Evidence map›Paper›PMID 39502620›Full record

ArticleCancer diagnosis & prognosis

Risk Classification of Patients With Advanced Urothelial Carcinoma Treated With Enfortumab Vedotin.

Gaku Ishikawa, Yuto Matsushita, Yuichi Kitagawa, Asuka Uchiyama, Yuya Oishi, Hiroki Tanaka, Shinya Watanabe, Eito Suzuki, Shunsuke Watanabe, Kyohei Watanabe and 10 more

Abstract read
In one paragraph

Article in Cancer diagnosis & prognosis. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. 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

20 authors.

Gaku IshikawaDepartment of Urology, Hamamatsu University School of Medicine, Hamamatsu, Japan.
Yuto MatsushitaDepartment of Urology, Hamamatsu University School of Medicine, Hamamatsu, Japan.
Yuichi KitagawaDepartment of Urology, JA Shizuoka Kohseiren Enshu Hospital, Hamamatsu, Japan.
Asuka UchiyamaDepartment of Urology, Chutoen General Medical Center, Kakegawa, Japan.
Yuya OishiDepartment of Urology, Seirei Mikatahara General Hospital, Hamamatsu, Japan.
Hiroki TanakaDepartment of Urology, Fujieda Municipal General Hospital, Fujieda, Japan.
Shinya WatanabeDepartment of Urology, Fujieda Municipal General Hospital, Fujieda, Japan.
Eito SuzukiDepartment of Urology, Iwata City Hospital, Iwata, Japan.
Shunsuke WatanabeDepartment of Urology, Hamamatsu University School of Medicine, Hamamatsu, Japan.
Kyohei WatanabeDepartment of Urology, Hamamatsu University School of Medicine, Hamamatsu, Japan.
Hiromitsu WatanabeDepartment of Urology, Hamamatsu University School of Medicine, Hamamatsu, Japan.
Keita TamuraDepartment of Urology, Hamamatsu University School of Medicine, Hamamatsu, Japan.
Daisuke MotoyamaDepartment of Developed Studies for Advanced Robotic Surgery, Hamamatsu University School of Medicine, Hamamatsu, Japan.
Rikiya MatsumotoDepartment of Urology, Chutoen General Medical Center, Kakegawa, Japan.
Toshiki ItoDepartment of Urology, Fujieda Municipal General Hospital, Fujieda, Japan.
Masao NagataDepartment of Urology, Hamamatsu Medical Center, Hamamatsu, Japan.
Toshiyuki UnnoDepartment of Urology, JA Shizuoka Kohseiren Enshu Hospital, Hamamatsu, Japan.
Hiroshi FuruseDepartment of Urology, Seirei Mikatahara General Hospital, Hamamatsu, Japan.
Takuji MizunoDepartment of Urology, Iwata City Hospital, Iwata, Japan.
Atsushi OtsukaDepartment of Urology, Hamamatsu University School of Medicine, Hamamatsu, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background/Aim: Enfortumab Vedotin (EV) is a widely used antibody-drug conjugate for patients with advanced urothelial carcinoma (UC) who have previously been treated with platinum-based chemotherapy and immune checkpoint inhibitors. However, limited information is currently available on prognostic factors and risk classification. Therefore, the present study attempted to identify clinical factors that predict outcomes in patients with advanced UC treated with EV and to develop a novel risk classification model. Patients and Methods: We conducted a multicenter retrospective study including patients with advanced UC treated with EV. Oncological outcomes were assessed using progression-free survival (PFS) and overall survival (OS), and prognostic factors for PFS and OS were investigated. We then examined the usefulness of risk classification based on the prognostic factors identified. Results: Median PFS and OS were 7.1 and 16.3 months, respectively. High C-reactive protein levels (CRP level ≥0.5 mg/dl) and hypercalcemia (corrected calcium level >10.2 mg/dl) were identified as prognostic factors for PFS (p=0.012 and p=0.003, respectively) and OS (p=0.035 and p<0.001, respectively). We then divided patients into three risk groups: no prognostic factors group, one prognostic factor group, and two prognostic factors group. Significant differences were observed in PFS and OS among the three groups (p<0.001 and p<0.001, respectively) and c-indices were 0.766 for PFS and 0.800 for OS. Conclusion: The risk classification using CRP and hypercalcemia is useful for predicting the outcomes of patients with advanced UC treated with EV.

Indexed as

Enfortumab Vedotinprognostic factorrisk classification

Identifiers

PMID39502620
PMCPMC11534046

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.