Evidence map›Paper›PMID 41781908›Full record

Trial reportBMC cancer2026

Nivolumab for unresectable cutaneous epithelial malignancies: an open-label, single-arm, multi-centre, phase II trial (NMSC-PD1).

Yoshio Nakamura, Naoya Yamazaki, Kenjiro Namikawa, Hiroshi Uchi, Shoichiro Mori, Mariko Ogawa-Momohara, Taku Fujimura, Tatsuya Takenouchi, Mana Kurimoto, Yuki Yamamoto and 10 more

Abstract readClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in BMC cancer, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
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

20 authors.

Yoshio NakamuraDepartment of Dermatology, Keio University School of Medicine, Tokyo, Japan.
Naoya YamazakiDepartment of Dermatologic Oncology, National Cancer Centre Hospital, Tokyo, Japan.
Kenjiro NamikawaDepartment of Dermatologic Oncology, National Cancer Centre Hospital, Tokyo, Japan.
Hiroshi UchiDepartment of Dermato-Oncology, National Hospital Organisation Kyushu Cancer Centre, Fukuoka, Japan.
Shoichiro MoriDepartment of Dermatology, Nagoya University Graduate School of Medicine, Aichi, Japan.
Mariko Ogawa-MomoharaDepartment of Dermatology, Nagoya University Graduate School of Medicine, Aichi, Japan.
Taku FujimuraDepartment of Dermatology, Tohoku University School of Medicine, Miyagi, Japan.
Tatsuya TakenouchiDivision of Dermatology, Niigata Cancer Centre Hospital, Niigata, Japan.
Mana KurimotoDepartment of Dermatology, Wakayama Medical University, Wakayama, Japan.
Yuki YamamotoDepartment of Dermatology, Wakayama Medical University, Wakayama, Japan.
Atsushi OtsukaDepartment of Dermatology, Kyoto University School of Medicine, Kyoto, Japan.
Kenji KabashimaDepartment of Dermatology, Kyoto University School of Medicine, Kyoto, Japan.
Takayuki FusumaeDepartment of Dermatology, Keio University School of Medicine, Tokyo, Japan.
Ikuko HiraiDepartment of Dermatology, Keio University School of Medicine, Tokyo, Japan.
Keiji TaneseDepartment of Dermatology, Keio University School of Medicine, Tokyo, Japan.
Yasuko SaitoDepartment of Dermatology, Keio University School of Medicine, Tokyo, Japan.
Masayuki AmagaiDepartment of Dermatology, Keio University School of Medicine, Tokyo, Japan.
Ryo TakemuraDepartment of Preventive Medicine and Public Health, Biostatistics Unit at Clinical Translational Research Centre, Keio University School of Medicine, Tokyo, Japan.
Yasunori SatoDepartment of Preventive Medicine and Public Health, Biostatistics Unit at Clinical Translational Research Centre, Keio University School of Medicine, Tokyo, Japan.
Takeru FunakoshiDepartment of Dermatology, Keio University School of Medicine, Tokyo, Japan. takeruf@keio.jp.ORCID http://orcid.org/0000-0002-8893-4590

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundData in East Asian patients and in other epithelial skin cancers, including extramammary Paget's disease (EMPD) and adnexal carcinomas, are scarce. Therefore, we conducted a phase II trial of nivolumab in Japanese patients with advanced non-melanoma skin cancers (NMSCs). PATIENTS AND

methodsThis multicentre, open-label, single-arm phase II study enrolled adults (≥ 20 years) with histologically confirmed unresectable or recurrent epithelial cutaneous malignancies, Eastern Cooperative Oncology Group performance status 0-1, and at least one measurable lesion (RECIST v1.1). Nivolumab 480 mg was administered intravenously every 4 weeks for up to 26 cycles. The primary endpoint was overall response rate (ORR), assessed by blinded independent central review (BICR; RECIST v1.1). Secondary endpoints included progression-free survival, overall survival, and safety.

resultsThirty-one patients were enrolled (20 cSCC, 4 EMPD, 2 BCC, 5 other NMSCs); median age was 73 years (range 58-86), and 71% were male. ORR by BICR was 22.6% (7/31), and the disease control rate was 54.8% (17/31). Responses were durable, with a median duration of 21.3 months. In the cSCC cohort, median tumour mutational burden (TMB) was 9.0 mut/Mb, lower than in Western series; among three patients with TMB ≥ 30 mut/Mb, two achieved objective responses. Common adverse events included pyrexia, hypothyroidism, adrenal insufficiency, and pruritus.

conclusionsNivolumab showed durable antitumour activity with manageable toxicity in Japanese patients with advanced NMSCs, including rare non-cSCC. The lower ORR compared with Western trials may reflect intrinsic biological differences and support biomarker-driven, region-specific immunotherapy. CLINICAL

trial registrationjRCT2031190048; registered 2 July 2019.

Indexed as

Antineoplastic Agents, ImmunologicalImmune Checkpoint InhibitorsNivolumabSkin NeoplasmsAgedAged, 80 and overFemaleHumansMaleMiddle AgedNon-Melanoma Skin NeoplasmsTreatment OutcomeAntineoplastic Agents, ImmunologicalImmune Checkpoint InhibitorsNivolumabEpithelial skin malignancyNivolumabNon-melanoma skin cancerProgrammed death-1Squamous cell carcinoma

Identifiers

PMID41781908
PMCPMC13067469

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

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.