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

Clinical efficacy and biomarker analysis of neoadjuvant atezolizumab in operable urothelial carcinoma in the ABACUS trial

Thomas Powles, Mark Kockx, Alejo Rodríguez‐Vida, Ignacio Durán, Simon J. Crabb, Michiel S. van der Heijden, Bernadett Szabados, Albert Font Pous, Gwénaëlle Gravis, Urbano Anido, Andrew Protheroe, Alain Ravaud, Denis Maillet, María José Méndez, Cristina Suárez, Mark Linch, Aaron Prendergast, Pieter‐Jan van Dam, Diana Stanoeva, Sofie Daelemans, Sanjeev Mariathasan, Joy S. Tea, Kelly Mousa, Romain Banchereau, Daniel Castellano

Nature Medicine · 2019

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Summary

The ABACUS trial, published in Nature Medicine in 2019, investigated neoadjuvant atezolizumab in operable urothelial carcinoma, combining clinical efficacy assessment with detailed biomarker profiling to identify predictors of response. The study measured pathological response rates alongside immune and genomic markers to characterise which patients benefit most from this immunotherapeutic approach. As a cancer immunology study, this work sits outside Vitagri's core remit in farming, soil health, and food-system nutrition.

UK applicability

This clinical oncology trial has no direct applicability to UK farming systems, soil health, or food-system research. It may inform UK cancer treatment guidelines but does not address agricultural or nutritional outcomes within Vitagri's scope.

Key measures

Pathological complete response (pCR) rate, major pathological response (MPR), PD-L1 expression, tumour mutational burden, T-cell infiltration, and genomic signatures

Outcomes reported

The study evaluated clinical efficacy and biomarker responses to neoadjuvant atezolizumab (a PD-L1 inhibitor) in patients with operable urothelial carcinoma, measuring pathological complete response rates and associated immune and genomic biomarkers.

Theme
General food systems / other
Subject
Other / interdisciplinary
Study type
Research
Study design
RCT
Source type
Peer-reviewed study
Status
Published
Geography
International
System type
Human clinical
DOI
10.1038/s41591-019-0628-7
Catalogue ID
BFmommpjky-cewa30

Topic tags

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