Evidence map›Paper›PMID 40182649›Full record

ArticleExploration of targeted anti-tumor therapy2025

Real-world outcomes of lenvatinib plus pembrolizumab in intermediate- and poor-risk metastatic renal cell carcinoma.

Ilya Tsimafeyeu, Alexander Sultanbaev, Daria Dubovichenko, Makhabbat Murzalina, Alexander Volkov, Rashida Orlova, Igor Utyashev, Georgy Malina, Mark Gluzman

Abstract read
In one paragraph

Article in Exploration of targeted anti-tumor therapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

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

2 citing papers in PubMed.

  1. Observational
  2. Review
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

9 authors.

Ilya TsimafeyeuBureau for Cancer Research (BUCARE) - Moscow office, 109147 Moscow, Russian Federation.ORCID https://orcid.org/0000-0002-7357-0392
Alexander SultanbaevRepublican Clinical Oncology Dispensary, 450054 Ufa, Russian Federation.ORCID https://orcid.org/0000-0003-0996-5995
Daria DubovichenkoArkhangelsk Regional Cancer Center, 163045 Arkhangelsk, Russian Federation.ORCID https://orcid.org/0000-0002-1287-0279
Makhabbat MurzalinaOrenburg Regional Cancer Center, 460021 Orenburg, Russian Federation.ORCID https://orcid.org/0000-0003-0078-7467
Alexander VolkovPET Technology, Nuclear Medical Сenter, 450075 Ufa, Russian Federation.ORCID https://orcid.org/0000-0003-0244-4951
Rashida OrlovaSaint-Petersburg State University, 199034 Saint-Petersburg, Russian Federation.ORCID https://orcid.org/0000-0003-4447-9458
Igor UtyashevHadassah Medical Moscow, 143026 Moscow, Russian Federation.ORCID https://orcid.org/0000-0003-0002-4814
Georgy MalinaMoscow Oncology Hospital No. 62, 143515 Moscow, Russian Federation.
Mark GluzmanSaint-Petersburg State University, 199034 Saint-Petersburg, Russian Federation.ORCID https://orcid.org/0000-0002-8965-8364

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The combination of lenvatinib and pembrolizumab (Len + Pembro) demonstrated significant efficacy in the phase 3 CLEAR study for metastatic renal cell carcinoma (RCC). However, poor-risk patients represented only a small proportion of the trial population. This multicenter retrospective cohort study assessed the real-world efficacy and safety of Len + Pembro in patients with clear-cell metastatic RCC and intermediate or poor International Metastatic RCC Database Consortium risk. Outcomes included objective response rate (ORR), progression-free survival (PFS), overall survival (OS), and safety. Sixty patients were analyzed, with a median age of 56 years. Poor risk was identified in 53% of patients, and 90% had metastases to ≥ 2 organs. ORR was 48.33%, disease control rate was 86.7%, and median PFS was 19.0 months. Grade ≥ 3 adverse events occurred in 25% of patients, with 33.3% requiring lenvatinib dose reductions. Lenvatinib plus pembrolizumab demonstrated robust efficacy and a manageable safety profile in a real-world population with advanced disease and poor-risk features, consistent with outcomes reported in clinical trials.

Indexed as

IMDC intermediate and poor risklenvatinib plus pembrolizumabMetastatic renal cell carcinomareal-world evidence

Identifiers

PMID40182649
PMCPMC11964907

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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.