The JAVELIN Bladder Medley trial: avelumab-based combinations as first-line maintenance in advanced urothelial carcinoma

Jean Hoffman-Censits, Petros Grivas, Thomas Powles, Jessica Hawley, Karin Tyroller, Sonja Seeberger, Silke Guenther, Natalia Jacob, Keyvan Tadjalli Mehr, Noah M. Hahn

Research output: Contribution to journalArticlepeer-review

Abstract

Results from JAVELIN Bladder 100 established avelumab (anti–PD-L1) first-line maintenance as the standard-of-care treatment for patients with advanced urothelial carcinoma (UC) that has not progressed with first-line platinum-based chemotherapy. We describe the design of JAVELIN Bladder Medley (NCT05327530), an ongoing phase II, multicenter, randomized, open-label, parallel-arm, umbrella trial. Overall, 252 patients with advanced UC who are progression-free following first-line platinum-based chemotherapy will be randomized 1:2:2:2 to receive maintenance therapy with avelumab alone (control group) or combined with sacituzumab govitecan (anti–Trop-2/topoisomerase inhibitor conjugate), M6223 (anti-TIGIT) or NKTR-255 (recombinant human IL-15). Primary end points are progression-free survival per investigator and safety/tolerability of the combination regimens. Secondary end points include overall survival, objective response and duration of response per investigator, and pharmacokinetics.

Original languageEnglish (US)
Pages (from-to)179-190
Number of pages12
JournalFuture Oncology
Volume20
Issue number4
DOIs
StatePublished - Feb 1 2024

Keywords

  • JAVELIN Bladder Medley
  • M6223
  • NKTR-255
  • advanced urothelial carcinoma
  • avelumab
  • maintenance
  • phase II trial
  • sacituzumab govitecan

ASJC Scopus subject areas

  • Oncology
  • Cancer Research

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