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Upper-tract urothelial carcinoma (UTUC) is a rare tumor. Standard treatment of localized disease is most often radical nephroureterectomy.
In advanced/metastatic disease, treatments follow the standards for urothelial carcinoma including platinum-based chemotherapy and anti-PD(L)1 (Programmed death (ligand) 1) immunotherapy, with no regard as to the primary disease site (bladder or upper tract). Given the rarity of UTUC, efficacy data in the UTUC subgroup of advanced urothelial carcinoma is scarce.
UTUC show distinct pahological and molecular features, including higher prevalence of microsatellite instability and of abnormalities in the FGFR (fibroblast growth factor receptors) gene family. These specific features may impact outcomes of immunotherapy in advanced/metastatic UTUC.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Patients with advanced/metastatic UTUC treated with second-line anti-PD-(L)1 immunotherapy |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Evaluation of anti-PD-(L)1 immunotherapy efficacy | Other | Non Applicable, research on data |
|
| Measure | Description | Time Frame |
|---|---|---|
| Overall survival on anti-PD-(L)1 immunotherapy | 2 years after immunotherapy initiation |
| Measure | Description | Time Frame |
|---|---|---|
| Best Objective Radiologic Response | Evaluated by RECIST v1.1 The Response Evaluation Criteria in Solid Tumors (RECIST) is a standard system to measure how cancer responds to different treatments.It permits to evaluate the response according to the evolution of the lesions. | Up to 7 years maximum |
| Overall survival |
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Inclusion Criteria:
Exclusion Criteria:
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Patients with advanced/metastatic UTUC treated with second-line anti-PD-(L)1 immunotherapy
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Clément Dumont, Dr | Contact | +142494217 | clement.dumont@aphp.fr | |
| Jérôme Lambert, Pr | Contact | +33142499742 | jerome.lambert@u-paris.fr |
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| ID | Term |
|---|---|
| D002295 | Carcinoma, Transitional Cell |
| ID | Term |
|---|---|
| D002277 | Carcinoma |
| D009375 | Neoplasms, Glandular and Epithelial |
| D009370 | Neoplasms by Histologic Type |
| D009369 | Neoplasms |
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| 5 years after immunotherapy initiation |
| Progression free survival | 6 months after immunotherapy initiation |
| Progression free survival | 1 year after immunotherapy initiation |
| Progression free survival | 2 years after immunotherapy initiation |
| Progression free survival | 3 years after immunotherapy initiation |
| Duration of immunotherapy treatment | Treatment tolerability | Up to 7 years after immunotherapy initiation |
| Reasons for treatment discontinuation | Up to 7 years after immunotherapy initiation |
| Translational study of predictive biomarkers of efficacy | Up to 7 years after immunotherapy initiation |