Pulse Brain · Growing Health Evidence Index
Tier 2 — RCT / large cohortPeer-reviewed

Adjuvant atezolizumab versus observation in muscle-invasive urothelial carcinoma (IMvigor010): a multicentre, open-label, randomised, phase 3 trial

Joaquim Bellmunt, Maha Hussain, Jürgen E. Gschwend, Peter Albers, Stéphane Oudard, Daniel Castellano, Siamak Daneshmand, Hiroyuki Nishiyama, Martin Majchrowicz, Viraj Degaonkar, Yi Shi, Sanjeev Mariathasan, Petros Grivas, Alexandra Drakaki, Peter H. O’Donnell, Jonathan E. Rosenberg, Daniel M. Geynisman, Daniel P. Petrylak, Jean Hoffman‐Censits, Jens Bedke, Arash Rezazadeh Kalebasty, Yousef Zakharia, Michiel S. van der Heijden, Cora N. Sternberg, Nicole N. Davarpanah, Thomas Powles

The Lancet Oncology · 2021

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Summary

IMvigor010 was a phase 3 randomised controlled trial investigating adjuvant atezolizumab versus observation in patients with muscle-invasive urothelial carcinoma at high risk of recurrence following radical cystectomy. As suggested by the title and journal context (2021), the trial assessed whether checkpoint inhibitor therapy could improve disease-free and overall survival outcomes in this patient population. The study involved multiple international centres and represents clinical evidence on immunotherapy efficacy in the adjuvant setting for this malignancy.

UK applicability

The findings from this multicentre international trial are directly relevant to UK oncology practice and NHS Cancer Drugs Fund considerations for adjuvant urothelial cancer treatment. Results would inform NICE appraisals and treatment pathways for muscle-invasive bladder cancer in the United Kingdom.

Key measures

Disease-free survival, overall survival, recurrence-free interval, adverse events

Outcomes reported

The study evaluated disease-free survival and overall survival outcomes in patients with muscle-invasive urothelial carcinoma receiving adjuvant atezolizumab (an anti-PD-L1 immunotherapy) versus observation following radical cystectomy.

Theme
Nutrition & health
Subject
Other / interdisciplinary
Study type
Research
Study design
RCT
Source type
Peer-reviewed study
Status
Published
Geography
International
System type
Human clinical
DOI
10.1016/s1470-2045(21)00004-8
Catalogue ID
BFmommpjky-5hsbi6

Topic tags

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