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Enfortumab vedotin

Generic Name
Enfortumab vedotin
Brand Names
备思复

PADCEV-KEYTRUDA Combination Shows Sustained Survival Benefit in Advanced Urothelial Cancer Trial

• Phase 3 EV-302 trial demonstrates PADCEV plus KEYTRUDA reduces mortality risk by 49% compared to chemotherapy in advanced urothelial cancer patients, with median overall survival of 33.8 months versus 15.9 months. • The combination therapy showed significant progression-free survival benefit of 12.5 months compared to 6.3 months with chemotherapy, representing a 52% reduction in disease progression risk. • Extended 12-month follow-up data confirms sustained efficacy across all patient subgroups, including both cisplatin eligible and ineligible patients, with no new safety concerns identified.

Novel Therapies and Biomarkers Reshape Bladder Cancer Treatment Strategies

• Immunotherapy and antibody-drug conjugates (ADCs) are transforming urothelial carcinoma treatment, prompting investigation into bladder-sparing approaches. • Ongoing trials are evaluating combinations of ICIs or ADCs with trimodal therapy (TMT) in muscle-invasive bladder cancer (MIBC) patients. • Predictive biomarkers like ERCC2 mutations and ctDNA levels show promise in tailoring treatment and predicting outcomes in MIBC. • Combining ADCs with radiation therapy demonstrates potential in preclinical studies, warranting further clinical investigation for enhanced efficacy.
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