Evidence map›Paper›PMID 42582942›Full record

ArticleTranslational andrology and urology2026

Clinical benefits, tolerability, and risk factors of adjuvant nivolumab for muscle-invasive bladder cancer.

Hiromitsu Watanabe, Gaku Ishikawa, Shinya Watanabe, Shunsuke Watanabe, Kyohei Watanabe, Yuto Matsushita, Keita Tamura, Daisuke Motoyama, Teruo Inamoto

Abstract read
In one paragraph

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

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0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

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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

9 authors.

Hiromitsu WatanabeDepartment of Urology, Hamamatsu University School of Medicine, Hamamatsu, Japan.ORCID https://orcid.org/0000-0001-5186-7139
Gaku IshikawaDepartment of Urology, Hamamatsu University School of Medicine, Hamamatsu, Japan.
Shinya WatanabeDepartment of Urology, Hamamatsu University School of Medicine, Hamamatsu, Japan.
Shunsuke WatanabeDepartment of Urology, Hamamatsu University School of Medicine, Hamamatsu, Japan.
Kyohei WatanabeDepartment of Urology, Hamamatsu University School of Medicine, Hamamatsu, Japan.
Yuto MatsushitaDepartment of Urology, Hamamatsu University School of Medicine, Hamamatsu, Japan.
Keita TamuraDepartment of Urology, Hamamatsu University School of Medicine, Hamamatsu, Japan.
Daisuke MotoyamaDepartment of Urology, Hamamatsu University School of Medicine, Hamamatsu, Japan.
Teruo InamotoDepartment of Urology, Hamamatsu University School of Medicine, Hamamatsu, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: In recent years, perioperative-sequential therapies have arisen for muscle-invasive bladder cancer (MIBC) treatment strategies. We are able to select more variable regimens for bladder cancer patients. This study aims to compare clinical outcomes in patients with MIBC who underwent robot-assisted radical cystectomy (RARC) followed by adjuvant nivolumab versus those who did not receive it. Methods: This retrospective single-center study included 60 patients with MIBC who underwent RARC between January 2017 and September 2025. Thirty patients who received adjuvant nivolumab (Nivo group), and 30 patients who did not (no-Nivo group). Disease-free survival (DFS), cancer-specific survival (CSS), and immune-related adverse events (irAEs) were evaluated. Survival analyses were performed using Kaplan-Meier curves and Cox proportional hazards regression models. Inverse probability of treatment weighting was used to adjust for baseline characteristics. Results: Median DFS was significantly longer in the Nivo compared with no-Nivo group [26.0 Conclusions: Adjuvant nivolumab significantly improved DFS in patients with high-risk MIBC in real-world practice; however, patients with pN+ remained at high risk for recurrence despite nivolumab, suggesting the need for more intensive therapeutic strategies in this subgroup.

Indexed as

adjuvant nivolumabMuscle-invasive bladder cancer (MIBC)real-world evidencerobot-assisted radical cystectomy (RARC)

Identifiers

PMID42582942
PMCPMC13458602

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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.