Evidence map›Paper›PMID 40914783›Full record

Observational studyInternational journal of clinical oncology2025

Prognostic factors of lenvatinib plus pembrolizumab therapy for advanced or recurrent endometrial cancer: analysis of a multicenter cohort study in Japan.

Yoshikazu Nagase, Satoshi Nakagawa, Mariya Kobayashi, Hiroki Kurahashi, Hiromi Ogimoto, Ayaka Tanaka, Tomoko Tsujie, Mayu Shiomi, Akiko Otake, Kanji Masuhara and 19 more

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in International journal of clinical oncology, 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. Article
  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

29 authors.

Yoshikazu NagaseDepartment of Obstetrics and Gynecology, Kaizuka City Hospital, Osaka, Japan.
Satoshi NakagawaDepartment of Obstetrics and Gynecology, The University of Osaka Graduate School of Medicine, 2-2 Yamadaoka, Suita, Osaka, 565-0871, Japan.
Mariya KobayashiDepartment of Obstetrics and Gynecology, The University of Osaka Graduate School of Medicine, 2-2 Yamadaoka, Suita, Osaka, 565-0871, Japan.
Hiroki KurahashiDepartment of Obstetrics and Gynecology, The University of Osaka Graduate School of Medicine, 2-2 Yamadaoka, Suita, Osaka, 565-0871, Japan.
Hiromi OgimotoDepartment of Obstetrics and Gynecology, Itami City Hospital, Hyogo, Japan.
Ayaka TanakaDepartment of Obstetrics and Gynecology, Nippon Life Hospital, Osaka, Japan.
Tomoko TsujieDepartment of Obstetrics and Gynecology, Toyonaka Municipal Hospital, Osaka, Japan.
Mayu ShiomiDepartment of Obstetrics and Gynecology, Osaka Keisatsu Hospital, Osaka, Japan.
Akiko OtakeDepartment of Obstetrics and Gynecology, Minoh City Hospital, Osaka, Japan.
Kanji MasuharaDepartment of Obstetrics and Gynecology, Hyogo Prefectural Nishinomiya Hospital, Hyogo, Japan.
Kenichi YoshikawaDepartment of Obstetrics and Gynecology, Faculty of Medicine, Fukuoka University, Fukuoka, Japan.
Fusanori YotsumotoDepartment of Obstetrics and Gynecology, Faculty of Medicine, Fukuoka University, Fukuoka, Japan.
Tomoko KuritaDepartment of Obstetrics and Gynecology, School of Medicine, University of Occupational and Environmental Health, Fukuoka, Japan.
Kiyoshi YoshinoDepartment of Obstetrics and Gynecology, School of Medicine, University of Occupational and Environmental Health, Fukuoka, Japan.
Emi YoshiokaDepartment of Obstetrics and Gynecology, Kansai Rosai Hospital, Hyogo, Japan.
Tomomi Egawa-TakataDepartment of Obstetrics and Gynecology, Kansai Rosai Hospital, Hyogo, Japan.
Wataru KudakaDepartment of Obstetrics and Gynecology, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan.
Masayuki SekineDepartment of Obstetrics and Gynecology, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan.
Hikari UnnoDepartment of Obstetrics and Gynecology, Osaka General Medical Center, Osaka, Japan.
Masahiko TakemuraDepartment of Obstetrics and Gynecology, Osaka General Medical Center, Osaka, Japan.
Saki AsoDepartment of Obstetrics and Gynecology, Faculty of Medicine, Oita University, Oita, Japan.
Kentaro KaiDepartment of Obstetrics and Gynecology, Faculty of Medicine, Oita University, Oita, Japan.
Eiji KobayashiDepartment of Obstetrics and Gynecology, Faculty of Medicine, Oita University, Oita, Japan.
Takeshi YokoiDepartment of Obstetrics and Gynecology, Kaizuka City Hospital, Osaka, Japan.
Masashi AkadaDepartment of Gynecology, Osaka International Cancer Institute, Osaka, Japan.
Reisa KakubariDepartment of Gynecology, Osaka International Cancer Institute, Osaka, Japan.
Tsuyoshi HisaDepartment of Gynecology, Osaka International Cancer Institute, Osaka, Japan.
Shinya MatsuzakiDepartment of Obstetrics and Gynecology, The University of Osaka Graduate School of Medicine, 2-2 Yamadaoka, Suita, Osaka, 565-0871, Japan.
Yutaka UedaDepartment of Obstetrics and Gynecology, The University of Osaka Graduate School of Medicine, 2-2 Yamadaoka, Suita, Osaka, 565-0871, Japan. y.ueda@gyne.med.osaka-u.ac.jp.ORCID http://orcid.org/0000-0001-8760-6379

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLenvatinib plus pembrolizumab (LP) therapy has emerged as an effective treatment for patients with advanced or recurrent endometrial cancer. However, limited data are available regarding its outcomes in real-world settings. This study aimed to identify prognostic factors associated with the efficacy of LP therapy.

methodsThis multicenter observational study was conducted across 15 institutions in Japan and examined patients with endometrial cancer, including uterine carcinosarcoma, who experienced disease progression after receiving at least one platinum-based chemotherapy, including adjuvant treatment, and subsequently received LP therapy. The prognostic factors for progression-free survival were assessed using a multivariate Cox proportional hazards model.

resultsA total of 105 patients met the inclusion criteria. Improved progression-free survival was independently associated with performance status of 0 (adjusted hazard ratio [aHR] 0.42, 95% confidence interval [CI] 0.23-0.75), platinum-free interval (PFI) of ≥ 6 months (aHR 0.46, 95% CI 0.28-0.78), histology of grade 1-2 endometrioid carcinoma (aHR 0.52, 95% CI 0.30-0.91), and relative dose intensity during the initial 8 weeks (8w-RDI) of lenvatinib of ≥ 50% (aHR 0.53, 95% CI 0.31-0.91). Patients with PFI of ≥ 6 months also demonstrated improved overall survival (HR 0.44, 95% CI 0.25-0.76) and objective response rate (44.0% versus 20.0%, P = 0.011) compared with those with PFI of < 6 months. Additionally, 8w-RDI of lenvatinib ≥ 50% was associated with improved overall survival (HR 0.53, 95% CI 0.30-0.92) compared to those with < 50%.

conclusionsThis study identified several novel prognostic factors for LP therapy. Among them, PFI may inform treatment selection for recurrent endometrial cancer following chemotherapy. CLINICAL

trial registrationUniversity Hospital Medical Information Network Clinical Trials Registry (UMIN-CTR) 000049997.

Indexed as

Antibodies, Monoclonal, HumanizedAntineoplastic Combined Chemotherapy ProtocolsEndometrial NeoplasmsNeoplasm Recurrence, LocalPhenylurea CompoundsQuinolinesAdultAgedAged, 80 and overCohort StudiesFemaleHumansJapanMiddle AgedPrognosisProgression-Free SurvivalAntibodies, Monoclonal, HumanizedlenvatinibpembrolizumabPhenylurea CompoundsQuinolinesEndometrial cancerLenvatinibPembrolizumabPlatinum-free intervalPrognostic factors

Identifiers

PMID40914783
PMCPMC12568866

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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.