PMID- 38048019 OWN - NLM STAT- MEDLINE DCOM- 20240206 LR - 20240314 IS - 1865-8652 (Electronic) IS - 0741-238X (Linking) VI - 41 IP - 2 DP - 2024 Feb TI - Efficacy and Safety of Disitamab Vedotin Combined with Programmed Death-1 Inhibitor for Advanced Urothelial Cancer: A Case-Series Study. PG - 857-866 LID - 10.1007/s12325-023-02729-1 [doi] AB - INTRODUCTION: Antibody-drug conjugate (ADC) and programmed death-1 (PD-1) inhibitors play crucial roles in the treatment of advanced urothelial cancer (aUC). Increasingly, combination treatment modalities are used in patients with aUC intolerant to platinum-based chemotherapy (PBC). However, clinical evidence on the efficacy and safety of disitamab vedotin plus PD-1 inhibitors for aUC is limited. This case series aims to address this knowledge gap. METHODS: Patients with aUC who were refractory or intolerant to PBC were included. All patients received combined treatment with disitamab vedotin (one of the ADC drugs) and PD-1 inhibitors for at least three cycles. The clinical characteristics of examination, histopathology, outcomes, and adverse events (AEs) were retrospectively collected. RESULTS: Among this case series, eight patients received disitamab vedotin plus PD-1 inhibitors, of which three achieved a complete response (CR) and two had a partial response (PR). The most common AE was peripheral neuropathy (4/8); the remaining AEs were mostly of mild to moderate severity or unknown and were manageable by supportive care. CONCLUSIONS: Disitamab vedotin combined with PD-1 inhibitors exhibits a favorable efficacy and safety profile, but subsequent larger cohort clinical studies are required to provide evidence-based medicine for the universal application of this regimen. CI - (c) 2023. The Author(s), under exclusive licence to Springer Healthcare Ltd., part of Springer Nature. FAU - Zhao, Hongfan AU - Zhao H AD - Department of Urology, Xijing Hospital, The Fourth Military Medical University, 127 Changle West Road, Xi'an, 710032, Shaanxi, China. FAU - Xu, Zhicheng AU - Xu Z AD - Department of Urology, Xijing Hospital, The Fourth Military Medical University, 127 Changle West Road, Xi'an, 710032, Shaanxi, China. FAU - Li, Chengbin AU - Li C AD - Department of Urology, Xijing Hospital, The Fourth Military Medical University, 127 Changle West Road, Xi'an, 710032, Shaanxi, China. FAU - Xu, Tong AU - Xu T AD - Department of Urology, Xijing Hospital, The Fourth Military Medical University, 127 Changle West Road, Xi'an, 710032, Shaanxi, China. FAU - Zhang, Jingliang AU - Zhang J AD - Department of Urology, Xijing Hospital, The Fourth Military Medical University, 127 Changle West Road, Xi'an, 710032, Shaanxi, China. FAU - Jiao, Jianhua AU - Jiao J AD - Department of Urology, Xijing Hospital, The Fourth Military Medical University, 127 Changle West Road, Xi'an, 710032, Shaanxi, China. FAU - Yang, Bo AU - Yang B AD - Department of Urology, Xijing Hospital, The Fourth Military Medical University, 127 Changle West Road, Xi'an, 710032, Shaanxi, China. FAU - Qin, Rongliang AU - Qin R AD - Department of Urology, Xijing Hospital, The Fourth Military Medical University, 127 Changle West Road, Xi'an, 710032, Shaanxi, China. FAU - Yang, Lijun AU - Yang L AD - Department of Urology, Xijing Hospital, The Fourth Military Medical University, 127 Changle West Road, Xi'an, 710032, Shaanxi, China. FAU - Qin, Weijun AU - Qin W AD - Department of Urology, Xijing Hospital, The Fourth Military Medical University, 127 Changle West Road, Xi'an, 710032, Shaanxi, China. FAU - Jing, Yuming AU - Jing Y AD - Department of Urology, Xijing Hospital, The Fourth Military Medical University, 127 Changle West Road, Xi'an, 710032, Shaanxi, China. 349156663@qq.com. LA - eng PT - Journal Article DEP - 20231204 PL - United States TA - Adv Ther JT - Advances in therapy JID - 8611864 RN - 0 (disitamab vedotin) RN - 0 (Immune Checkpoint Inhibitors) RN - 0 (Antibodies, Monoclonal) RN - 0 (Oligopeptides) MH - Humans MH - *Immune Checkpoint Inhibitors/therapeutic use MH - Retrospective Studies MH - Antibodies, Monoclonal/therapeutic use MH - *Carcinoma, Transitional Cell/drug therapy MH - *Oligopeptides OTO - NOTNLM OT - Advanced urothelial cancer OT - Antibody-drug conjugate OT - Case series OT - Programmed death-1 EDAT- 2023/12/04 12:41 MHDA- 2024/02/06 06:42 CRDT- 2023/12/04 11:10 PHST- 2023/09/13 00:00 [received] PHST- 2023/11/01 00:00 [accepted] PHST- 2024/02/06 06:42 [medline] PHST- 2023/12/04 12:41 [pubmed] PHST- 2023/12/04 11:10 [entrez] AID - 10.1007/s12325-023-02729-1 [pii] AID - 10.1007/s12325-023-02729-1 [doi] PST - ppublish SO - Adv Ther. 2024 Feb;41(2):857-866. doi: 10.1007/s12325-023-02729-1. Epub 2023 Dec 4.