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

Enfortumab vedotin plus pembrolizumab in untreated locally advanced or metastatic urothelial carcinoma: 2.5-year median follow-up of the phase III EV-302/KEYNOTE-A39 trial

Thomas Powles, Michiel S. van der Heijden, Y. Loriot, Jens Bedke, Begoña P. Valderrama, Ganesh R. Iyer, Eiji Kikuchi, Jean Hoffman‐Censits, Christof Vulsteke, A. Drakaki, S. Rausch, Waddah Arafat, Se Hoon Park, Umang Swami, J.-R. Li, I. Duran, Seema Rao Gorla, Blanca Homet Moreno, Xin Yu, Yingdong Lu, Shilpa Gupta

Annals of Oncology · 2025

Read source ↗ All evidence

Summary

This phase III trial (EV-302/KEYNOTE-A39) evaluated the combination of enfortumab vedotin, a targeted antibody–drug conjugate, with pembrolizumab, a PD-1 checkpoint inhibitor, in patients with previously untreated locally advanced or metastatic urothelial carcinoma. The 2.5-year median follow-up data reported here extend the efficacy and safety observations from the initial trial analysis. Although this falls outside Vitagri's core remit of farming systems and nutrient density, the study represents contemporary oncology practice and may be of tangential interest to health-outcomes researchers.

UK applicability

The findings would be relevant to UK oncology practice and NHS commissioning decisions regarding first-line treatment of advanced urothelial carcinoma, though direct applicability depends on UK regulatory approval status and health economic evaluation of the combination therapy.

Key measures

Overall survival, progression-free survival, response rates, safety and tolerability profiles

Outcomes reported

The study reports efficacy and safety outcomes of combined enfortumab vedotin and pembrolizumab in patients with untreated locally advanced or metastatic urothelial carcinoma, with median follow-up of 2.5 years.

Theme
Nutrition & health
Subject
Other / interdisciplinary
Study type
Research
Study design
Phase III randomised controlled trial
Source type
Peer-reviewed study
Status
Published
Geography
International
System type
Human clinical
DOI
10.1016/j.annonc.2025.05.536
Catalogue ID
SNmoh0dsav-9m81i4

Topic tags

Pulse AI · ask about this record

Dig deeper with Pulse AI.

Pulse AI has read the whole catalogue. Ask about this record, its theme, or how the findings apply to UK farming and policy — every answer cites the underlying studies.