Abstract
Aim
To determine which of the approved immune checkpoint inhibitors is the optimal treatment in metastatic urothelial bladder cancer.Methods & materials
Only the pivotal Phase III trials of second-line metastatic urothelial bladder cancer were included in this network meta-analysis.Results
This NMA included three pooled trials (NCT00315237, NCT02256436 and NCT02302807) of 1125 participants. Pembrolizumab was the only treatment with positive effect on overall survival compared with the best supportive care. The treatment discontinuation rates due to adverse events of the pembrolizumab and atezolizumab did not differ from that of the best supportive care. C onclusion: Our results confirmed the superiority of pembrolizumab in the management of metastatic urothelial bladder cancer.References
Articles referenced by this article (23)
EAU Guidelines on Non-Muscle-invasive Urothelial Carcinoma of the Bladder: Update 2016.
Eur Urol, (3):447-461 2016
MED: 27324428
Second-line M-VAC therapy in patients previously treated with the M-VAC regimen for metastatic urothelial cancer.
Ann Oncol, (9):793-794 1993
MED: 8280662
Systemic chemotherapy for advanced bladder cancer: update and controversies.
J Clin Oncol, (35):5545-5551 2006
MED: 17158540
Title not supplied
Curr. Oncol. Tor. Ont., (1):e25- 2011
Eastern Cooperative Oncology Group phase II trial of ifosfamide in the treatment of previously treated advanced urothelial carcinoma.
J Clin Oncol, (2):589-593 1997
MED: 9053481
Methotrexate, vinblastine, doxorubicin and cisplatin combination regimen as salvage chemotherapy for patients with advanced or metastatic transitional cell carcinoma after failure of gemcitabine and cisplatin chemotherapy.
Br J Cancer, (1):86-90 2007
MED: 18087289
Randomised phase II trial of gemcitabine and paclitaxel second-line chemotherapy in patients with transitional cell carcinoma (AUO Trial AB 20/99).
Int J Clin Pract, (1):27-31 2006
MED: 16409425
Randomized phase III trial of 2nd line gemcitabine and paclitaxel chemotherapy in patients with advanced bladder cancer: short-term versus prolonged treatment [German Association of Urological Oncology (AUO) trial AB 20/99].
Ann Oncol, (2):288-294 2010
MED: 20682548
Advances in urothelial bladder cancer immunotherapy, dawn of a new age of treatment.
Immunotherapy, (5):451-460 2017
MED: 28357911
Show 10 more references (10 of 23)
Citations & impact
Impact metrics
Article citations
Programmed Death 1 and Programmed Death Ligand 1 Inhibitors in Advanced and Recurrent Urothelial Carcinoma: Meta-analysis of Single-Agent Studies.
Clin Genitourin Cancer, 18(5):351-360.e3, 31 Jan 2020
Cited by: 7 articles | PMID: 32146152 | PMCID: PMC9135583
Review Free full text in Europe PMC
Second-Line Systemic Treatment for Metastatic Urothelial Carcinoma: A Network Meta-Analysis of Randomized Phase III Clinical Trials.
Front Oncol, 9:679, 25 Jul 2019
Cited by: 5 articles | PMID: 31403033 | PMCID: PMC6669358
Review Free full text in Europe PMC
Immunotherapy Foreword 2018.
Immunotherapy, 10(16):1339-1341, 01 Nov 2018
Cited by: 0 articles | PMID: 30474483
Data
Data behind the article
This data has been text mined from the article, or deposited into data resources.
Clinical Trials (3)
- (1 citation) ClinicalTrials.gov - NCT02256436
- (1 citation) ClinicalTrials.gov - NCT02302807
- (1 citation) ClinicalTrials.gov - NCT00315237
Similar Articles
To arrive at the top five similar articles we use a word-weighted algorithm to compare words from the Title and Abstract of each citation.
#Checkmate: could checkpoint inhibitors be the game changer in the fight against metastatic urothelial carcinoma?
BJU Int, 123(2):203-207, 26 Oct 2018
Cited by: 0 articles | PMID: 29974606
Immunotherapy Advances in Urothelial Carcinoma.
Curr Treat Options Oncol, 19(12):79, 15 Dec 2018
Cited by: 5 articles | PMID: 30554335
Review
From the Uncertainties to the Evidence: A Brief History of Immunotherapy as Salvage Therapy for Advanced Bladder Cancer Through a Meta-analysis.
Clin Genitourin Cancer, 15(5):509-512.e9, 13 Apr 2017
Cited by: 0 articles | PMID: 28478885