: Aim: To validate a 'drug score' that stratifies patients receiving immunotherapy based on concomitant medications (antibiotics/proton pump inhibitors/corticosteroids) in urothelial carcinoma (UC). Materials & methods: We assessed oncological outcomes according to the drug score in 242 patients with advanced UC treated with pembrolizumab. Results: The drug score classified patients into three risk groups with significantly different survivals. Heterogeneous treatment effect analyses showed that the primary cancer site (bladder UC [BUC] or upper-tract UC [UTUC]) significantly affected the prognostic capability of the drug score; it significantly correlated with survivals in BUC, while there were no such correlations in UTUC. Conclusion: A drug score was examined in advanced UC treated with pembrolizumab and was validated in BUC but not in UTUC.
Validation of a drug-based score in advanced urothelial carcinoma treated with pembrolizumab / Taguchi, S., Kawai, T., Buti, S., Bersanelli, M., Uemura, Y., Kishitani, K., Miyakawa, J., Sugimoto, K., Nakamura, Y.u., Niimi, F., Kaneko, T., Kamei, J., Obinata, D., Yamaguchi, K., Kakutani, S., Kanazawa, K., Sugihara, Y., Tokunaga, M., Akiyama, Y., Yamada, Y., et al.. - In: IMMUNOTHERAPY. - ISSN 1750-743X. - (2023). [10.2217/imt-2023-0028]
Validation of a drug-based score in advanced urothelial carcinoma treated with pembrolizumab
Buti, SebastianoConceptualization
;Bersanelli, Melissa;
2023-01-01
Abstract
: Aim: To validate a 'drug score' that stratifies patients receiving immunotherapy based on concomitant medications (antibiotics/proton pump inhibitors/corticosteroids) in urothelial carcinoma (UC). Materials & methods: We assessed oncological outcomes according to the drug score in 242 patients with advanced UC treated with pembrolizumab. Results: The drug score classified patients into three risk groups with significantly different survivals. Heterogeneous treatment effect analyses showed that the primary cancer site (bladder UC [BUC] or upper-tract UC [UTUC]) significantly affected the prognostic capability of the drug score; it significantly correlated with survivals in BUC, while there were no such correlations in UTUC. Conclusion: A drug score was examined in advanced UC treated with pembrolizumab and was validated in BUC but not in UTUC.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.


