Table 1. . Key trials in urothelial carcinoma.
Study | Arm | n | ORR | OS (months) | Treatment-related adverse events (%) |
---|---|---|---|---|---|
Second-line setting, after failure of platinum-based therapy | |||||
Phase II single-agent IMvigor210 [17] |
Atezolizumab | 310 | All pts = 16%, CR: 7% High PD-L1 = 28%, CR: 15% |
All pts = 7.9 1-year OS = 37% High PD-L1 = 11.9 1-year OS = 50% |
Any grade = 66% Grade 3–4 = 16% |
Phase III randomized IMvigor 211 [18] |
Atezolizumab | 467 | All pts = 14%, CR: 4% High PD-L1 = 23% |
All pts = 8.9 1-year OS = 40% High PD-L1 = 11.1 |
Any grade = 70% Grade 3–4 = 20% |
Vinflunine or paclitaxel or docetaxel | 464 | All pts = 15%, CR: 4% High PD-L1 = 22% |
All pts = 8.2 1-year OS = 33% High PD-L1 = 10.6 |
Any grade = 89% Grade 3–4 = 43% |
|
Phase II single-agent Checkmate 275 [19,21] |
Nivolumab | 265 | All pts = 19.6% High PD-L1 = 28.4 Low PD-L1 = 16.1% |
All pts = 8.7 1-year OS = 41% High PD-L1 = 11.3 Low PD-L1 = 5.95 |
Any grade = 64% Grade 3–4 = 18% |
Phase III randomized Keynote-045 [23] |
Pembrolizumab | 270 | All pts = 21.1%, CR: 7% | All pts = 10.3 High PD-L1 = 8 |
Any grade = 61.3% Grade 3–4 = 16.5% |
Vinflunine or paclitaxel or docetaxel | 272 | All pts = 11.4%, CR: 3.3% | All pts = 7.4 High PD-L1 = 5.2 |
Any grade = 90.2% Grade 3–4 = 49.8% |
|
Phase I/II single-agent [24,25] | Durvalumab | 182 | All pts = 17% High PD-L1 = 26.3% Low PD-L1 = 4.1% |
All pts = 14.1 1-year OS = 50% |
Any grade 60.7% Grade 3–4 = 6.8% |
Phase Ib single-agent (Javelin) [26,27] |
Avelumab | 242 | All pts = 16.1% High PD-L1 = 25% Low PD-L1 = 14.7% |
All pts = 7.4 1-year OS = 54.9% |
Any grade = 66.7% Grade 3–4 = 8.4% |
First-line setting, in cisplatin-ineligible patients | |||||
Phase II single-agent IMvigor210 cohort 1 [28] |
Atezolizumab | 119 | All pts = 24%, CR: 7% High PD-L1 = 24% |
All pts = 15.9 High PD-L1 = 12.3 Low PD-L1 = 19.1 |
Any grade = 66% Grade 3–4 = 18% |
Phase II single-agent Keynote-052 [29] |
Pembrolizumab | 370 | All pts = 29%, CR: 7% | 6-month OS = 67% | Any grade = 62% Grade 3–4 = 16% |
CR: Complete response; ORR: Objective response rate; OS: Overall survival; PD-L1: Programmed death ligand-1; Pts: Patients.