A review of avelumab in locally advanced and metastatic bladder cancer

Urothelial carcinoma remains a devastating disease with a poor prognosis. Though immune therapy with Bacillus Calmette–Guérin (BCG) has been used for localized bladder cancer for years, only immune-checkpoint blockade with antiprogrammed cell-death 1 (anti-PD-1) and antiprogrammed cell-death ligand...

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Main Authors: Arpit Rao, Manish R. Patel
Format: Article
Language:English
Published: SAGE Publishing 2019-01-01
Series:Therapeutic Advances in Urology
Online Access:https://doi.org/10.1177/1756287218823485
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author Arpit Rao
Manish R. Patel
author_facet Arpit Rao
Manish R. Patel
author_sort Arpit Rao
collection DOAJ
description Urothelial carcinoma remains a devastating disease with a poor prognosis. Though immune therapy with Bacillus Calmette–Guérin (BCG) has been used for localized bladder cancer for years, only immune-checkpoint blockade with antiprogrammed cell-death 1 (anti-PD-1) and antiprogrammed cell-death ligand 1 (anti-PD-L1) inhibitors have demonstrated improvement in survival of patients with metastatic disease. Anti-PD-L1 antibody, avelumab, was recently given United States Food and Drug Administration (FDA) accelerated approval for the treatment of recurrent/metastatic urothelial carcinoma after failure of first-line chemotherapy, marking the fifth immune checkpoint inhibitor to be given FDA approval for the treatment of metastatic urothelial cancer. The following manuscript will review avelumab, its pharmacology, and the clinical experience that has led to its approval, as well as future plans for clinical development of avelumab for the treatment or urothelial cancer.
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spelling doaj.art-a54bc26e3c2b4872934c2195ea499e022022-12-21T20:17:26ZengSAGE PublishingTherapeutic Advances in Urology1756-28802019-01-011110.1177/1756287218823485A review of avelumab in locally advanced and metastatic bladder cancerArpit RaoManish R. PatelUrothelial carcinoma remains a devastating disease with a poor prognosis. Though immune therapy with Bacillus Calmette–Guérin (BCG) has been used for localized bladder cancer for years, only immune-checkpoint blockade with antiprogrammed cell-death 1 (anti-PD-1) and antiprogrammed cell-death ligand 1 (anti-PD-L1) inhibitors have demonstrated improvement in survival of patients with metastatic disease. Anti-PD-L1 antibody, avelumab, was recently given United States Food and Drug Administration (FDA) accelerated approval for the treatment of recurrent/metastatic urothelial carcinoma after failure of first-line chemotherapy, marking the fifth immune checkpoint inhibitor to be given FDA approval for the treatment of metastatic urothelial cancer. The following manuscript will review avelumab, its pharmacology, and the clinical experience that has led to its approval, as well as future plans for clinical development of avelumab for the treatment or urothelial cancer.https://doi.org/10.1177/1756287218823485
spellingShingle Arpit Rao
Manish R. Patel
A review of avelumab in locally advanced and metastatic bladder cancer
Therapeutic Advances in Urology
title A review of avelumab in locally advanced and metastatic bladder cancer
title_full A review of avelumab in locally advanced and metastatic bladder cancer
title_fullStr A review of avelumab in locally advanced and metastatic bladder cancer
title_full_unstemmed A review of avelumab in locally advanced and metastatic bladder cancer
title_short A review of avelumab in locally advanced and metastatic bladder cancer
title_sort review of avelumab in locally advanced and metastatic bladder cancer
url https://doi.org/10.1177/1756287218823485
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