Avelumab First-Line Maintenance Therapy: Managing Patients With Advanced Urothelial Carcinoma

被引:1
作者
Lapuente, Maria [1 ]
Conway, Dawn [2 ]
Wood, Laura S. [3 ]
Kehoe, Kiran [4 ]
Bullock, Andrea Carroll [5 ]
Devgan, Geeta [6 ]
Burns, Kathleen D. [7 ]
机构
[1] Bartholomews Hosp, London, England
[2] Univ Chicago Med Illinois, Genitourinary Oncol, Chicago, IL USA
[3] Cleveland Clin Ohio, Taussig Canc Ctr, Cleveland, OH USA
[4] Mem Sloan Kettering Canc Ctr, New York, NY USA
[5] North Amer Med Commun EMD Serono, Rockland, MA, Brazil
[6] Pfizer, US Med Affairs, New York, NY USA
[7] City Hope Natl Med Ctr, Natl Canc Ctr, Duarte, CA USA
关键词
avelumab first-line maintenance; bladder cancer; immune-related adverse events; CHEMOTHERAPY; CANCER; CISPLATIN;
D O I
10.1188/23.CJON.71-80
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
BACKGROUND:The phase 3 of JAVELIN Bladder 100 trial demonstrated that avelumab first-line (1L) maintenance in addition to best supportive care significantly prolonged overall survival compared to best supportive care alone. It is now the standard of care for platinum-eligible patients with locally advanced or metastatic urothelial carcinoma that has not progressed with 1L platinum-containing chemotherapy.OBJECTIVES: This article provides considerations for oncology nurses to effectively implement avelumab 1L maintenance treatment in the clinical setting.METHODS: This article reviews clinical evidence and implications for oncology nurses caring for patients receiving avelumab 1L maintenance treatment.FINDINGS: Oncology nurses can provide compre-hensive care for patients with advanced urothelial carcinoma and ensure the safe and appropriate use of avelumab 1L maintenance treatment by educating patients and caregivers, ensuring correct adminis-tration, and promptly recognizing and managing immune-related adverse events.
引用
收藏
页码:71 / 80
页数:10
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