OnCo
pairingsPairing

Enfortumab vedotin + pembrolizumab across the bladder cancer continuum

The ADC-immunotherapy pair that doubled survival in advanced disease now also works around surgery, in fit and unfit patients alike.

EV-302 (metastatic, OS HR 0.47), EV-303 (cisplatin-ineligible MIBC, EFS HR 0.40, approved Nov 2025), EV-304 (cisplatin-eligible MIBC, positive Dec 2025). The first regimen to displace platinum chemotherapy at every stage of a common solid tumour.

Rationale
Nectin-4 is near-universal in urothelial cancer; MMAE induces immunogenic cell death and dendritic-cell maturation that pembrolizumab exploits.
Evidence
Three positive phase 3 trials.

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