial carcinoma (UC) refractory to prior treatment with immune checkpoint inhibitors (ICIs). However, the difference in efficacy of EV after each ICIs and prognostic factors are not well known. We aimed to compare the efficacy of EV in patients with metastatic UC who were treated with avelumab or pembrolizumab and to identify the prognostic factors.

methodsThe records of 100 patients with advanced metastatic UC who received EV after the administration of either avelumab or pembrolizumab were retrospectively collected from five academic hospitals in Japan.

resultsThe median follow-up period was 6.7 months. The median overall survival (OS) and progression-free survival (PFS) in the EV after avelumab/pembrolizumab group were not reached/14.7 months (p = 0.17) and 10.4/5.2 months (p = 0.039), respectively. The objective response rates (ORR) were 66.6% and 46.8% in EV after avelumab and EV after pembrolizumab groups, respectively (p = 0.14). Multivariate analysis identified histological variants, liver metastasis, low serum albumin levels, and high serum CRP level as significant poor prognostic factors. The median OS and PFS of cachexia patients with both low serum albumin levels and high serum CRP levels were 6.0 months and 0.93 months, respectively.

conclusionPFS was superior in patients treated with EV after avelumab to EV after pembrolizumab. However, OS showed no significant difference between the two groups. Because the prognosis of patients with cachexia is extremely poor, the initiation of EV should be discussed in these patients.

Indexed as

Antibodies, MonoclonalAntibodies, Monoclonal, HumanizedCarcinoma, Transitional CellUrinary Bladder NeoplasmsCachexiaHumansJapanRetrospective StudiesSerum AlbuminAntibodies, MonoclonalAntibodies, Monoclonal, Humanizedavelumabenfortumab vedotinpembrolizumabSerum AlbuminAvelumabBladder cancerEnfortumab vedotinPembrolizumabUrothelial carcinoma

Identifiers

PMID38592548
PMCPMC11003883
OpenAlexW4394615721

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.