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

Atezolizumab with or without chemotherapy in metastatic urothelial cancer (IMvigor130): a multicentre, randomised, placebo-controlled phase 3 trial

Matthew D. Galsky, Jóse Ángel Arranz Arija, Aristotelis Bamias, Ian D. Davis, Maria De Santis, Eiji Kikuchi, Xavier García del Muro, Ugo De Giorgi, Marina Mencinger, Kouji Izumi, Stefano Panni, Mahmut Gümüş, Mustafa Özgüroğlu, Arash Rezazadeh Kalebasty, Se Hoon Park, B. Yа. Alekseev, Fabio A. Schutz, Jian-Ri Li, Dingwei Ye, Nicholas J. Vogelzang, Sandrine Bernhard, Darren Tayama, Sanjeev Mariathasan, Almut Mecke, AnnChristine Thåström, Enrique Grande

The Lancet · 2020

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Summary

IMvigor130 was a multicentre, phase 3 randomised controlled trial evaluating atezolizumab monotherapy and combination atezolizumab-chemotherapy against placebo in metastatic urothelial cancer. Published in The Lancet in 2020, the trial enrolled patients across multiple international centres and assessed immunotherapy efficacy as an alternative or adjunct to standard chemotherapy in this patient population.

UK applicability

Findings from this international trial would be relevant to UK oncology practice and NHS treatment guidelines for metastatic urothelial cancer. However, applicability depends on cost-effectiveness assessment and alignment with NICE technology appraisal criteria within the UK healthcare system.

Key measures

Overall survival, progression-free survival, response rates, adverse events

Outcomes reported

The study compared efficacy and safety of atezolizumab (an immune checkpoint inhibitor) with or without chemotherapy versus placebo in patients with metastatic urothelial cancer. Primary endpoints appear to be overall survival and progression-free survival.

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/s0140-6736(20)30230-0
Catalogue ID
SNmoh0dtvu-xdddx8

Topic tags

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