FDA Flags Lower Efficacy For Merck's Keytruda, Roche's Tecentriq In Frontline Bladder Cancer Trials

In patients with previously untreated metastatic bladder cancer with low PD-L1 expression, PD-1 drugs alone don't work as well as chemo.

Render illustration of Clinical Trial title on medical documents

The US FDA issued an alert on May 18 that said first-line monotherapy treatment with Merck & Co. Inc.'s Keytruda and Roche's Tecentriq in metastatic urothelial cancer (mUC) trials was linked with decreased survival in patients with low expression of the PD-L1 biomarker compared with chemotherapy, though this was not due to adverse events.

Keytruda (pembrolizumab), a PD-1 inhibitor, and Tecentriq (atezolizumab), a PD-L1 inhibitor, both were cleared under FDA's accelerated approval process for...

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