Evidence map›Paper›PMID 41082704›Full record

ArticleJCO oncology practice2026

Postimmunotherapy and Vascular Endothelial Growth Factor Inhibitor Landscape in Advanced Renal Cell Carcinoma: Treatment Patterns, Costs, and Outcomes.

Neil J Shah, Reshma Shinde, Rituparna Bhattacharya, Traci LeMasters, Ning Ning, Jordana Schmier, Malinda Tan, Donna Vickery, Rodolfo Perini, Robert J Motzer

Abstract read
In one paragraph

Article in JCO oncology practice, 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

10 authors.

Neil J ShahMemorial Sloan Kettering Cancer Center, New York, NY.ORCID 0000-0001-5752-6212
Reshma ShindeMerck & Co, Inc, Rahway, NJ.
Rituparna BhattacharyaMerck & Co, Inc, Rahway, NJ.
Traci LeMastersOPEN Health, New York, NY.ORCID 0000-0002-6998-2650
Ning NingOPEN Health, New York, NY.
Jordana SchmierOPEN Health, New York, NY.ORCID 0000-0002-4662-8800
Malinda TanOPEN Health, New York, NY.
Donna VickeryMerck & Co, Inc, Rahway, NJ.
Rodolfo PeriniMerck & Co, Inc, Rahway, NJ.
Robert J MotzerMemorial Sloan Kettering Cancer Center, New York, NY.ORCID 0000-0001-6925-2327

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeWith more patients with metastatic renal cell carcinoma (mRCC) receiving immuno-oncology (IO) and vascular endothelial growth factor (VEGF)-targeted therapies, understanding treatment patterns and outcomes following these therapies is essential. To describe patient characteristics, treatment patterns, and health care resource use (HCRU) among patients with mRCC with previous receipt of IO- and VEGF-based therapies. PATIENTS AND

methodsThis retrospective cohort study identified adults in Optum's Clinformatics Data Mart Database who were diagnosed with mRCC from August 2015 through July 2022 and received subsequent therapies after IO- and VEGF-based therapies. Patients were classified by the first line of treatment that they received after exposure to IO- and VEGF-based therapies. Outcomes included treatment patterns (time on treatment [ToT], time to next treatment [TTNT]), HCRU, and costs.

resultsWe identified 664 patients with mRCC with previous receipt of IO- and VEGF-based therapies (2L cohort: 186 patients, 3L cohort: 429 patients, 4L cohort: 49 patients). Cohorts were similar in terms of age (median 66-69 years), gender (72.0%-75.5% male), and race (63.3%-68.8% White). The median ToT was 4.4, 5.0, and 5.6 months and the median TTNT was 10.7, 11.7, and 9.5 months for 2L, 3L, and 4L cohorts, respectively. The HCRU increased by progressive lines of therapy (LOT), including inpatient hospital admissions (22.0%, 27.7%, and 32.7%) and emergency visits (26.9%, 30.3%, and 32.7%). The total cost across cohorts was $23,605 per patient per month.

conclusionsOur study provides a comprehensive evaluation of clinical and economic impacts of therapies administered to patients with mRCC after IO- and VEGF-based therapies. It highlights a need for novel, cost-effective treatments and studies examining patient out-of-pocket costs.

Indexed as

Carcinoma, Renal CellImmunotherapyKidney NeoplasmsVascular Endothelial Growth Factor AAgedFemaleHumansMaleMiddle AgedRetrospective StudiesTreatment OutcomeVascular Endothelial Growth Factor A

Identifiers

PMID41082704
PMCPMC13592832

What OpenQuestion holds

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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.