Evidence map›Paper›PMID 42254992›Full record

ArticleIJU case reports2026

Pathological Complete Response to Nivolumab Plus Ipilimumab Combination Therapy in Advanced Renal Cell Carcinoma With Inferior Vena Cava Tumor Thrombus.

Takuto Tsuchiya, Go Kimura, Hayato Takeda, Jun Akatsuka, Hiroya Hasegawa, Yuka Toyama, Takashi Sakatani, Akira Shimizu, Ryuji Ohashi, Yukihiro Kondo

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. Not yet cited in PubMed.

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

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

10 authors.

Takuto TsuchiyaDepartment of Urology Nippon Medical School Tokyo Japan.ORCID https://orcid.org/0009-0002-0368-6362
Go KimuraDepartment of Urology Nippon Medical School Tokyo Japan.ORCID https://orcid.org/0000-0003-0088-9324
Hayato TakedaDepartment of Urology Nippon Medical School Tokyo Japan.
Jun AkatsukaDepartment of Urology Nippon Medical School Tokyo Japan.ORCID https://orcid.org/0000-0002-2671-7064
Hiroya HasegawaDepartment of Urology Nippon Medical School Tokyo Japan.
Yuka ToyamaDepartment of Urology Nippon Medical School Tokyo Japan.
Takashi SakataniDepartment of Diagnostic Pathology Nippon Medical School Hospital Tokyo Japan.
Akira ShimizuDepartment of Analytic Human Pathology Nippon Medical School Tokyo Japan.ORCID https://orcid.org/0000-0002-4364-9251
Ryuji OhashiDepartment of Integrated Diagnostic Pathology Nippon Medical School Tokyo Japan.ORCID https://orcid.org/0000-0001-7053-038X
Yukihiro KondoDepartment of Urology Nippon Medical School Tokyo Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Nivolumab plus ipilimumab is a standard first-line regimen for advanced renal cell carcinoma; however, primary tumors often respond less favorably to this combination than to immune checkpoint inhibitor-tyrosine kinase inhibitor regimens, and pathological complete response is rare. Case Presentation: A 78-year-old man presented with abdominal pain. Computed tomography revealed a 91-mm right renal mass with a Neves level 3 inferior vena cava tumor thrombus. Needle biopsy confirmed clear cell renal cell carcinoma with diffuse programmed death-ligand 1 expression, and both the tumor proportion and combined positive scores were approximately 100%. Nivolumab plus ipilimumab was administered. After 21 months, the primary tumor decreased in size by 68.1% and tumor thrombus regressed from level 3 to 1. Histopathological examination following radical nephrectomy with tumor thrombectomy demonstrated a pathological complete response. Conclusion: Diffuse programmed death-ligand 1 expression on pretreatment biopsy may have been associated with a favorable response to nivolumab plus ipilimumab.

Indexed as

inferior vena cava tumor thrombusnivolumab plus ipilimumabpathological complete responseprogrammed death‐ligand 1 expressionrenal cell carcinoma

Identifiers

PMID42254992
PMCPMC13239876

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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.