Evidence map›Paper›PMID 39838507›Full record

Observational studyCancer medicine2025

Final Analysis of Post-Marketing Surveillance for Avelumab + Axitinib in Patients With Renal Cell Carcinoma in Japan.

Norio Nonomura, Taito Ito, Masashi Sato, Makiko Morita, Mie Ogi, Masahiro Kajita, Mototsugu Oya

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Cancer medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  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

7 authors.

Norio NonomuraDepartment of Urology, Osaka University Graduate School of Medicine, Osaka, Japan.ORCID https://orcid.org/0000-0002-6522-6233
Taito ItoMedical Department, Merck Biopharma Co., Ltd., Tokyo, Japan, an Affiliate of Merck KGaA, Darmstadt, Germany.
Masashi SatoResearch and Development, Merck Biopharma Co., Ltd., Tokyo, Japan, an Affiliate of Merck KGaA, Darmstadt, Germany.
Makiko MoritaGlobal Patient Safety Japan, Merck Biopharma Co., Ltd., Tokyo, Japan, an Affiliate of Merck KGaA, Darmstadt, Germany.
Mie OgiGlobal Development Operations, Merck Biopharma Co., Ltd., Tokyo, Japan, an Affiliate of Merck KGaA, Darmstadt, Germany.
Masahiro KajitaMedical Department, Merck Biopharma Co., Ltd., Tokyo, Japan, an Affiliate of Merck KGaA, Darmstadt, Germany.
Mototsugu OyaDepartment of Urology, Keio University School of Medicine, Tokyo, Japan.ORCID https://orcid.org/0000-0002-2048-4263

Funding

This work was sponsored by Merck Biopharma Co., Ltd., Tokyo, Japan, an affiliate of Merck KGaA, Darmstadt, Germany and was previously conducted under an alliance between the healthcare business of Merck KGaA, Darmstadt, Germany, and Pfizer
6 · The paper itself

Abstract

introductionAvelumab, an anti-programmed death ligand 1 antibody, was approved in combination with axitinib for curatively unresectable or metastatic renal cell carcinoma (RCC) in Japan in December 2019. Because the pivotal JAVELIN Renal 101 study included a limited number of Japanese patients, post-marketing surveillance (PMS) was required to evaluate outcomes (safety and effectiveness) in patients with RCC who received avelumab + axitinib treatment in clinical practice in Japan. MATERIALS AND

methodsWe report data from prospective, noncomparative, multicenter, observational PMS in patients with RCC who received ≥ 1 dose of avelumab. Patients were enrolled between December 2019 (date of regulatory approval) and May 2021. The primary objective was to evaluate safety, defined as adverse drug reactions (ADRs) of safety specifications occurring during an observation period of ≤ 52 weeks for each patient. The secondary objective was to evaluate effectiveness, including best overall response and overall survival (OS).

resultsIn total, 328 patients were included in the safety and effectiveness analysis sets. Overall, 173 patients (52.7%) had ADRs of safety specifications of any grade, most commonly thyroid dysfunction (n = 69 [21.0%]), infusion reaction (n = 65 [19.8%]), and hepatic disorders (n = 45 [13.7%]). Objective responses occurred in 118 patients (36.0%), including complete or partial responses in 13 (4.0%) and 105 (32.0%), respectively; the disease control rate was 75.6%. The 12-month OS rate was 83.7% (95% CI, 78.9%-87.4%). DISCUSSION: This PMS confirmed the safety, tolerability, and effectiveness of avelumab + axitinib in patients with RCC in clinical practice in Japan, with a benefit-risk profile comparable to that observed in clinical trials.

Indexed as

Antibodies, Monoclonal, HumanizedAntineoplastic Combined Chemotherapy ProtocolsAxitinibCarcinoma, Renal CellKidney NeoplasmsProduct Surveillance, PostmarketingAdultAgedAged, 80 and overFemaleHumansJapanMaleMiddle AgedProspective StudiesTreatment OutcomeAntibodies, Monoclonal, HumanizedavelumabAxitinibavelumabeffectivenesspost‐marketing surveillancerenal cell carcinomasafety

Identifiers

PMID39838507
PMCPMC11750683

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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.