Evidence map›Paper›PMID 37590894›Full record

Trial reportJournal of clinical oncology : official journal of the American Society of Clinical Oncology2023

Perioperative Chemoimmunotherapy With Durvalumab for Muscle-Invasive Urothelial Carcinoma: Primary Analysis of the Single-Arm Phase II Trial SAKK 06/17.

Richard Cathomas, Sacha I Rothschild, Stefanie Hayoz, Lukas Bubendorf, Berna C Özdemir, Bernhard Kiss, Andreas Erdmann, Stefanie Aeppli, Nicolas Mach, Räto T Strebel and 10 more

Open access · hybridAbstract readClinical Trial, Phase II
In one paragraph

Trial report in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
12.7field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 42 citations in OpenAlex.

  1. Trial
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  3. Neoadjuvant Atezolizumab With Gemcitabine and Cisplatin in Patients With Muscle-Invasive Bladder Cancer: A Multicenter, Single-Arm, Phase II Trial.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2022
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  10. Article
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  12. End Points for the Next-Generation Bladder-Sparing Perioperative Trials for Patients With Muscle-Invasive Bladder Cancer.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2025
    Article
  13. Interferon Epsilon Loss Is Elusive 9p21 Link to Immune-Cold Tumors, Resistant to Immune Checkpoint Therapy, and Endogenous CXCL9/10 Induction.Journal of thoracic oncology : official publication of the International Association for the Study of Lung Cancer · 2025
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

20 authors at 12 institutions in 2 countries.

Richard CathomasDivision of Oncology/Hematology, Kantonsspital Graubünden, Chur, Switzerland.ORCID 0000-0002-9677-9885
Sacha I RothschildDepartment of Medical Oncology and Comprehensive Cancer Center, University Hospital Basel, Basel, Switzerland.ORCID 0000-0003-1304-9340
Stefanie HayozCompetence Center of SAKK, Bern, Switzerland.ORCID 0000-0002-2265-6559
Lukas BubendorfInstitute of Medical Genetics and Pathology, University Hospital Basel, Basel, Switzerland.ORCID 0000-0001-5970-1803
Berna C ÖzdemirDepartment of Oncology, Bern University Hospital, Bern, Switzerland.ORCID 0000-0002-7380-0055
Bernhard KissDepartment of Urology, Bern University Hospital, Bern, Switzerland.
Andreas ErdmannDepartment of Oncology/Hematology, Kantonsspital Baden, Baden, Switzerland.
Stefanie AeppliDepartment of Oncology, University Hospital HUG, Geneva, Switzerland.ORCID 0000-0003-2779-5942
Nicolas MachDepartment of Oncology, Kantonsspital St Gallen, St Gallen, Switzerland.ORCID 0000-0001-8944-1088
Räto T StrebelDivision of Urology, Kantonsspital Graubünden, Chur, Switzerland.
Boris HadaschikDepartment of Urology, University Hospital Essen, Essen, Germany.ORCID 0000-0002-1052-2692
Dominik BertholdDepartment of Oncology, University Hospital CHUV, Lausanne, Switzerland.
Hubert JohnDepartment of Urology, Kantonsspital Winterthur, Winterthur, Switzerland.
Deborah ZihlerDepartment of Oncology, Kantonsspital Aarau, Aarau, Switzerland.
Mathias SchmidDepartment of Oncology, Triemlispital, Zürich, Switzerland.
Ilaria AlborelliInstitute of Medical Genetics and Pathology, University Hospital Basel, Basel, Switzerland.ORCID 0000-0001-7849-3958
Martina SchneiderCompetence Center of SAKK, Bern, Switzerland.
Jana MusilovaCompetence Center of SAKK, Bern, Switzerland.ORCID 0000-0003-2238-0668
Martin SpahnDepartment of Urology, Bern University Hospital, Bern, Switzerland.
Ulf PetrauschOnkozentrum Zürich, Zürich, Switzerland.
Swiss Group For Clinical Cancer Research · CHUniversity Hospital of Basel · CHUniversity Hospital of Bern · CHKantonsspital Graubünden · CHEssen University Hospital · DEKantonsspital Aarau · CHKantonsspital Baden · CHKantonsspital St. Gallen · CHKantonsspital Winterthur · CHTriemli Hospital · CHUniversity Hospital of Geneva · CHUniversity Hospital of Lausanne · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe integration of immunotherapy in the perioperative setting of muscle-invasive urothelial carcinoma (MIUC) appears promising. SAKK 06/17 investigated the addition of neoadjuvant durvalumab to gemcitabine/cisplatin (GC) chemotherapy followed by radical surgery and adjuvant checkpoint inhibition with durvalumab. PATIENTS AND

methodsSAKK 06/17 was an investigator-initiated, open-label, single-arm phase II study including cisplatin-fit patients with stage cT2-T4a cN0-1 operable MIUC. Four cycles of neoadjuvant GC in combination with four cycles of durvalumab (start with GC cycle 2) were administered, followed by radical surgery. Adjuvant durvalumab was given for 10 cycles. The primary end point was event-free survival (EFS) at 2 years.

resultsSixty one patients were accrued at 12 sites. The full analysis set consisted of 57 patients, 54 (95%) had bladder cancer. Median follow-up was 40 months. The primary end point was met, with EFS at 2 years of 76% (one-sided 90% CI [lower bound], 67%; two-sided 95% CI, 62 to 85). EFS at 3 years was 73% (95% CI, 59 to 83). Complete pathologic response in resected patients (N = 52) was achieved in 17 patients (33%), and 31 (60%) had pathologic response <ypT2 ypN0. Overall survival (OS) was 85% (95% CI, 72 to 92) at 2 years and 81% (95% CI, 67 to 89) at 3 years. Grade 3 and 4 treatment-related adverse events (TRAEs) during neoadjuvant treatment occurred in 42% and 25%, respectively. TRAEs related to adjuvant durvalumab were grade 3 in 5 (11%) and grade 4 in 2 (4%) patients.

conclusionThe addition of perioperative durvalumab to the standard of care for patients with resectable MIUC results in a high EFS and OS at 2 years.

Indexed as

Carcinoma, Transitional CellUrinary Bladder NeoplasmsAntibodies, MonoclonalAntineoplastic Combined Chemotherapy ProtocolsCisplatinDeoxycytidineHumansImmunotherapyMusclesNeoadjuvant TherapyAntibodies, MonoclonalCisplatinDeoxycytidinedurvalumab

Identifiers

PMID37590894
PMCPMC10666980
OpenAlexW4385932981

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.