Pulse Brain · Growing Health Evidence Index
Tier 4 — Narrative / commentaryPeer-reviewed

The clinical use of enfortumab vedotin and pembrolizumab in patients with advanced urothelial carcinoma: using clinical judgement over treatment criteria

Andrea B. Apolo, J. Bellmunt, Lisa M. Cordes, Shilpa Gupta, Thomas Powles, Jonathan E. Rosenberg, Michiel S. van der Heijden

ESMO Open · 2024

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Summary

This paper discusses the clinical implementation of enfortumab vedotin and pembrolizumab as the new first-line standard of care for advanced urothelial cancer, based on superior efficacy demonstrated in the EV-302 phase 3 trial. The authors emphasise the importance of clinical judgement in patient selection and management, noting that the combination's distinct toxicity profile warrants consideration of baseline clinical parameters despite current guideline inclusion without specific restrictions. The work addresses a gap between trial evidence and real-world clinical practice in oncology.

UK applicability

As this is a clinical oncology paper not related to agricultural or food systems research, it has no direct applicability to UK farming, soil health, or food production domains. It may inform NHS commissioning and clinical guidance for urothelial cancer treatment.

Key measures

Overall response rate, progression-free survival, overall survival, and toxicity profiles (skin rash and neuropathy)

Outcomes reported

The study examined clinical decision-making regarding the use of enfortumab vedotin and pembrolizumab (EVP) combination therapy in first-line advanced urothelial cancer treatment, considering baseline clinical parameters and toxicity management.

Theme
General food systems / other
Subject
Other / interdisciplinary
Study type
Commentary
Study design
Narrative review
Source type
Peer-reviewed study
Status
Published
System type
Human clinical
DOI
10.1016/j.esmoop.2024.103725
Catalogue ID
SNmoh0dsav-b6smmc

Topic tags

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