Pembrolizumab after platinum-based chemotherapy for metastatic urothelial cancer: comparison between patients from a Dutch nationwide cohort and KEYNOTE-045
This nationwide cohort demonstrated considerable differences in patient, disease and treatment characteristics as compared to patients in the KN-P arm, with generally less favorable prognostic characteristics and worse survival. Sensitivity analyses on patients with metachronous mUC or mUC of the upper urinary tract did not alter the findings. These findings highlight the importance of adequate patient selection according to the KEYNOTE-045 criteria while also accounting for disparities between patient populations in routine clinical practice and those in clinical trials.
Authors
- Britt B.M. Suelmann (ORCID: https://orcid.org/0000-0002-7155-3337)
- Katja K.H. Aben (ORCID: https://orcid.org/0000-0002-0214-2147)
- Bart Rikhof
- Mira D. Franken (ORCID: https://orcid.org/0000-0003-2285-7411)
- Niven Mehra (ORCID: https://orcid.org/0000-0002-4794-1831)
- Anke Richters (ORCID: https://orcid.org/0000-0002-1580-1543)
- Hans M. Westgeest (ORCID: https://orcid.org/0000-0002-5735-3638)
- Debbie Robbrecht (ORCID: https://orcid.org/0000-0003-2490-9991)
Institutions
- Radboud University Nijmegen (NL)
- Erasmus MC (NL)
- Medisch Centrum Leeuwarden (NL)
- Radboud University Medical Center (NL)
- University Medical Center Utrecht (NL)
- Amphia Ziekenhuis (NL)
- Canisius-Wilhelmina Ziekenhuis (NL)
- Zuyderland Medisch Centrum (NL)
- Netherlands Comprehensive Cancer Organisation (NL)
- Erasmus MC Cancer Institute (NL)
- Amsterdam University Medical Centers (NL)
- Rijnstate Hospital (NL)
- Meander Medisch Centrum (NL)
- Jeroen Bosch Ziekenhuis (NL)
Publication Details
- Journal
- Cancer Treatment and Research Communications
- Published
- 2025-01-01
- DOI
- https://doi.org/10.1016/j.ctarc.2025.100931
- Primary Topic
- Bladder and Urothelial Cancer Treatments
- Type
- article
- Field-Weighted Citation Impact
- 0.00
Funders
- Bristol-Myers Squibb
- Astellas Pharma US
- Merck KGaA
- Amsterdam University Medical Centers
- Universitair Medisch Centrum Utrecht
- Maastricht Universitair Medisch Centrum
- AstraZeneca Korea
- Radboud Universitair Medisch Centrum