Evidence map›Paper›PMID 39354179›Full record

ArticleTargeted oncology2024

Enfortumab Vedotin Following Platinum Chemotherapy and Avelumab Maintenance in Patients with Metastatic Urothelial Carcinoma: A Retrospective Data from the ARON-2

Ondřej Fiala, Francesco Massari, Umberto Basso, Patrizia Giannatempo, Enrique Grande, Sebastiano Buti, Zin W Myint, Ugo De Giorgi, Renate Pichler, Francesco Grillone and 42 more

Abstract read
In one paragraph

Article in Targeted oncology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing 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

14 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

52 authors.

Ondřej Fiala *Department of Oncology and Radiotherapeutics, Faculty of Medicine, University Hospital in Pilsen, Charles University, alej Svobody 80, 30460, Pilsen, Czech Republic. fialao@fnplzen.cz.ORCID 0000-0002-4096-7385
Francesco Massari *Medical Oncology, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.
Umberto BassoMedical Oncology 1 Unit, Department of Oncology, Istituto Oncologico Veneto IOV IRCCS, 35128, Padova, Italy.
Patrizia GiannatempoMedical Oncology Department, Fondazione IRCCS Istituto Nazionale dei Tumori, Via Giacomo Venezian 1, Milan, Italy.
Enrique GrandeDepartment of Medical Oncology, MD Anderson Cancer Center Madrid, Madrid, Spain.
Sebastiano ButiDepartment of Medicine and Surgery, University of Parma, Parma, Italy.
Zin W MyintDivision of Medical Oncology, Department of Internal Medicine, Markey Cancer Center, University of Kentucky, Lexington, KY, USA.
Ugo De GiorgiDepartment of Medical Oncology, IRCCS Istituto Romagnolo per lo Studio dei Tumori (IRST) "Dino Amadori", Meldola, Italy.
Renate PichlerDepartment of Urology, Medical University of Innsbruck, Innsbruck, Austria.
Francesco GrilloneUnità Operativa di Oncologia Presidio Pugliese-Ciaccio Azienda Ospedaliera Universitaria Renato Dulbecco, Catanzaro, Italy.
Yüksel ÜrünDepartment of Medical Oncology, Faculty of Medicine, Ankara University, Ankara, Turkey.
Fabio CalabròMedical Oncology, 1-IRCCS Regina Elena National Cancer Institute, Rome, Italy.
Maria T BourlonDepartment of Hemato-Oncology, Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran, Mexico City, Mexico.
Luca GalliMedical Oncology Unit 2, Azienda Ospedaliera Universitaria Pisana, Pisa, Italy.
Ravindran KanesvaranDivision of Medical Oncology, National Cancer Centre Singapore, Singapore, Singapore.
Giandomenico RovielloDepartment of Health Sciences, Section of Clinical Pharmacology and Oncology, University of Florence, Viale Pieraccini, 6, Florence, Italy.
Jakub KucharzDepartment of Uro-Oncology, Maria Sklodowska-Curie National Research Institute of Oncology Warsaw, Warsaw, Poland.
Mimma RizzoMedical Oncology Unit, Azienda Ospedaliera Universitaria Consorziale Policlinico di Bari, Bari, Italy.
Se Hoon ParkSamsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Linda CerboneDepartment of Medical Oncology, San Camillo Forlanini Hospital, Rome, Italy.
Emmanuel SerontDepartment of Medical Oncology, Cliniques Universitaires Saint-Luc, Brussels, Belgium.
Carlo MessinaOncology Unit, A.R.N.A.S. Civico, Palermo, Italy.
Javier Molina-CerrilloDepartment of Medical Oncology, Hospital Ramón y Cajal, Madrid, Spain.
Daniele SantiniOncologia, Dip, Scienze e Biotecnologie Medico-chirurgiche, Policlinico Umberto 1, Rome, Italy.
Akihiro YanoDepartment of Urology, Saitama Medical Center, Saitama Medical University, Saitama, Japan.
Lorena IncorvaiaDepartment of Precision Medicine in Medical, Surgical and Critical Care (Me.Pre.C.C.), Section of Medical Oncology, University of Palermo, Palermo, Italy.
Martina CatalanoDivision of Medical Oncology, National Cancer Centre Singapore, Singapore, Singapore.
Alvaro PintoServicio de Oncología, Hospital Universitario La Paz, Madrid, Spain.
Luigi FormisanoDepartment of Medicine and Surgery, Federico II University, Naples, Italy.
Andrey SoaresHospital Israelita Albert Einstein, São Paulo, SP, Brazil.
Gaetano FacchiniOncology Unit, "S. Maria Delle Grazie" Hospital, ASL NA2 NORD, Pozzuoli, Naples, Italy.
Giuseppe FornariniIRCCS Ospedale Policlinico San Martino, Genoa, Italy.
Alexandr PoprachMasaryk Memorial Cancer Institute, Brno, Czech Republic.
Sara Elena RebuzziMedical Oncology Unit, Ospedale San Paolo, Savona, Italy.
Cecilia NassoMedical Oncology, Ospedale Santa Corona, Pietra Ligure, Italy.
Gian Paolo SpinelliUOC Oncologia Territoriale Ausl Latina, Aprilia, Italy.
Martin AngelClinical Oncology, Genitourinary Oncology Unit, Alexander Fleming Institute, Buenos Aires, Argentina.
Marco StellatoMedical Oncology Department, Fondazione IRCCS Istituto Nazionale dei Tumori, Via Giacomo Venezian 1, Milan, Italy.
Deniz TuralDepartment of Medical Oncology, Bakirköy Dr. SadiKonuk Training and Research Hospital, Tevfik, Bakirkoy, Istanbul, Turkey.
Gaetano AurilioDivision of Cancer Prevention and Genetics, IEO European Institute of Oncology IRCCS, Milan, Italy.
Ilana EpsteinLank Center for Genitourinary Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Francesco CarrozzaOncology Unit, Department of Oncology and Hematology, Santa Maria delle Croci Hospital, AUSL Romagna, Ravenna, Italy.
Fernando Sabino Marques MonteiroHospital Sírio-Libanês, Brasília, DF, Brazil.
Giovanni BenedettiU.O. Oncologia, Ospedale di Civitanova Marche, Civitanova Marche, Italy.
Tomáš BüchlerDepartment of Oncology, Second Faculty of Medicine, Charles University and University Hospital Motol, Prague, Czech Republic.
Cinzia OrtegaDipartimento di Oncologia, Ospedale San Lazzaro, Azienda sanitaria locale CN2, Alba, Cuneo, Italy.
Roubini Zakopoulou2nd Propaedeutic Department of Internal Medicine, School of Medicine, ATTIKON University Hospital, National and Kapodistrian University of Athens, Athens, Greece.
Nicola BattelliMedical Oncology Unit, Macerata Hospital, Macerata, Italy.
Camillo PortaInterdisciplinary Department of Medicina, Division of Medical Oncology, University of Bari "Aldo Moro", A.O.U. Consorziale Policlinico di Bari, Bari, Italy.
Joaquin BellmuntHarvard Medical School, Boston, MA, USA.
Shilpa Gupta *Taussig Cancer Institute, Cleveland Clinic, Cleveland, OH, USA.
Matteo Santoni *Medical Oncology Unit, Macerata Hospital, Macerata, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEnfortumab vedotin (EV) has been approved for the treatment of patients with locally advanced/metastatic urothelial carcinoma (la/mUC) who previously received platinum-based chemotherapy followed by immune checkpoint inhibitors. However, the pivotal clinical trials did not include patients previously treated with avelumab maintenance therapy.

objectiveThe aim of the present retrospective analysis was to assess the effectiveness of EV following avelumab in patients with mUC enrolled in the ARON-2 PATIENTS AND

methodsThe study included 182 patients with mUC treated with EV following avelumab maintenance. The primary objective was to assess clinical outcomes, including progression-free survival (PFS), overall survival (OS), overall response rate (ORR), and duration of response (DoR). Statistical analysis involved Fisher exact test, Kaplan-Meier method, log-rank test, and univariate/multivariate Cox proportional hazard regression models.

resultsMedian OS and PFS were 12.7 (95% CI 10.2-14.1) and 7.9 (95% CI 6.4-9.9) months, respectively. Complete response (CR) was achieved in 5% and partial response (PR) in 34% of patients, with an ORR of 39%. The DoR in patients who achieved CR/PR was 10.9 months (95% CI 8.1-11.4). The incidence of grade ≥ 3 peripheral neuropathy and skin rash was 9%, followed by 8% of grade ≥ 3 diarrhea and 4% of grade ≥ 3 hyperglycemia.

conclusionsThe results of our large international retrospective study confirm the effectiveness of EV and endorse its use in the population of patients with mUC treated with EV following the frontline platinum-based chemotherapy and subsequent maintenance treatment with avelumab.

Indexed as

Antibodies, MonoclonalAntibodies, Monoclonal, HumanizedAdultAgedAged, 80 and overAntineoplastic Combined Chemotherapy ProtocolsCarcinoma, Transitional CellFemaleHumansMaleMiddle AgedNeoplasm MetastasisRetrospective StudiesUrologic NeoplasmsAntibodies, MonoclonalAntibodies, Monoclonal, Humanizedavelumabenfortumab vedotin

Identifiers

PMID39354179
PMCPMC11557677

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