Evidence map›Paper›PMID 41194048›Full record

ArticleBMC urology2025

Real-world evaluation of the efficacy and safety of disitamab vedotin (RC48) in urothelial carcinoma.

Tianxiang Zhou, Haojie Liu, Yuefan Shen, Sihai Shao

Abstract read
In one paragraph

Article in BMC urology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Review
  4. 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

4 authors.

Tianxiang ZhouDepartment of Urology, The First Affiliated Hospital of Huzhou University, Huzhou, 313000, China.
Haojie LiuDepartment of Urology, The First Affiliated Hospital of Huzhou University, Huzhou, 313000, China.
Yuefan ShenDepartment of Urology, The First Affiliated Hospital of Huzhou University, Huzhou, 313000, China.
Sihai ShaoDepartment of Urology, The First Affiliated Hospital of Huzhou University, Huzhou, 313000, China. kpling21@sina.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUrothelial carcinoma (UC) is an aggressive malignancy with limited options for patients unresponsive to chemotherapy or immunotherapy. Disitamab vedotin (RC48), a HER2-targeted antibody-drug conjugate(ADC), has shown promising results in clinical trials, but real-world data are lacking.

methodsWe conducted a single-center retrospective study of patients with histologically confirmed UC who received RC48 alone or in combination with PD-1 inhibitors between August 2022 and June 2024. Key inclusion criteria were at least one measurable lesion and adequate organ function; patients with incomplete records, concurrent active malignancies, or severe organ dysfunction precluding systemic therapy were excluded.

resultsA total of 71 patients were included. The ORR was 69.0%, including 15 complete and 34 partial responses. The median PFS was 24 months, and OS data were immature at cutoff. In subgroup analyses, patients receiving RC48 + PD-1 inhibitors achieved an ORR of 70.0% versus 63.6% with RC48 monotherapy. Grade ≥ 3 treatment-related adverse events occurred in 21.1% of patients, most commonly anemia and decreased appetite; events were generally manageable with supportive care and dose modification.

conclusionsRC48 showed encouraging activity and manageable safety in a real-world UC cohort. Prospective multicenter studies with longer follow-up are needed to validate these findings, compare monotherapy versus combination strategies, and define the optimal role of RC48 across UC disease stages.

Indexed as

Carcinoma, Transitional CellImmunoconjugatesUrinary Bladder NeoplasmsUrologic NeoplasmsAgedAged, 80 and overAntibodies, MonoclonalFemaleHumansMaleMiddle AgedOligopeptidesRetrospective StudiesTreatment OutcomeAntibodies, Monoclonaldisitamab vedotinImmunoconjugatesOligopeptidesADCHER2RC48Real-world studyUrothelial carcinoma

Identifiers

PMID41194048
PMCPMC12587629

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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.