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How would you treat a patient with metastatic urothelial carcinoma with early progression on maintenance immunotherapy?

If the patient received <2 months of immunotherapy, would you continue immunotherapy alone or transition to enfortumab monotherapy or EV+Pembro?
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How would you treat a patient with urothelial carcinoma with early progression on maintenance immunotherapy?

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2 Answers
Mednet Member
Mednet MemberInvited Expert
Medical Oncology · City of Hope
Answered on

It would depend on the clinical scenario, specifically the disease volume, degree of progression, and whether the patient is deriving clinical benefit despite radiographic progression. Significant early progression in a patient with high disease volume/symptoms is a poor prognostic indicator and we ...

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Mednet Member
Mednet Member
Medical Oncology · Aspirus UW Cancer Center
Answered on

Would continue and monitor by the measurable disease.

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