Evidence map›Paper›PMID 40629216›Full record

Observational studyClinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico2026

Real-world data on avelumab in first-line maintenance therapy for advanced or metastatic urothelial carcinoma: the SOGUG-AVELUMAB RWD study.

Ovidio Fernández, Aurea Molina, Urbano Anido-Herranz, Carlos Alvarez, Regina Gironés, Pablo Gajate, Rocío García Domínguez, Silverio Ros, Javier Puente, Sara Blasco and 12 more

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico, 2026. 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

22 authors.

Ovidio FernándezOncology Service, Complejo Hospitalario Universitario Ourense (CHOU), Ourense, Spain. ovidiofernandezcalvo@yahoo.es.ORCID http://orcid.org/0000-0001-5283-9754
Aurea MolinaOncology Service, Complejo Hospitalario Universitario A Coruña (CHUAC), A Coruña, Spain.
Urbano Anido-HerranzOncology Service, Complejo Hospitalario Universitario de Santiago (CHUS), Santiago, Spain.
Carlos AlvarezOncology Service, Hospital Universitario Central de Asturias (HUCA), Oviedo, Spain.
Regina GironésOncology Service, Hospital Universitario y Politécnico La Fe, Valencia, Spain.
Pablo GajateOncology Service, Hospital Ramón y Cajal, Madrid, Spain.
Rocío García DomínguezOncology Service, Hospital Universitario de Salamanca, Salamanca, Spain.
Silverio RosOncology Service, Hospital Virgen de la Arrixaca, Murcia, Spain.
Javier PuenteOncology Service, Hospital Clínico Universitario San Carlos, Madrid, Spain.
Sara BlascoOncology Service, Hospital de Sagunto, Valencia, Spain.
Martín Oré-ArceOncology Service, Hospital Marina Baixa, Alicante, Spain.
Esther Noguerón MartinezOncology Service, Complejo Hospitalario Universitario de Albacete (CHUA), Albacete, Spain.
Ana Fernández-FreireOncology Service, Hospital Universitario Torrecárdenas, Almería, Spain.
Nieves Del PozoOncology Service, Hospital Universitario del Vinalopó, Elche, Spain.
Javier CassinelloOncology Service, Hospital Universitario de Guadalajara, Guadalajara, Spain.
Martín Lázaro-QuintelaOncology Service, Complejo Hospitalario Universitario de Vigo, Vigo, Spain.
Fernando ArranzOncology Service, Hospital Río Carrión, Palencia, Spain.
Guillermo CrespoOncology Service, Complejo Asistencial Universitario de Burgos, Burgos, Spain.
María Teresa AbadOncology Service, Hospital Universitario de Basurto, Bilbao, Spain.
Mar LlorenteOncology Service, Hospital General Universitario de Elda, Alicante, Spain.
Alfredo Sánchez-HernándezOncology Service, Consorcio Hospitalario Provincial de Castellón, Castellón, Spain.
María José JuanOncology Service, Fundación Instituto Valenciano de Oncología (IVO), Valencia, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeMaintenance avelumab has shown improved overall survival compared to chemotherapy alone in first-line treatment of advanced urothelial carcinoma. This study evaluates real-world evidence of avelumab as first-line maintenance therapy in patients with locally advanced or metastatic urothelial carcinoma (la/mUC). METHODS/PATIENTS: This was a multicenter, observational, retrospective and prospective study conducted in 22 Spanish centers. Patients were selected based on existing medical records of those treated with avelumab as first-line maintenance therapy before initiating the study (retrospective data), and those who continued to receive avelumab until the end of treatment or end of study (prospective data). Endpoints included median progression-free survival (mPFS), median overall survival (mOS) when available, PFS rate at 12 months (PFS12) and safety profile.

resultsOf the 125 patients enrolled, 113 were evaluable. The median follow-up of avelumab treatment was 10.7 months. Disease progression was the main reason for discontinuation in 70 (61.9%) patients, with a median time to progression disease of 6.8 months. The survival probability was 21.4% for mPFS, with progression disease or death in 67.3% of patients; 44.9% for PFS12, with progression disease or death in 52.2% of patients; and 92.2% for mOS, with death in 2.6% of patients. Adverse events (AEs) were reported in 12.4% of patients; 65.0% of AEs not related to avelumab, and 35.0% were serious (SAEs).

conclusionsThe real-world results support the effectiveness and manageable safety profile of avelumab as first-line in stage IV urothelial carcinoma. Further prospective studies with longer follow-up are warranted to confirm these findings.

Indexed as

Antibodies, Monoclonal, HumanizedAntineoplastic Agents, ImmunologicalCarcinoma, Transitional CellUrinary Bladder NeoplasmsUrologic NeoplasmsAdultAgedAged, 80 and overFemaleHumansMaintenance ChemotherapyMaleMiddle AgedProgression-Free SurvivalProspective StudiesRetrospective StudiesAntibodies, Monoclonal, HumanizedAntineoplastic Agents, ImmunologicalavelumabAvelumabLocally advanced/metastatic urothelial carcinomaOverall survivalProgression-free survivalToxicity

Identifiers

PMID40629216
PMCPMC12790522

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.