KEYNOTE-905: Perioperative Immunotherapy Regimen Active in Cisplatin-Ineligible MIBC - Summary - MDSpire
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KEYNOTE-905: Perioperative Immunotherapy Regimen Active in Cisplatin-Ineligible MIBC

  • By

  • Chase Doyle

  • May 8, 2026

  • 6 min

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In a pivotal phase III trial (KEYNOTE-905), combining enfortumab vedotin-ejfv, an antibody-drug conjugate, with the PD-1 inhibitor pembrolizumab significantly enhanced event-free and overall survival rates in muscle-invasive bladder cancer (MIBC) patients who were ineligible for cisplatin chemotherapy. Presented at the 26th Annual Society of Urologic Oncology Meeting, this regimen yielded a pathologic complete response rate of 57.1% compared to 8.6% with radical cystectomy alone. This treatment represents a new standard of care, approved by the FDA, for patients with a high unmet medical need.

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