Avelumab as neoadjuvant therapy in patients with urothelial non-metastatic muscle invasive bladder cancer: a multicenter, randomized, non-comparative, phase II study (Oncodistinct 004 - AURA trial).

Fiche publication


Date publication

décembre 2021

Journal

BMC cancer

Auteurs

Membres identifiés du Cancéropôle Est :
Dr BARTHELEMY Philippe, Dr TRICARD Thibault


Tous les auteurs :
Martinez Chanza N, Soukane L, Barthelemy P, Carnot A, Gil T, Casert V, Vanhaudenarde V, Sautois B, Staudacher L, Van den Brande J, Culine S, Seront E, Gizzi M, Albisinni S, Tricard T, Fantoni JC, Paesmans M, Caparica R, Roumeguere T, Awada A

Résumé

Cisplatin-based neoadjuvant chemotherapy (NAC) followed by surgery is the standard treatment for patients with non-metastatic muscle invasive bladder cancer (MIBC). Unfortunately, many patients are not candidates to receive cisplatin due to renal impairment. Additionally, no predictive biomarkers for pathological complete response (pCR) are currently validated in clinical practice. Studies evaluating immune checkpoint inhibitors in the peri-operative setting are emerging with promising results. Clinical trials are clearly required in the neoadjuvant setting in order to improve therapeutic strategies.

Mots clés

Avelumab, Bladder cancer, Checkpoint inhibitor, Immunotherapy, Neoadjuvant, PD-1 blockade, Urothelial carcinoma

Référence

BMC Cancer. 2021 Dec 2;21(1):1292