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Liver metastases in advanced urothelial carcinoma (ARON-2): do pembrolizumab and avelumab make a difference in a poor-prognosis scenario? - PubMed

a day ago
  • #immunotherapy
  • #liver metastases
  • #urothelial carcinoma
  • Liver metastases in advanced urothelial carcinoma (mUC) are a poor prognostic factor.
  • Two cohorts were analyzed: pembrolizumab post-platinum therapy (n=1,341) and avelumab maintenance (n=291).
  • Median OS was significantly lower in patients with liver metastases (9.4 vs. 20.1 months for pembrolizumab; 16.4 vs. 27.0 months for avelumab).
  • Better ECOG-PS and higher BMI (≥25 kg/m²) were associated with improved survival in both cohorts.
  • Pembrolizumab and avelumab showed improved outcomes compared to historical chemotherapy data.
  • The study highlights the need for personalized treatment strategies in high-risk subgroups.