Evidence map›Paper›PMID 41546842›Full record

ArticleClinical and experimental medicine2026

NF1/2 mutations predict favorable benefit from immune checkpoint inhibitor-based therapies over VEGFR/mTOR inhibitors in clear cell renal cell carcinoma.

Yi Sun, Qiang Cheng, Qiaoxia Zhou, Yu Xu, Guoqiang Wang, Chunwei Xu, Wenxian Wang, Shangli Cai, Wenzheng Chen

Abstract read
In one paragraph

Article in Clinical and experimental medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
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0citing papers in PubMed
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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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

9 authors.

Yi Sun *Department of Pathology, The Second Xiangya Hospital, Central South University, Changsha, 410011, China.
Qiang Cheng *Department of Urology, The Third Medical Centre of Chinese PLA General Hospital, Beijing, China, 100853.
Qiaoxia Zhou *Building 6, Phase 2, Standard Industrial Unit, Burning Rock Biotech, No. 7 LuoXuan 4th Road, International Biotech Island, Guangzhou, 510300, China.
Yu XuBuilding 6, Phase 2, Standard Industrial Unit, Burning Rock Biotech, No. 7 LuoXuan 4th Road, International Biotech Island, Guangzhou, 510300, China.
Guoqiang WangBuilding 6, Phase 2, Standard Industrial Unit, Burning Rock Biotech, No. 7 LuoXuan 4th Road, International Biotech Island, Guangzhou, 510300, China.
Chunwei XuInstitute of Basic Medicine and Cancer (IBMC), Chinese Academy of Sciences, Hangzhou, China.
Wenxian WangDepartment of Clinical Trial, The Cancer Hospital of the University of Chinese Academy of Sciences (Zhejiang Cancer Hospital), Hangzhou, China.
Shangli CaiBuilding 6, Phase 2, Standard Industrial Unit, Burning Rock Biotech, No. 7 LuoXuan 4th Road, International Biotech Island, Guangzhou, 510300, China. shangli.cai@brbiotech.com.
Wenzheng ChenDepartment of Urology, The Third Medical Centre of Chinese PLA General Hospital, Beijing, China, 100853. cwz_11@sina.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Immune checkpoint inhibitors (ICIs) have revolutionized the management of advanced clear cell renal cell carcinoma (ccRCC), but the biomarkers predicting benefits from ICI-based therapies over conventional VEGFR/mTOR inhibitors remain incompletely elucidated. In this study, we analyzed clinical, mutational, and/or transcriptomic data of multiple cohorts, including five clinical trials (JAVELIN Renal 101 [n = 885], IMmotion151 [n = 715], and CheckMate-009/010/025 [n = 1006]), two prognostic cohorts (TCGA-KIRC, n = 537; ICGC, n = 475). Pharmacogenomic analysis was conducted using the cancer cell line encyclopedia (CCLE) database. Our results revealed that only NF1/2 mutations exhibited a consistent relationship with benefits from ICI-based therapies over VEGFR/mTOR inhibitors among all the common mutations in the JAVELIN Renal 101, IMmotion151, and CheckMate-009/010/025 trials (pooled estimate of interaction effect, P = 0.028). In the multivariable models, ICI benefits were higher in the NF1/2-mutant group compared with the NF1/2-wildtype group (avelumab plus axitinib vs. sunitinib: HR

Indexed as

Carcinoma, Renal CellImmune Checkpoint InhibitorsKidney NeoplasmsMTOR InhibitorsMutationBiomarkers, TumorCell Line, TumorHumansNeurofibromin 2PrognosisReceptors, Vascular Endothelial Growth FactorTOR Serine-Threonine KinasesBiomarkers, TumorImmune Checkpoint InhibitorsMTOR InhibitorsMTOR protein, humanNeurofibromin 2NF2 protein, humanReceptors, Vascular Endothelial Growth FactorTOR Serine-Threonine KinasesClear cell renal cell carcinomasImmunotherapyNF1/2 mutationsPredictive biomarker

Identifiers

PMID41546842
PMCPMC12847219

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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.