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Neoadjuvant sacituzumab govitecan plus pembrolizumab, followed by adjuvant pembrolizumab, in patients with muscle-invasive bladder cancer (SURE-02): a single-arm, phase 2 study - PubMed

4 hours ago
  • #immunotherapy
  • #clinical trial
  • #bladder cancer
  • Study evaluates neoadjuvant sacituzumab govitecan plus pembrolizumab followed by adjuvant pembrolizumab in muscle-invasive bladder cancer (SURE-02).
  • Standard treatment is radical cystectomy with neoadjuvant chemotherapy, but 50% of patients are ineligible or refuse it.
  • Primary endpoint was clinical complete response rate (negative imaging and no viable tumor at re-TURBT).
  • 39% of patients achieved clinical complete response, all metastasis-free, with two intravesical relapses.
  • Grade 3 treatment-related adverse events occurred in 16% of patients, with no treatment-related deaths.
  • Perioperative treatment showed promising results, allowing bladder preservation in ~40% of patients.
  • Study funded by Merck Sharp & Dohme LLC and Gilead Sciences.