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. 2018 Oct 4:FSO341. doi: 10.4155/fsoa-2018-0033

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.