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Initial experience of enfortumab vedotin in a patient with metastatic urothelial carcinoma on hemodialysis: Two case reports. | LitMetric

AI Article Synopsis

  • The text discusses a study on the use of enfortumab vedotin in patients with metastatic urothelial carcinoma who are also on hemodialysis due to end-stage renal disease.
  • Two case studies are presented: one involving an 85-year-old man and another a 73-year-old man, both of whom had undergone previous surgeries and treatments without success.
  • The results showed varying responses to the treatment, with one patient achieving partial response and the other experiencing disease progression, while both encountered manageable side effects.

Article Abstract

Introduction: Few studies have reported on administering enfortumab vedotin to patients with metastatic urothelial carcinoma and end-stage renal disease requiring hemodialysis.

Case Presentation: Case 1: An 85-year-old man underwent hemodialysis for progressive renal failure 4 months after right laparoscopic radical nephroureterectomy. Case 2: A 73-year-old man underwent hemodialysis after two laparoscopic radical nephroureterectomies for recurrent urothelial carcinoma. In both cases, enfortumab vedotin was administered due to postoperative recurrence and progression despite platinum-based chemotherapy and pembrolizumab. Partial response and disease progression were observed in cases 1 and 2, respectively. Adverse events included a mild skin rash in both patients and neutropenia in Case 1, both of which resolved with symptomatic treatment.

Conclusion: The efficacy and safety of enfortumab vedotin in patients with metastatic urothelial carcinoma, and end-stage renal disease undergoing hemodialysis, were confirmed.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11221941PMC
http://dx.doi.org/10.1002/iju5.12736DOI Listing

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