Evidence map›Paper›PMID 41841331›Full record

Observational studyInternational journal of urology : official journal of the Japanese Urological Association2026

A Minimum 3-Year Follow-Up of Nivolumab-Plus-Ipilimumab in Japanese Patients With Advanced or Metastatic Renal Cell Carcinoma: A Final Analysis of the J-ENCORE Study.

Shuzo Hamamoto, Masahiro Nozawa, Suguru Shirotake, Tomokazu Sazuka, Kazuyuki Numakura, Atsushi Mizokami, Tsunenori Kondo, Sei Naito, Takashige Abe, Kojiro Ohba and 5 more

Registry-linked trialAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in International journal of urology : official journal of the Japanese Urological Association, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04043975 (Japanese Prospective Real World Registry of Nivolumab Plus Ipilimumab in Subjects With Previously Untreated, Advanced or Metastatic Renal Cell Carcinoma), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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.

NCT04043975 completednot on this map

Japanese Prospective Real World Registry of Nivolumab Plus Ipilimumab in Subjects With Previously Untreated, Advanced or Metastatic Renal Cell Carcinoma (ARCC) Categorized Into IMDC Intermediate/Poor Risks (J-ENCORE)

TypeobservationalSponsorBristol-Myers SquibbRan2019 to 2024Enrolled286ConditionsAdvanced or Metastatic Renal Cell Carcinoma
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. 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

15 authors.

Shuzo HamamotoDepartment of Nephro-Urology, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan.ORCID https://orcid.org/0000-0002-9968-7468
Masahiro NozawaDepartment of Urology, Kindai University Faculty of Medicine, Sakai, Japan.
Suguru ShirotakeDepartment of Uro-Oncology, Saitama Medical University International Medical Center, Hidaka, Japan.
Tomokazu SazukaDepartment of Urology, Graduate School of Medicine, Chiba University, Chiba, Japan.ORCID https://orcid.org/0000-0002-8902-7853
Kazuyuki NumakuraDepartment of Urology, Akita University Graduate School of Medicine, Akita, Japan.
Atsushi MizokamiDepartment of Integrative Cancer Therapy and Urology, Graduate School of Medical Science, Kanazawa University, Kanazawa, Japan.ORCID https://orcid.org/0000-0002-5643-2182
Tsunenori KondoDepartment of Urology, Tokyo Women's Medical University Adachi Medical Center, Tokyo, Japan.
Sei NaitoDepartment of Urology, Yamagata University Faculty of Medicine, Yamagata, Japan.ORCID https://orcid.org/0000-0002-6104-4344
Takashige AbeDepartment of Renal and Genitourinary Surgery, Hokkaido University Graduate School of Medicine, Sapporo, Japan.ORCID https://orcid.org/0000-0002-5468-7632
Kojiro OhbaDepartment of Urology, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.ORCID https://orcid.org/0000-0003-2841-1998
Go KimuraDepartment of Urology, Nippon Medical School Hospital, Tokyo, Japan.
Masayoshi NagataDepartment of Urology, Juntendo University Hospital, Tokyo, Japan.
Shunta OnoderaOno Pharmaceutical Co., Ltd., Osaka, Japan.
Katsumi YamaguchiBristol Myers Squibb, Tokyo, Japan.
Hirotsugu UemuraDepartment of Innovative Medicine, Kindai University Faculty of Medicine, Sakai, Japan.ORCID https://orcid.org/0000-0002-3665-9523

Funding

Bristol Myers SquibbOno PharmaceuticalOno Pharmaceutical Co. Ltd.
6 · The paper itself

Abstract

objectivesThe J-ENCORE study is a Japanese multicenter, prospective observational study involving patients with advanced or metastatic renal cell carcinoma treated with nivolumab-plus-ipilimumab combination as first-line treatment. Interim 1- and 2-year reports demonstrated efficacy and safety comparable to those of the CheckMate 214 trial, with sustained effects after nivolumab-plus-ipilimumab discontinuation, and explored outcome-associated factors. This final analysis of a minimum 3-year observation summarized long-term outcomes, including real-world second progression-free survival and overall survival, and explored outcome-associated factors.

methodsReal-world objective response rate, response duration, real-world progression-free survival, overall survival, treatment-related adverse events, and real-world second progression-free survival were evaluated. Outcome-associated factors were explored.

resultsThe study included 274 patients (68.2% aged ≥ 65 years; 42.0%, poor risk) from 37 sites, with a median follow-up of 47.4 (range, 36.5-59.0) months. Real-world objective response rate was 38.4%, with 30.5% maintaining ≥ 36 months response duration. Median real-world progression-free survival and second progression-free survival were 9.7 and 30.1 months, respectively, and 60.2% of patients survived for ≥ 36 months. Treatment-related adverse events of any grade, grade 3/4, and grade 5 occurred in 78.5%, 43.1%, and 1.1% of patients, respectively. No new treatment-related adverse events or increased frequencies were reported since the previous interim analyses. Multivariable analyses identified associations between overall survival and age, lactate dehydrogenase levels, and C-reactive protein levels, with favorable prognosis in patients with none or one of these factors.

conclusionsWe demonstrated long-term real-world outcomes of nivolumab-plus-ipilimumab. Our findings support prescriptions of nivolumab-plus-ipilimumab in real-world clinical practice. TRAIL REGISTRATION: UMIN Clinical Trials Registry: UMIN000036772 and ClinicalTrials.gov: NCT04043975.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsCarcinoma, Renal CellIpilimumabKidney NeoplasmsNivolumabAdultAgedAged, 80 and overEast Asian PeopleFemaleFollow-Up StudiesHumansJapanMaleMiddle AgedProgression-Free SurvivalIpilimumabNivolumabipilimumabJapannivolumabprospective studyrenal cell carcinoma

Identifiers

PMID41841331
PMCPMC12993795

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.