Evidence map›Paper›PMID 40681533›Full record

ArticleScientific reports2025

Efficacy of modified enfortumab vedotin ineligible criteria (mEVITA) in advanced urothelial carcinoma.

Takafumi Fukushima, Kazuyuki Numakura, Masanao Shinohara, Yohei Kawashima, Yuya Sekine, Kanami Mori, Mizuki Kobayashi, Himawari Asanuma, Takaki Ichiyama, Hisashi Sakurai and 9 more

Abstract read
In one paragraph

Article in Scientific 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

19 authors.

Takafumi FukushimaDepartment of Urology, Hirosaki University Graduate School of Medicine, 5 Zaifu-cho, Hirosaki, 4079, 036-8562, Japan.
Kazuyuki NumakuraDepartment of Urology, Akita University Graduate School of Medicine, Akita, Japan.
Masanao ShinoharaDepartment of Urology, Ageo Central General Hospital, Ageo, Japan.
Yohei KawashimaDepartment of Urology, Ageo Central General Hospital, Ageo, Japan.
Yuya SekineDepartment of Urology, Akita University Graduate School of Medicine, Akita, Japan.
Kanami MoriDepartment of Urology, Akita University Graduate School of Medicine, Akita, Japan.
Mizuki KobayashiDepartment of Urology, Akita University Graduate School of Medicine, Akita, Japan.
Himawari AsanumaDepartment of Urology, Hirosaki University Graduate School of Medicine, 5 Zaifu-cho, Hirosaki, 4079, 036-8562, Japan.
Takaki IchiyamaDepartment of Urology, Hirosaki University Graduate School of Medicine, 5 Zaifu-cho, Hirosaki, 4079, 036-8562, Japan.
Hisashi SakuraiDepartment of Urology, Hirosaki University Graduate School of Medicine, 5 Zaifu-cho, Hirosaki, 4079, 036-8562, Japan.
Kai OzakiDepartment of Urology, Hirosaki University Graduate School of Medicine, 5 Zaifu-cho, Hirosaki, 4079, 036-8562, Japan.
Naoki FujitaDepartment of Urology, Hirosaki University Graduate School of Medicine, 5 Zaifu-cho, Hirosaki, 4079, 036-8562, Japan.
Teppei OkamotoDepartment of Urology, Hirosaki University Graduate School of Medicine, 5 Zaifu-cho, Hirosaki, 4079, 036-8562, Japan.
Hayato YamamotoDepartment of Urology, Hirosaki University Graduate School of Medicine, 5 Zaifu-cho, Hirosaki, 4079, 036-8562, Japan.
Takahiro YoneyamaDepartment of Urology, Tsugaru General Hospital, Goshogawara, Japan.
Satoshi SatoDepartment of Urology, Ageo Central General Hospital, Ageo, Japan.
Tomonori HabuchiDepartment of Urology, Akita University Graduate School of Medicine, Akita, Japan.
Chikara OhyamaDepartment of Advanced Transplant and Regenerative Medicine, Hirosaki University Graduate School of Medicine, Hirosaki, Japan.
Shingo HatakeyamaDepartment of Urology, Hirosaki University Graduate School of Medicine, 5 Zaifu-cho, Hirosaki, 4079, 036-8562, Japan. shingoh@hirosaki-u.ac.jp.ORCID http://orcid.org/0000-0002-0026-4079

Funding

Japan Society for the Promotion of Science 20K09517
6 · The paper itself

Abstract

Enfortumab Vedotin Ineligible criTeriA (EVITA) were proposed for the selection of patients to receive enfortumab vedotin (EV) and pembrolizumab treatment. However, the usefulness of these criteria has not been fully verified. We retrospectively analyzed data from 301 patients with unresectable or metastatic urothelial carcinoma who underwent first-line chemotherapy and 135 patients with EV monotherapy in real-world practice. We evaluated the numbers of patients fulfilling the modified EVITA (mEVITA; excluding ocular abnormalities) and the relationship of the mEVITA to the safety and efficacy in patients with EV monotherapy. Of the 301 patients who received first-line chemotherapy, 4.3% (n = 13) met the mEVITA criteria. The primary factor contributing to mEVITA ≥ 2 was renal dysfunction. Of the 135 patients who underwent subsequent EV therapy, the number of the mEVITA had no influence on the frequency of all-grade and grade ≥ 3 adverse events. However, the mEVITA ≥ 2 was significantly associated with temporary EV interruption. Oncological outcomes were not associated with the number of the mEVITA. In conclusion, 4.3% and 14.8% of patients met the mEVITA criteria at the time of first-line and subsequent EV therapy, respectively. Having mEVITA ≥ 2 may be associated with temporary interruption of EV therapy.

Indexed as

Antibodies, MonoclonalAntibodies, Monoclonal, HumanizedCarcinoma, Transitional CellUrinary Bladder NeoplasmsUrologic NeoplasmsAgedAged, 80 and overFemaleHumansMaleMiddle AgedPatient SelectionRetrospective StudiesTreatment OutcomeAntibodies, MonoclonalAntibodies, Monoclonal, Humanizedenfortumab vedotinpembrolizumabEfficacyEnfortumab VedotinEVITASafetyUrothelial carcinoma

Identifiers

PMID40681533
PMCPMC12274629

What OpenQuestion holds

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LicenceCC BY-NC-ND
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.