Evidence map›Paper›PMID 39792158›Full record

ArticleWorld journal of urology2025

Efficacy of immune checkpoint inhibitors in renal cell carcinoma venous tumour thrombus shrinkage (UroCCR 128).

Fabien Moinard-Butot, Jonathan Thouvenin, Pierre Bigot, Nieves Martinez-Chanza, Victor Gaillard, Roberto Luigi Cazzato, Romain Boissier, Gaëlle Margue, Philippe Boudier, Denis Maillet and 3 more

Registry-linked trialAbstract readMulticenter Study
In one paragraph

Article in World journal of urology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03293563 (UroCCR Database), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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.

NCT03293563 recruitingnot on this map

UroCCR Database: French Research Network for Kidney Cancer (National Multidisciplinary Clinical and Biological Database on Kidney Cancer)

TypeobservationalSponsorUniversity Hospital, BordeauxRan2011 to 2040Enrolled30,000ConditionsKidney CancerArmsRadical nephrectomy versus partial nephrectomy (according surgeon judgement)
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. 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

13 authors.

Fabien Moinard-Butot *Medical Oncology Department, Institut de Cancérologie Strasbourg Europe, Strasbourg, France.
Jonathan Thouvenin *Medical Oncology Department, Hospices Civils de Lyon, Pierre-Bénite, France.
Pierre BigotDepartment of Urology, Angers University Hospital, Angers, France.
Nieves Martinez-ChanzaMedical Oncology Department, Institut Jules Bordet, Bruxelles, Belgium.
Victor GaillardUrology Department, Nouvel Hôpital Civil, Strasbourg, France.
Roberto Luigi CazzatoRadiology Department, Nouvel Hopital Civil, Strasbourg, France.
Romain BoissierDepartment of Urology and Renal Transplantation, La Conception University Hospital, APHM, Marseille, France.
Gaëlle MargueDepartment of Urology, Bordeaux University Hospital, Bordeaux, France.
Philippe BoudierMedical Oncology Department, Institut de Cancérologie Strasbourg Europe, Strasbourg, France.
Denis MailletMedical Oncology Department, Hospices Civils de Lyon, Pierre-Bénite, France.
Marine Gross-GoupilMedical Oncology Department, Bordeaux University Hospital, Bordeaux, France.
Jean-Christophe BernhardDepartment of Urology, Bordeaux University Hospital, Bordeaux, France.
Philippe BarthélémyMedical Oncology Department, Institut de Cancérologie Strasbourg Europe, Strasbourg, France. p.barthelemy@icans.eu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeSurgery remains the cornerstone of localized renal cell carcinoma (RCC) care. Pembrolizumab has recently been recommended as a standard of care for RCC patients who are at high risk of recurrence. Data regarding the efficacy of ICIs either alone or in combination with ICIs or VEGF TKIs for VTT shrinkage are scarce.

methodsIn the framework of the French kidney cancer research network UroCCR (NCT03293563), we performed a retrospective multicentric European study to evaluate VTT shrinkage in patients treated with ICIs with metastatic or locally advanced renal cell carcinoma (RCC). The primary endpoint was the objective response rate (ORR) of patients with VTT to ICI-based therapy. Radiological assessment was performed by a treating physician according to the RECISTv1.1 criteria.

resultsWe included 44 patients. The median age was 69 years (range 37-88). All patients was intermediate or poor IMDC risk group. Twenty-three patients were treated with anti-PD-1 in combination with anti-CTLA-4 therapy, 13 patients with ICI monotherapy, and 8 patients with ICIs in combination with antiangiogenic TKI. At baseline, the median VTT diameter was 22 mm (range 7-93). After a median duration of treatment of 5.8 months (range 1.8-39.1), the ORR was 38% (n = 17), including 4 complete responses (CRs) and 13 partial responses (PRs). Ten patients had stable disease (SD), and 17 had progressive disease (PD) as the best response of the VTT.

conclusionThese data highlight the potential efficacy of ICIs to shrink the VTT even if they seem to have little impact on the extent of VTT.

Indexed as

Carcinoma, Renal CellImmune Checkpoint InhibitorsKidney NeoplasmsAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedRetrospective StudiesThrombosisTreatment OutcomeImmune Checkpoint InhibitorsImmunotherapyRenal cell carcinomaTyrosine kinase inhibitorVenous tumour thrombus

Identifiers

PMID39792158
PMCPMC11723841

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Registered trials

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.