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Efficacy of Disitamab Vedotin and Immune Profiles in High-Risk Non-Muscle-Invasive Bladder Cancer With HER2 Overexpression

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机构: [1]Department of Urology Institute of Urology, Sichuan Clinical Research Center for Kidney and Urologic Diseases, West China Hospital, Sichuan University Chengdu China. [2]Department of Pathology West China Hospital, Sichuan University Chengdu China.
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Dear Editor Following transurethral resection of bladder tumor (TURBT), intravesical Bacille Calmette-Guerin (BCG) instillation remains the gold-standard adjuvant immunotherapy for high-risk nonmuscle-invasive bladder cancer (HR-NMIBC). However, 5-year recurrence and progression rates still reach 58% and 35%, respectively, among HR-NMIBC patients receiving BCG [1]. Human epidermal growth factor receptor 2 (HER2) overexpression has been identified as an independent predictor of poor response to BCG in NMIBC. Patients with HR-NMIBC and HER2 overexpression exhibited a higher risk of disease recurrence and progression following BCG treatment [1]. Disitamab vedotin (DV; RC48-ADC) is a HER2-targeted antibody–drug conjugate (ADC) comprising a humanized HER2-directed antibody conjugated to monomethyl auristatin E via a cleavable linker [2]. Clinical trials have demonstrated promising efficacy and manageable safety of DV in metastatic urothelial carcinoma patients with HER2 overexpression [3]. This cohort study aims to compare the efficacy of DV and BCG in HR-NMIBC patients with immunohistochemistry (IHC)-confirmed HER2 overexpression and evaluate the relationship between HER2 expression and tumor immune profiles.

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大类 | 1 区 医学
小类 | 1 区 医学:研究与实验
最新[2025]版:
大类 | 1 区 医学
小类 | 1 区 医学:研究与实验
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第一作者机构: [1]Department of Urology Institute of Urology, Sichuan Clinical Research Center for Kidney and Urologic Diseases, West China Hospital, Sichuan University Chengdu China.
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