Evidence map›Paper›PMID 39100842›Full record

ArticleTranslational andrology and urology2024

Efficacy of avelumab maintenance therapy for advanced urothelial carcinoma with histologic subtype and divergent differentiation: a multicenter retrospective study conducted by the Uro-Oncology Group in Kyushu.

Akinori Minato, Nobuki Furubayashi, Toshihisa Tomoda, Yoshifumi Hori, Keijiro Kiyoshima, Takahito Negishi, Kentaro Kuroiwa, Ikko Tomisaki, Kenichi Harada, Motonobu Nakamura and 1 more

Abstract read
In one paragraph

Article in Translational andrology and urology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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

11 authors.

Akinori MinatoDepartment of Urology, School of Medicine, University of Occupational and Environmental Health, Kitakyushu, Japan.ORCID https://orcid.org/0000-0001-6303-1128
Nobuki FurubayashiDepartment of Urology, National Hospital Organization Kyushu Cancer Center, Fukuoka, Japan.
Toshihisa TomodaDepartment of Urology, Oita Prefectural Hospital, Oita, Japan.
Yoshifumi HoriDepartment of Urology, Miyazaki Prefectural Miyazaki Hospital, Miyazaki, Japan.
Keijiro KiyoshimaDepartment of Urology, Japanese Red Cross Fukuoka Hospital, Fukuoka, Japan.
Takahito NegishiDepartment of Urology, National Hospital Organization Kyushu Cancer Center, Fukuoka, Japan.
Kentaro KuroiwaDepartment of Urology, Miyazaki Prefectural Miyazaki Hospital, Miyazaki, Japan.
Ikko TomisakiDepartment of Urology, School of Medicine, University of Occupational and Environmental Health, Kitakyushu, Japan.
Kenichi HaradaDepartment of Urology, School of Medicine, University of Occupational and Environmental Health, Kitakyushu, Japan.
Motonobu NakamuraDepartment of Urology, National Hospital Organization Kyushu Cancer Center, Fukuoka, Japan.
Naohiro FujimotoDepartment of Urology, School of Medicine, University of Occupational and Environmental Health, Kitakyushu, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The subtype of urothelial carcinoma (SUC) has been known to possess morphological diversity for histologic subtype or divergent differentiation. However, the efficacy of avelumab against SUC remains unclear. Therefore, the effect of the treatment as well as the survival results of avelumab monotherapy were evaluated as a first-line therapeutic maintenance in patients with advanced SUC. Methods: A retrospective analysis was conducted on consecutive patients from the Uro-Oncology Group in Kyushu study population with advanced lower and upper urinary tract cancer who underwent avelumab maintenance therapy without progression after first-line platinum-based chemotherapy. Patients with pure urothelial carcinoma (PUC) and SUC were comparatively analyzed based on objective response rate (ORR), disease control rate, progression-free survival (PFS), and overall survival (OS). Results: Out of 49 recorded patients, 38 and 11 had PUC and SUC, respectively. The most common subtype element was glandular differentiation (n=5), followed by squamous differentiation (n=3), micropapillary (n=1), and plasmacytoid subtypes (n=1). The SUC and PUC groups had comparable ORR (0% Conclusions: The response of SUC and PUC to avelumab was comparable in patients with advanced lower and upper urinary tract cancer, indicating that avelumab maintenance therapy is also effective for SUC.

Indexed as

avelumabdivergent differentiationHistologic subtypeimmune checkpoint inhibitors (ICIs)urothelial carcinoma (UC)

Identifiers

PMID39100842
PMCPMC11291420

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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.