Evidence map›Paper›PMID 39256488›Full record

Trial reportNature cancer2024

Neoadjuvant gemcitabine-cisplatin plus tislelizumab in persons with resectable muscle-invasive bladder cancer: a multicenter, single-arm, phase 2 trial.

Kaiwen Li, Wenlong Zhong, Jinhai Fan, Shaogang Wang, Dexin Yu, Tao Xu, Jiaju Lyu, Shaoxu Wu, Tao Qin, Zhuo Wu and 15 more

Abstract readClinical Trial, Phase IIMulticenter Study
PubMed Publisher
In one paragraph

Trial report in Nature cancer, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing 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

20 citing papers in PubMed.

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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

25 authors.

Kaiwen Li *Department of Urology, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China.
Wenlong Zhong *Department of Urology, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China.
Jinhai FanDepartment of Urology, First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China.
Shaogang WangDepartment of Urology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Dexin YuDepartment of Urology, The Second Hospital of Anhui Medical University, Hefei, China.
Tao XuDepartment of Urology, Peking University People's Hospital, Beijing, China.
Jiaju LyuDepartment of Urology, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Ji'nan, China.
Shaoxu WuDepartment of Urology, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China.
Tao QinDepartment of Medical Oncology, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China.
Zhuo WuDepartment of Radiology, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China.
Longhao XuDepartment of Urology, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China.
Kaijie WuDepartment of Urology, First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China.
Zheng LiuDepartment of Urology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Zhiquan HuDepartment of Urology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Fan LiDepartment of Urology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Jinyou WangDepartment of Urology, The Second Hospital of Anhui Medical University, Hefei, China.
Qi WangDepartment of Urology, The Second Hospital of Anhui Medical University, Hefei, China.
Jie MinDepartment of Urology, The Second Hospital of Anhui Medical University, Hefei, China.
Zhiqiang ZhangDepartment of Urology, The Second Hospital of Anhui Medical University, Hefei, China.
Luping YuDepartment of Urology, Peking University People's Hospital, Beijing, China.
Sentai DingDepartment of Urology, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Ji'nan, China.
Longfei HuangResearch Institute, GloriousMed Clinical Laboratory Co., Ltd., Shanghai, China.
Tingting ZhaoResearch Institute, GloriousMed Clinical Laboratory Co., Ltd., Shanghai, China.
Jian HuangDepartment of Urology, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China. huangj8@mail.sysu.edu.cn.ORCID http://orcid.org/0000-0002-1296-9316
Tianxin LinDepartment of Urology, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China. lintx@mail.sysu.edu.cn.ORCID http://orcid.org/0000-0003-3180-8697

Funding

Guangdong Science and Technology Department (Science and Technology Department, Guangdong Province) #2022A1515012383National Natural Science Foundation of China (National Science Foundation of China) #81825016National Natural Science Foundation of China (National Science Foundation of China) #82173230National Natural Science Foundation of China (National Science Foundation of China) #82341018National Natural Science Foundation of China (National Science Foundation of China) #82373254National Natural Science Foundation of China (National Science Foundation of China) #U21A20383
6 · The paper itself

Abstract

Programmed death 1 blockade (tislelizumab) has been approved for metastatic urothelial carcinoma but not as part of neoadjuvant therapy for muscle-invasive bladder cancer (MIBC). In this multicenter single-arm trial (ChiCTR2000037670), 65 participants with cT2-4aN0M0 MIBC received neoadjuvant gemcitabine-cisplatin plus tislelizumab; 57 of them underwent radical cystectomy (RC). The primary endpoint of pathologic complete response (pCR) rate was 50.9% (29/57, 95% confidence interval (CI) 37.3-64.4%) and the pathologic downstaging (secondary endpoint) rate was 75.4% (43/57, 95% CI 62.2-85.9%) in participants undergoing RC. Genomic and transcriptomic analyses revealed three MIBC molecular subtypes (S): S1 (immune-desert) with activated cell-cycle pathway, S2 (immune-excluded) with activated transforming growth factor-β pathway and S3 (immune-inflamed) with upregulated interferon-α and interferon-γ response. Post hoc analysis showed pCR rates of 16% (3/19, S1), 77% (10/13, S2) and 80% (12/15, S3) (P = 0.006). In conclusion, neoadjuvant gemcitabine-cisplatin plus tislelizumab for MIBC was compatible with an enhanced pCR rate.

Indexed as

Antibodies, Monoclonal, HumanizedAntineoplastic Combined Chemotherapy ProtocolsCisplatinDeoxycytidineGemcitabineNeoadjuvant TherapyUrinary Bladder NeoplasmsAdultAgedCystectomyFemaleHumansMaleMiddle AgedNeoplasm InvasivenessAntibodies, Monoclonal, HumanizedCisplatinDeoxycytidineGemcitabinetislelizumab

Identifiers

What OpenQuestion holds

Textmetadata
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.