Evidence map›Paper›PMID 39749291›Full record

ArticleIJU case reports2025

Efficacy of pembrolizumab plus lenvatinib as first-line treatment for metastatic renal cell carcinoma with multiple brain metastases.

Daisuke Matsumoto, Taku Naiki, Aya Naiki-Ito, Maria Aoki, Shinji Kato, Toshiharu Morikawa, Nobuhiko Shimizu, Masakazu Gonda, Yukihiro Umemoto, Takahiro Yasui

Abstract read
In one paragraph

Article in IJU case reports, 2025. 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

10 authors.

Daisuke MatsumotoDepartment of Urology Nagoya City University West Medical Center Nagoya Japan.ORCID https://orcid.org/0000-0002-3429-6554
Taku NaikiDepartment of Urology Nagoya City University West Medical Center Nagoya Japan.ORCID https://orcid.org/0000-0002-7638-6048
Aya Naiki-ItoDepartment of Experimental Pathology and Tumor Biology Graduate School of Medical Sciences Nagoya City University Nagoya Japan.
Maria AokiDepartment of Urology Nagoya City University West Medical Center Nagoya Japan.
Shinji KatoDepartment of Radiology Graduate School of Medical Sciences Nagoya City University Nagoya Japan.
Toshiharu MorikawaDepartment of Nephro-urology Graduate School of Medical Sciences Nagoya City University Nagoya Japan.ORCID https://orcid.org/0009-0006-4430-0277
Nobuhiko ShimizuDepartment of Nephro-urology Graduate School of Medical Sciences Nagoya City University Nagoya Japan.
Masakazu GondaDepartment of Nephro-urology Graduate School of Medical Sciences Nagoya City University Nagoya Japan.
Yukihiro UmemotoDepartment of Urology Nagoya City University West Medical Center Nagoya Japan.
Takahiro YasuiDepartment of Nephro-urology Graduate School of Medical Sciences Nagoya City University Nagoya Japan.ORCID https://orcid.org/0000-0003-2197-2477

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Patients with metastatic renal cell carcinoma have a poor prognosis and its specific pathogenesis remains unelucidated. Case presentation: At 78 years of age, a Japanese male patient was diagnosed with metastatic renal cell carcinoma (cT3N2M1 stage) and multiple brain metastases that were responsive to stereotactic radiation therapy followed by systemic combination induction therapy of pembrolizumab plus lenvatinib. Adverse events, including grade 3 hypertension, grade 2 eruption, and elevated grade 2 fever, were controlled by a dose reduction or suspension of drugs. The patient eventually showed a tolerance for continuing with 8 mg lenvatinib. Fourteen months after the initiation of treatment, and on 8 mg lenvatinib, this patient showed no sign of disease progression at the last follow-up. Conclusion: We detail the absence of disease progression in a metastatic renal cell carcinoma case with multiple brain metastases more than 1 year after stereotactic radiation therapy followed by first-line pembrolizumab plus lenvatinib.

Indexed as

brain neoplasmslenvatinibpembrolizumabradiosurgeryrenal cell carcinoma

Identifiers

PMID39749291
PMCPMC11693097

What OpenQuestion holds

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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.