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How will you decide among the options of either carbo/gem>avelumab or checkpoint monotherapy for cisplatin-ineligible PD-L1 expressing urothelial carcinoma?

Given long term data from Keynote 052 for pembrolizumab presented at ASCO 2021. What factors impact your treatment decisions? For cis-ineligible PD-L1 negative patients, is there any role for checkpoint monotherapy given ORR ~20% in these patients on KN-052?
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What is your preferred first line treatment approach in PD-L1 expressing cisplatin-ineligible metastatic urothelial carcinoma?

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1 Answer
Mednet Member
Mednet Member
Medical Oncology · The Univ of Chicago Medcl Center
Answered on

The KEYNOTE 052 data as well as other datasets support the idea that there are clearly a subset of previously-untreated cisplatin-ineligible metastatic urothelial cancer patients who receive benefit from front-line immunomonotherapy and can be treated with this approach. Importantly, responding pati...

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