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BLADDER CANCER

Determining superior first-line therapy in metastatic bladder cancer

The ideal first-line treatment of cisplatin-ineligible patients with metastatic urothelial carcinoma (mUC) remains unknown pending results of randomized trials. Although mUC tumours are sensitive to chemotherapy, response durations are short. A new retrospective study provides data on the effectiveness of first-line PD-1/PD-L1 inhibitors compared with carboplatin-based chemotherapy in this setting.

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Correspondence to Andrea B. Apolo.

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FDA blog post: https://www.fda.gov/drugs/resources-information-approved-drugs/fda-limits-use-tecentriq-and-keytruda-some-urothelial-cancer-patients

FDA notice: https://www.cancer.gov/news-events/cancer-currents-blog/2018/bladder-cancer-checkpoint-inhibitor-change

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Apolo, A.B. Determining superior first-line therapy in metastatic bladder cancer. Nat Rev Urol 16, 698–699 (2019). https://doi.org/10.1038/s41585-019-0245-8

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