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Adjusted Comparison of First-line Enfortumab Vedotin Plus Pembrolizumab Versus Platinum-based Chemotherapy ± Avelumab Maintenance for the Treatment of Locally Advanced/Metastatic Urothelial Carcinoma

3 hours ago
  • #Urothelial Carcinoma
  • #First-line Treatment
  • #Adjusted Comparison
  • Adjusted comparison of first-line enfortumab vedotin plus pembrolizumab (EV+P) versus platinum-based chemotherapy ± avelumab maintenance for locally advanced/metastatic urothelial carcinoma (la/mUC).
  • Modeling study using EV-302 patient-level data and JAVELIN-Bladder 100 study-level data to compare progression-free survival and overall survival.
  • EV+P showed improved progression-free survival (HR 0.51, 95% CI 0.44-0.59) and overall survival (HR 0.64, 95% CI 0.49-0.86) versus PBC ± avelumab.
  • Results consistent across sensitivity analyses, reinforcing EV+P as first-line standard of care in la/mUC, despite limitations like assuming all patients received avelumab.