Evidence map›Paper›PMID 41030367›Full record

ArticleResearch and reports in urology2025

Clinical Outcomes of Avelumab Maintenance Following Full-Dose, Reduced-Dose Cisplatin, or Carboplatin-Based Chemotherapy in Advanced Urothelial Carcinoma.

Nobuki Furubayashi, Jiro Tsujita, Azusa Takayama, Shin Nakashima, Motonobu Nakamura, Takahito Negishi

Abstract read
In one paragraph

Article in Research and reports in urology, 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

6 authors.

Nobuki FurubayashiDepartment of Urology, NHO Kyushu Cancer Center, Fukuoka, Japan.ORCID 0000-0001-9159-493X
Jiro TsujitaDepartment of Urology, NHO Kyushu Cancer Center, Fukuoka, Japan.
Azusa TakayamaDepartment of Urology, NHO Kyushu Cancer Center, Fukuoka, Japan.
Shin NakashimaDepartment of Urology, NHO Kyushu Cancer Center, Fukuoka, Japan.
Motonobu NakamuraDepartment of Urology, NHO Kyushu Cancer Center, Fukuoka, Japan.
Takahito NegishiDepartment of Urology, NHO Kyushu Cancer Center, Fukuoka, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Avelumab maintenance therapy is a standard of care for patients with advanced urothelial carcinoma (UC) who achieve disease control following platinum-based chemotherapy. However, the influence of induction chemotherapy intensity on avelumab outcomes remains unclear. Materials and Methods: This retrospective study included 26 patients with advanced UC who received avelumab maintenance after first-line platinum-based chemotherapy between March 2021 and June 2025. Patients were grouped by induction regimen: full-dose gemcitabine/cisplatin (GC), reduced-dose GC, or gemcitabine/carboplatin (GCarbo). Survival outcomes from the start of avelumab treatment and from chemotherapy initiation were analyzed using the Kaplan-Meier method and compared using the Log rank test. Results: The median patient age was 72 years, with a significant difference among groups ( Conclusion: Avelumab maintenance showed comparable efficacy across the full-dose GC, reduced-dose GC, and GCarbo groups, highlighting the potential feasibility of personalized induction chemotherapy strategies. These findings may provide reassurance in clinical situations where full-dose cisplatin is not feasible due to patient frailty or renal dysfunction.

Indexed as

avelumab maintenancecisplatin eligibilityplatinum-based chemotherapyurothelial carcinoma

Identifiers

PMID41030367
PMCPMC12478201

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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.