Integration of Immunotherapy Into the Treatment of Advanced Urotherlial Carcinoma

被引:8
作者
Ghatalia, Pooja [1 ]
Plimack, Elizabeth R. [1 ]
机构
[1] Fox Chase Canc Ctr, Dept Med Oncol, 333 Cottman Ave, Philadelphia, PA 19111 USA
来源
JOURNAL OF THE NATIONAL COMPREHENSIVE CANCER NETWORK | 2020年 / 18卷 / 03期
关键词
METASTATIC UROTHELIAL CARCINOMA; CISPLATIN-INELIGIBLE PATIENTS; TRANSITIONAL-CELL CARCINOMA; PHASE-III TRIAL; SINGLE-ARM; 1ST-LINE TREATMENT; RANDOMIZED-TRIAL; CANCER; CHEMOTHERAPY; MULTICENTER;
D O I
10.6004/jnccn.2020.7539
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Five new PD-1/PD-L1 checkpoint inhibitors have been approved for the treatment of metastatic urothelial carcinoma (UC): pembrolizumab, atezolizumab, durvalumab, nivolumab, and avelumab. Although cisplatin-based chemotherapy remains the recommended frontline option for cisplatin-eligible patients with metastatic UC, immunotherapy is now an available option in the second-line setting as well as the frontline setting for selected cisplatin-ineligible patients who are either unable to tolerate chemotherapy or PD-L1-positive. This review describes the updated clinical efficacy of these checkpoint inhibitors in the treatment of advanced UC and suggests how they can be sequenced in the context of available chemotherapeutic options.
引用
收藏
页码:355 / 361
页数:7
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