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Review
. 2022 Oct 20:15:1259-1269.
doi: 10.2147/OTT.S369043. eCollection 2022.

Immunotherapy for Urothelial Carcinoma: Focus on Clinical Utility of Nivolumab

Affiliations
Review

Immunotherapy for Urothelial Carcinoma: Focus on Clinical Utility of Nivolumab

Ryan S Chiang et al. Onco Targets Ther. .

Abstract

Over the past decade, the emergence of immune checkpoint inhibitors has brought about significant change to the treatment landscape of bladder cancer. Nivolumab is an immune checkpoint inhibitor that has shown favorable results resulting in FDA approval for treatment of platinum-refractory locally advanced or metastatic urothelial carcinoma. More recently, it was the first (and only) immune checkpoint inhibitor to receive FDA approval for the treatment of urothelial carcinoma in the adjuvant setting after radical surgery. Multiple trials are now actively underway to further understand the nuances in which immune checkpoint inhibitors such as nivolumab can be beneficial. In this review, we explore the development of nivolumab in terms of its mechanism of action, its growing indications in the treatment of urothelial carcinoma, and potential future directions for clinical trials. Immune checkpoint inhibitors are a promising treatment for bladder cancer, but further work is needed to continue to improve outcomes for patients.

Keywords: bladder cancer; immune checkpoint inhibitors; immunotherapy; nivolumab; urothelial carcinoma.

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Conflict of interest statement

Dr Ali Raza Khaki reports Research collaborations with Tempus Labs and Natera. The authors have no other conflict of interests to declare.

References

    1. Sharma P, Retz M, Siefker-Radtke A, et al. Nivolumab in metastatic urothelial carcinoma after platinum therapy (checkmate 275): a multicentre, single-arm, phase 2 trial. Lancet Oncol. 2017;18(3):312–322. doi:10.1016/S1470-2045(17)30065-7. - DOI - PubMed
    1. Bajorin DF, Witjes JA, Gschwend JE, et al. Adjuvant nivolumab versus placebo in muscle-invasive urothelial carcinoma. N Engl J Med. 2021;384(22):2102–2114. doi:10.1056/NEJMoa2034442. - DOI - PMC - PubMed
    1. Simsek M, Tekin SB, Bilici M. Immunological agents used in cancer treatment. Eurasian J Med. 2019;51(1):90–94. doi:10.5152/eurasianjmed.2018.18194. - DOI - PMC - PubMed
    1. Powles T, van der Heijden MS, Castellano D, et al. Durvalumab alone and durvalumab plus tremelimumab versus chemotherapy in previously untreated patients with unresectable, locally advanced or metastatic urothelial carcinoma (Danube): a randomised, open-label, multicentre, phase 3 trial. Lancet Oncol. 2020;21(12):1574–1588. doi:10.1016/S1470-2045(20)30541-6. - DOI - PubMed
    1. Wei SC, Duffy CR, Allison JP. Fundamental mechanisms of immune checkpoint blockade therapy. Cancer Discov. 2018;8(9):1069–1086. doi:10.1158/2159-8290.CD-18-0367. - DOI - PubMed