How Immunotherapy Has Redefined the Treatment Paradigm of Metastatic or Locally Advanced Muscle-Invasive Urothelial Bladder Carcinoma

In the past decade, the therapeutic arsenal for metastatic bladder cancer has expanded considerably, with the development of immune checkpoint inhibitors (ICIs), antibody-drug conjugates such as enfortumab vedotin, and anti-fibroblast growth factor receptor agents. Clinical trials evaluating ICIs as...

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Veröffentlicht in:Cancers 2024-05, Vol.16 (9), p.1780
Hauptverfasser: Larroquette, Mathieu, Lefort, Félix, Domblides, Charlotte, Héraudet, Luc, Robert, Grégoire, Ravaud, Alain, Gross-Goupil, Marine
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container_issue 9
container_start_page 1780
container_title Cancers
container_volume 16
creator Larroquette, Mathieu
Lefort, Félix
Domblides, Charlotte
Héraudet, Luc
Robert, Grégoire
Ravaud, Alain
Gross-Goupil, Marine
description In the past decade, the therapeutic arsenal for metastatic bladder cancer has expanded considerably, with the development of immune checkpoint inhibitors (ICIs), antibody-drug conjugates such as enfortumab vedotin, and anti-fibroblast growth factor receptor agents. Clinical trials evaluating ICIs as neoadjuvants, adjuvants, or first- or second-line treatments have produced conflicting results. However, first-line therapeutic strategies have been redefined by the recent publication of results from two clinical trials: CheckMate-901, which demonstrated the superiority of combined treatment with nivolumab and chemotherapy in extending overall survival, and EV-302, which demonstrated that combined treatment with pembrolizumab and enfortumab vedotin reduced the risk of death by 53%. In this review, we discuss the role of ICIs, alone or in combination, in bladder cancer management in the metastatic and adjuvant settings in 2024, considering the latest published trials. The potential role of ICIs as neoadjuvants is also discussed.
doi_str_mv 10.3390/cancers16091780
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source MDPI - Multidisciplinary Digital Publishing Institute; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; PubMed Central Open Access
subjects Adjuvants
Biochemistry, Molecular Biology
Biological products
Bladder
Bladder cancer
Cancer
Carcinoma
Care and treatment
Chemotherapy
Cisplatin
Clinical trials
Disease management
FDA approval
Immune checkpoint inhibitors
Immunotherapy
Life Sciences
Ligands
Metastases
Metastasis
Molecular biology
Monoclonal antibodies
Patients
Pembrolizumab
Prognosis
Response rates
Survival
Tumors
Urothelial carcinoma
title How Immunotherapy Has Redefined the Treatment Paradigm of Metastatic or Locally Advanced Muscle-Invasive Urothelial Bladder Carcinoma
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