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 multicentre randomised controlled trial comparing adjuvant atezolizumab (a PD-L1 checkpoint inhibitor) with observation in patients with high-risk muscle-invasive urothelial carcinoma following radical cystectomy. As suggested by the trial design, the study investigated whether perioperative immune checkpoint inhibition improves survival and disease-free survival outcomes in the adjuvant setting. This record falls outside Vitagri's core research remit on food systems, farming, soil health, and nutrient density.

UK applicability

This oncology trial has limited direct applicability to UK farming, food systems, or soil health research. However, findings on immunotherapy outcomes in cancer care may inform UK National Health Service clinical guidelines for bladder cancer management.

Key measures

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

Outcomes reported

The study measured disease-free survival and overall survival in patients with high-risk muscle-invasive urothelial carcinoma receiving adjuvant atezolizumab versus observation post-radical cystectomy. Secondary outcomes included safety, tolerability, and recurrence-free survival.

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
10.1016/s1470-2045(21)00004-8
Catalogue ID
BFmovi2888-5kigrb

Topic tags

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