New Indication: Adjuvant Pembrolizumab for Bladder Cancer


  • Study

    Phase 3, open-label, randomized trial (AMBASSADOR)
    High-risk muscle-invasive urothelial carcinoma after radical surgery
    Pembrolizumab (200 mg q3w for 1 yr) vs. observation



  • Efficacy

    mDFS: 29.6 mos vs. 14.2 mos (pembrolizumab vs. observation) (HR: 0.73 [0.59-0.90], p=0.003)



  • Safety

    Grade ≥3 AEs: 50.6% vs. 31.6%
    Common AEs: Fatigue, pruritus, diarrhea, hypothyroidism



  • N Engl J Med 2025;392:45-55

    Apolo AB,Ballman KV,Sonpavde G Adjuvant Pembrolizumab versus Observation in Muscle-Invasive Urothelial Carcinoma

    http://doi.org/10.1056/NEJMoa2401726

    Reviewed by Ulas D. Bayraktar, MD on Mar 31, 2025

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