Optimal Time Point for Evaluation of Response to Pembrolizumab Treatment in Japanese Patients With Metastatic Urothelial Carcinoma

Teruo Inamoto, Ryo Sato, Yuto Matsushita, Taizo Uchimoto, Ko Nakamura, Kazumasa Komura, Kazuki Nishimura, Yusuke Yano, Kyosuke Nishio, Shoko Kinoshita, Tatsuo Fukushima, Tomohisa Matsunaga, Keita Nakamori, Takeshi Tsutsumi, Takuya Tsujino, Hirofumi Uehara, Kiyoshi Takahara, Hideaki Miyake, Haruhito Azuma

Research output: Contribution to journalArticlepeer-review

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Abstract

Background/Aim: The duration of pembrolizumab use in actual daily practice might be shorter than that in clinical trials because termination of pembrolizumab therapy is at the discretion of the physician. We retrospectively reviewed the response to pembrolizumab in Japanese patients with metastatic urothelial carcinoma (mUC) in relation to the time to response (TTR). Patients and Methods: The records of 165 patients treated with pembrolizumab for mUC were retrospectively analyzed. Response was evaluated at 2, 4, 6 and 8 months. TTR along with time to best response were analyzed. Phase II-III clinical trials were also reviewed to compare the TTR and time to best overall response. Results: The median patient age was 70 years. The objective response rate in the total cohort was 27.1% (42 out of 155 patients). Median TTR was 2.4 months and the time to best response was 3.1 months. Radiological evaluation at each time point significantly predicted overall survival (OS). Considering the evaluation.

Original languageEnglish
Pages (from-to)370-376
Number of pages7
JournalCancer Diagnosis and Prognosis
Volume3
Issue number3
DOIs
Publication statusPublished - 2023

All Science Journal Classification (ASJC) codes

  • Cancer Research
  • Oncology

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