Evidence map›Paper›PMID 41660501›Full record

ArticleIJU case reports2026

Anti-Melanoma Differentiation-Associated Gene 5 Antibody-Positive Interstitial Lung Disease, Induced by Enfortumab Vedotin Plus Pembrolizumab for Advanced Urothelial Carcinoma.

Akira Saito, Hiroki Ishihara, Hanae Kondo, Toshio Takagi, Yasunobu Hashimoto

Abstract read
In one paragraph

Article in IJU case reports, 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

5 authors.

Akira SaitoDepartment of Urology Saiseikai Kawaguchi General Hospital Saitama Japan.
Hiroki IshiharaDepartment of Urology Saiseikai Kawaguchi General Hospital Saitama Japan.
Hanae KondoDepartment of Urology Tokyo Women's Medical University Tokyo Japan.
Toshio TakagiDepartment of Urology Tokyo Women's Medical University Tokyo Japan.ORCID https://orcid.org/0000-0003-1775-0943
Yasunobu HashimotoDepartment of Urology Saiseikai Kawaguchi General Hospital Saitama Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Anti-melanoma differentiation-associated gene 5 antibody-positive interstitial lung disease is a rare but fatal adverse event following immune checkpoint inhibitor treatment for cancers. However, such cases have not been previously reported in patients with urothelial carcinoma. Case Presentation: A 79-year-old Japanese woman with advanced unresectable bladder cancer was treated with first-line enfortumab vedotin plus pembrolizumab. During the second treatment cycle, interstitial lung disease developed, and the patient immediately received steroid pulse therapy. As interstitial lung disease rapidly progressed after the initiation of steroid pulse therapy, immunosuppressive treatment with cyclophosphamide and tacrolimus was added. However, interstitial lung disease did not improve, and the patient died on day 54 after initiating treatment. Detailed antibody examination revealed positive anti-melanoma differentiation-associated gene 5 antibodies. Conclusion: We report the first case of anti-melanoma differentiation-associated gene 5 antibody-positive interstitial lung disease induced by enfortumab vedotin plus pembrolizumab in a patient with advanced urothelial carcinoma.

Indexed as

anti‐melanoma differentiation‐associated gene 5 antibodiesbladder cancerdermatomyositisenfortumab vedotin plus pembrolizumabimmune‐related adverse events

Identifiers

PMID41660501
PMCPMC12875688

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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.