Video

Dr. Gupta on the Investigation of Enfortumab Vedotin With or Without Additional Therapy in mUC

Shilpa Gupta, MD, discusses the investigation of enfortumab vedotin with or without additional therapy in cisplatin-ineligible metastatic urothelial carcinoma.

Shilpa Gupta, MD, director, Genitourinary Medical Oncology, Taussig Cancer Institute, co-leader, Genitourinary Oncology Program, Cleveland Clinic, discusses the investigation of enfortumab vedotin-ejfv (Padcev) with or without additional therapy in cisplatin-ineligible metastatic urothelial carcinoma (mUC).

The phase 1/2 EV-103 trial (NCT03288545) is investigating enfortumab vedotin alone and with different combinations of anticancer therapies. In the cisplatin-ineligible patient cohort, the combination of enfortumab vedotin and pembrolizumab (Keytruda) showed remarkable activity and promising overall survival, Gupta explains. Additionally, cohort K randomized patients to enfortumab vedotin vs enfortumab vedotin and pembrolizumab in cisplatin-ineligible patients, Gupta adds.

The combination of enfortumab vedotin and pembrolizumab resulted in beneficial response rates compared with enfortumab vedotin alone; the survival data are not mature and toxicity was higher with the combination therapy, Gupta concludes.

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