Avelumab in addition to best supportive care (BSC) is in clinical development for the maintenance treatments of adults with locally advanced or metastatic urothelial cancer that did not progress on or following completion of first-line chemotherapy. Urothelial cancer occurs on the lining of the bladder and other parts of the urinary system. In advanced urothelial cancer, cancer has grown into deeper layers including connective tissue or muscle. Metastatic urothelial cancer is when the cancer has spread to other parts of the body, such as the liver or bones. Urothelial cancer usually occurs in patients aged 60 years and older, where patients may have other medical conditions or are not fit enough to be given certain treatments.
Avelumab administered by intravenous infusion is designed to stimulate the body’s own immune system to fight cancer cells. If licensed, avelumab in addition to BSC will offer a maintenance treatment option for patients with locally advanced or metastatic urothelial cancer that did not progress during or following completion of first-line chemotherapy.
Nivolumab in combination with ipilimumab is in clinical development for PD-L1 positive patients with previously untreated unresectable or metastatic urothelial cancer regardless of cisplatin eligibility. Urothelial cancer, a subset of bladder cancer, occurs on the lining of the renal pelvis, ureter, bladder and urethra, and other parts of the urinary system. In some cases,the tumour spreads into the surrounding muscles or other parts of the body which means that it cannot be cured by surgery. Metastatic urothelial cancer occurs when the cancer has spread to other parts of the body, such as the liver or bones. The symptom of urothelial cancer is blood in the urine, but symptoms may only appear once the cancer grows larger or into the deeper layers of the bladder wall for both men and women. Other symptoms may include increased frequency/urgency/pain of urine passing, weight loss, back/lower tummy/bone pain, fatigue and illness.