Trial Outcomes & Findings for A Study to Learn About the Study Medicine (Avelumab) in Japanese Patients With Urothelial Carcinoma That Has Spread (NCT NCT05431777)

NCT ID: NCT05431777

Last Updated: 2025-04-01

Results Overview

The age of participants at baseline was reported.

Recruitment status

COMPLETED

Target enrollment

79 participants

Primary outcome timeframe

At baseline (at the initiation of avelumab maintenance therapy)

Results posted on

2025-04-01

Participant Flow

First participant enrolled: 19-Jul-2022. Last Participant Last Visit: 16-Jan-2023

Participant milestones

Participant milestones
Measure
Avelumab in Advanced-metastatic UC
Participants diagnosed with advanced or metastatic urothelial carcinoma (UC) who were prescribed avelumab as 1L maintenance therapy between 24 February 2021 and 30 November 2021 under standard care in a real-world clinical setting in Japan.
Overall Study
STARTED
79
Overall Study
COMPLETED
79
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

A Study to Learn About the Study Medicine (Avelumab) in Japanese Patients With Urothelial Carcinoma That Has Spread

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Avelumab in Advanced-metastatic UC
n=79 Participants
Participants diagnosed with advanced or metastatic urothelial carcinoma (UC) who were prescribed avelumab as 1L maintenance therapy between 24 February 2021 and 30 November 2021 under standard care in a real-world clinical setting in Japan.
Age, Continuous
70.1 years
STANDARD_DEVIATION 9.2 • n=99 Participants
Sex: Female, Male
Female
19 Participants
n=99 Participants
Sex: Female, Male
Male
60 Participants
n=99 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=99 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
79 Participants
n=99 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=99 Participants
Race (NIH/OMB)
Asian
79 Participants
n=99 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=99 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=99 Participants
Race (NIH/OMB)
White
0 Participants
n=99 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=99 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants

PRIMARY outcome

Timeframe: At baseline (at the initiation of avelumab maintenance therapy)

Population: Analysis set included all participants who were enrolled in the study and received maintenance avelumab treatment between 24 February 2021 and 30 November 2021, participants meeting all the inclusion criteria were analyzed.

The age of participants at baseline was reported.

Outcome measures

Outcome measures
Measure
Avelumab in Advanced-metastatic UC
n=79 Participants
Participants diagnosed with advanced or metastatic urothelial carcinoma (UC) who were prescribed avelumab as 1L maintenance therapy between 24 February 2021 and 30 November 2021 under standard care in a real-world clinical setting in Japan.
Age of Participants at Baseline
72 Years
Interval 44.0 to 86.0

PRIMARY outcome

Timeframe: At baseline (at the initiation of avelumab maintenance therapy)

Population: Analysis set included all participants who were enrolled in the study and received maintenance avelumab treatment between 24 February 2021 and 30 November 2021, participants meeting all the inclusion criteria were analyzed.

Number of Participants With Advanced and Metastatic UC by sex was reported.

Outcome measures

Outcome measures
Measure
Avelumab in Advanced-metastatic UC
n=79 Participants
Participants diagnosed with advanced or metastatic urothelial carcinoma (UC) who were prescribed avelumab as 1L maintenance therapy between 24 February 2021 and 30 November 2021 under standard care in a real-world clinical setting in Japan.
Number of Participants With Advanced and Metastatic Urothelial Carcinoma by Sex
Male
60 Participants
Number of Participants With Advanced and Metastatic Urothelial Carcinoma by Sex
Female
19 Participants

PRIMARY outcome

Timeframe: At baseline (at the initiation of avelumab maintenance therapy)

Population: Analysis set included all participants who were enrolled in the study and received maintenance avelumab treatment between 24 February 2021 and 30 November 2021, participants meeting all the inclusion criteria were analyzed.

The primary tumor site is divided into the following categories: "upper urinary tract" for renal pelvis or ureter "lower urinary tract" for bladder and urethra.

Outcome measures

Outcome measures
Measure
Avelumab in Advanced-metastatic UC
n=79 Participants
Participants diagnosed with advanced or metastatic urothelial carcinoma (UC) who were prescribed avelumab as 1L maintenance therapy between 24 February 2021 and 30 November 2021 under standard care in a real-world clinical setting in Japan.
Number of Participants According to Location of Primary Tumor
Bladder
43 Participants
Number of Participants According to Location of Primary Tumor
Upper Tract (renal pelvis or ureter)
36 Participants

PRIMARY outcome

Timeframe: At baseline (at the initiation of avelumab maintenance therapy)

Population: Analysis set included all participants who were enrolled in the study and received maintenance avelumab treatment between 24 February 2021 and 30 November 2021, participants meeting all the inclusion criteria were analyzed.

The subtype of urothelial carcinoma included micropapillary, microcystic, nested, lymphoepithelioma-like, plasmacytoid, sarcomatoid, giant cell, poorly differentiated, lipid rich, clear cell. number of participants with presence of UC subtype was reported.

Outcome measures

Outcome measures
Measure
Avelumab in Advanced-metastatic UC
n=79 Participants
Participants diagnosed with advanced or metastatic urothelial carcinoma (UC) who were prescribed avelumab as 1L maintenance therapy between 24 February 2021 and 30 November 2021 under standard care in a real-world clinical setting in Japan.
Number of Participants With Presence of Urothelial Carcinoma Subtype
No
33 Participants
Number of Participants With Presence of Urothelial Carcinoma Subtype
Yes
13 Participants
Number of Participants With Presence of Urothelial Carcinoma Subtype
Unknown
20 Participants
Number of Participants With Presence of Urothelial Carcinoma Subtype
Not reported
13 Participants

PRIMARY outcome

Timeframe: At baseline (at the initiation of avelumab maintenance therapy)

Population: Analysis set included all participants who were enrolled in the study and received maintenance avelumab treatment between 24 February 2021 and 30 November 2021, participants meeting all the inclusion criteria were analyzed.

Number of participants with metastatic sites at start of First Line Chemotherapy was reported.

Outcome measures

Outcome measures
Measure
Avelumab in Advanced-metastatic UC
n=79 Participants
Participants diagnosed with advanced or metastatic urothelial carcinoma (UC) who were prescribed avelumab as 1L maintenance therapy between 24 February 2021 and 30 November 2021 under standard care in a real-world clinical setting in Japan.
Number of Participants With Metastatic Sites at Start of First Line Chemotherapy
Single
18 Participants
Number of Participants With Metastatic Sites at Start of First Line Chemotherapy
Multiple
34 Participants
Number of Participants With Metastatic Sites at Start of First Line Chemotherapy
None
25 Participants
Number of Participants With Metastatic Sites at Start of First Line Chemotherapy
Unknown
2 Participants

PRIMARY outcome

Timeframe: At the initiation of first line chemotherapy

Population: Analysis set included all participants who were enrolled in the study and received maintenance avelumab treatment between 24 February 2021 and 30 November 2021, participants meeting all the inclusion criteria were analyzed.

ECOG PS measured on-therapy (time between first dose and last dose date) assessed participant's performance status on 5 point scale: 0 is equal to (=) fully active/able to carry on all pre-disease activities without restriction; 1=restricted in physically strenuous activity, ambulatory/able to carry out light or sedentary work; 2=ambulatory (greater than \[\>\] 50% of waking hours \[hrs\]), capable of all self care, unable to carry out any work activities; 3=capable of only limited self care, confined to bed/chair \>50% of waking hrs; 4=completely disabled, cannot carry on any self care, totally confined to bed/chair; 5=dead.

Outcome measures

Outcome measures
Measure
Avelumab in Advanced-metastatic UC
n=79 Participants
Participants diagnosed with advanced or metastatic urothelial carcinoma (UC) who were prescribed avelumab as 1L maintenance therapy between 24 February 2021 and 30 November 2021 under standard care in a real-world clinical setting in Japan.
Number of Participants With Eastern Cooperative Oncology Group Performance Status (ECOG PS) at Start of First Line Chemotherapy
0
56 Participants
Number of Participants With Eastern Cooperative Oncology Group Performance Status (ECOG PS) at Start of First Line Chemotherapy
1
19 Participants
Number of Participants With Eastern Cooperative Oncology Group Performance Status (ECOG PS) at Start of First Line Chemotherapy
2
3 Participants
Number of Participants With Eastern Cooperative Oncology Group Performance Status (ECOG PS) at Start of First Line Chemotherapy
3
1 Participants
Number of Participants With Eastern Cooperative Oncology Group Performance Status (ECOG PS) at Start of First Line Chemotherapy
4
0 Participants

PRIMARY outcome

Timeframe: At baseline (at the initiation of avelumab maintenance therapy)

Population: Analysis set included all participants who were enrolled in the study and received maintenance avelumab treatment between 24 February 2021 and 30 November 2021, participants meeting all the inclusion criteria were analyzed.

Chemotherapies were categorized as: 1.Gemcitabine + Cisplatin 2. Gemcitabine + Carboplatin 3. Dose-dense methotrexate, vinblastine, doxorubicin, cisplatin 4. Other.

Outcome measures

Outcome measures
Measure
Avelumab in Advanced-metastatic UC
n=79 Participants
Participants diagnosed with advanced or metastatic urothelial carcinoma (UC) who were prescribed avelumab as 1L maintenance therapy between 24 February 2021 and 30 November 2021 under standard care in a real-world clinical setting in Japan.
Number of Participants Who Received First Line (IL) Chemotherapy Regimens
Gemcitabine + Cisplatin
50 Participants
Number of Participants Who Received First Line (IL) Chemotherapy Regimens
Gemcitabine + Carboplatin
24 Participants
Number of Participants Who Received First Line (IL) Chemotherapy Regimens
Dose-dense methotrexate, vinblastine, doxorubicin, cisplatin
2 Participants
Number of Participants Who Received First Line (IL) Chemotherapy Regimens
Other
3 Participants

PRIMARY outcome

Timeframe: At baseline (at the initiation of avelumab maintenance therapy)

Population: Analysis set included all participants who were enrolled in the study and received maintenance avelumab treatment between 24 February 2021 and 30 November 2021, participants meeting all the inclusion criteria were analyzed.

Number of Firstline Chemotherapy Cycles in participants at baseline was reported.

Outcome measures

Outcome measures
Measure
Avelumab in Advanced-metastatic UC
n=79 Participants
Participants diagnosed with advanced or metastatic urothelial carcinoma (UC) who were prescribed avelumab as 1L maintenance therapy between 24 February 2021 and 30 November 2021 under standard care in a real-world clinical setting in Japan.
Number of First Line Chemotherapy Cycles
4 cycles
Interval 4.0 to 6.0

PRIMARY outcome

Timeframe: At baseline (at the initiation of avelumab maintenance therapy)

Population: Analysis set included all participants who were enrolled in the study and received maintenance avelumab treatment between 24 February 2021 and 30 November 2021, participants meeting all the inclusion criteria were analyzed.

Determination of the best overall response to first-line chemotherapy is categorized as following: "Objective response" when "Complete Response" or "Partial Response." "Non-objective response" when "Stable Disease" of "Progressive Disease"

Outcome measures

Outcome measures
Measure
Avelumab in Advanced-metastatic UC
n=79 Participants
Participants diagnosed with advanced or metastatic urothelial carcinoma (UC) who were prescribed avelumab as 1L maintenance therapy between 24 February 2021 and 30 November 2021 under standard care in a real-world clinical setting in Japan.
Number of Participants With Best Response to First Line Chemotherapy According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) as Assessed by Investigator
Complete Response
8 Participants
Number of Participants With Best Response to First Line Chemotherapy According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) as Assessed by Investigator
Partial Response
46 Participants
Number of Participants With Best Response to First Line Chemotherapy According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) as Assessed by Investigator
Stable Disease
25 Participants
Number of Participants With Best Response to First Line Chemotherapy According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) as Assessed by Investigator
Progressive Disease
0 Participants

PRIMARY outcome

Timeframe: At baseline (at the initiation of avelumab maintenance therapy)

Population: Analysis set included all participants who were enrolled in the study and received maintenance avelumab treatment between 24 February 2021 and 30 November 2021, participants meeting all the inclusion criteria were analyzed.

Number of participants with presence or absence of variant histology was reported.

Outcome measures

Outcome measures
Measure
Avelumab in Advanced-metastatic UC
n=79 Participants
Participants diagnosed with advanced or metastatic urothelial carcinoma (UC) who were prescribed avelumab as 1L maintenance therapy between 24 February 2021 and 30 November 2021 under standard care in a real-world clinical setting in Japan.
Number of Participants With Presence or Absence of Variant Histology
Presence
13 Participants
Number of Participants With Presence or Absence of Variant Histology
Absence
33 Participants
Number of Participants With Presence or Absence of Variant Histology
Unknown
20 Participants
Number of Participants With Presence or Absence of Variant Histology
Not Reported
13 Participants

PRIMARY outcome

Timeframe: At baseline (at the initiation of avelumab maintenance therapy)

Population: Analysis set included all participants who were enrolled in the study and received maintenance avelumab treatment between 24 February 2021 and 30 November 2021, participants meeting all the inclusion criteria were analyzed.

Treatment free-interval is defined as the time from the end date of first-line chemotherapy to the start date of avelumab administration. Treatment-free interval divided into the following categories. \<4 weeks/4 to 10 weeks/\>10 weeks.

Outcome measures

Outcome measures
Measure
Avelumab in Advanced-metastatic UC
n=79 Participants
Participants diagnosed with advanced or metastatic urothelial carcinoma (UC) who were prescribed avelumab as 1L maintenance therapy between 24 February 2021 and 30 November 2021 under standard care in a real-world clinical setting in Japan.
Treatment-Free Interval
34 days
Interval 12.0 to 371.0

PRIMARY outcome

Timeframe: At baseline (at the initiation of avelumab maintenance therapy)

Population: Analysis set included all participants who were enrolled in the study and received maintenance avelumab treatment between 24 February 2021 and 30 November 2021, participants meeting all the inclusion criteria were analyzed.

Second-Line Therapies were categorized as: 1. Platinum Chemotherapy, 2. Enfortumab Vedotin, Gem, Gemcitabine, 3.immune checkpoint inhibitor.

Outcome measures

Outcome measures
Measure
Avelumab in Advanced-metastatic UC
n=79 Participants
Participants diagnosed with advanced or metastatic urothelial carcinoma (UC) who were prescribed avelumab as 1L maintenance therapy between 24 February 2021 and 30 November 2021 under standard care in a real-world clinical setting in Japan.
Percentage of Participants With Second-Line Treatment Regimen
Platinum Chemotherapy
51.4 percentage of participants
Percentage of Participants With Second-Line Treatment Regimen
Enfortumab Vedotin
35.1 percentage of participants
Percentage of Participants With Second-Line Treatment Regimen
Immune Checkpoint Inhibitor
8.1 percentage of participants
Percentage of Participants With Second-Line Treatment Regimen
Others
5.4 percentage of participants

SECONDARY outcome

Timeframe: Time from start of avelumab maintenance therapy to the date of end of treatment due to any cause including death, assessed up to 5.9 months

Population: Analysis set included all participants who were enrolled in the study and received maintenance avelumab treatment between 24 February 2021 and 30 November 2021, participants meeting all the inclusion criteria were analyzed.

TTF was defined as the time from start of avelumab maintenance therapy to the date of end of treatment due to any cause including death. If there is no record of the end of treatment, it be discontinued on the last visit date during the study period.

Outcome measures

Outcome measures
Measure
Avelumab in Advanced-metastatic UC
n=79 Participants
Participants diagnosed with advanced or metastatic urothelial carcinoma (UC) who were prescribed avelumab as 1L maintenance therapy between 24 February 2021 and 30 November 2021 under standard care in a real-world clinical setting in Japan.
Time to Failure (TTF) of Avelumab
4.57 months
Interval 3.3 to 6.37

SECONDARY outcome

Timeframe: From index date up to 30 Jun 2022, where index date was date of first prescription for avelumab between 24 February 2021 and 30 November 2021 (maximum observation period was of 16 months approximately)

Population: Analysis set included all participants who were enrolled in the study and received maintenance avelumab treatment between 24 February 2021 and 30 November 2021, participants meeting all the inclusion criteria were analyzed.

rwPFS is defined as: The time from start of avelumab maintenance therapy to date of first disease progression (as clinically assessed by local investigator based on radiology, laboratory evidence, pathology, or other assessments) or death due to any cause, whichever occurred first. If there were no clinical records of death or disease progression, they will be censored at the date of initiation of the next line of therapy for the participants undertaking 2 or more lines of therapy (subsequent therapy after avelumab maintenance therapy) based on the record, or at their last visit date during the study period for the participants undertaking only 1 line of therapy (only avelumab maintenance therapy) based on the record.

Outcome measures

Outcome measures
Measure
Avelumab in Advanced-metastatic UC
n=79 Participants
Participants diagnosed with advanced or metastatic urothelial carcinoma (UC) who were prescribed avelumab as 1L maintenance therapy between 24 February 2021 and 30 November 2021 under standard care in a real-world clinical setting in Japan.
Real-World Progression-Free Survival (Rw-PFS)
6.10 Months
Interval 3.63 to 9.67

SECONDARY outcome

Timeframe: Time from start of avelumab maintenance therapy to the date of end of treatment due to any cause including death, assessed up to 5.9 months

Population: Analysis set included all participants who were enrolled in the study and received maintenance avelumab treatment between 24 February 2021 and 30 November 2021, participants meeting all the inclusion criteria were analyzed.

The Best ORR was defined as the percentage of participants having achieved complete response (CR) or partial response (PR) according to RECIST version 1.1 as determined by the IRC. CR: defined as disappearance of all target and all non-target lesions and no new lesions. PR: defined as at least a 30% decrease in sum of diameters of target lesions, taking as reference the baseline sum diameters, no progression of non-target lesions and no new lesions.

Outcome measures

Outcome measures
Measure
Avelumab in Advanced-metastatic UC
n=79 Participants
Participants diagnosed with advanced or metastatic urothelial carcinoma (UC) who were prescribed avelumab as 1L maintenance therapy between 24 February 2021 and 30 November 2021 under standard care in a real-world clinical setting in Japan.
Overall Response Rate (ORR)
31.6 percentage of participants
Interval 21.6 to 43.1

SECONDARY outcome

Timeframe: Time from start of avelumab maintenance therapy to the date of end of treatment due to any cause including death, assessed up to 5.9 months

Population: According to protocol, only participants whose best overall response to chemotherapy was assessed as CR, PR,orSD received avelumab treatment,and their PFS was evaluated.However,for participants whose best overall response to chemotherapy was assessed as Progressive Disease,data on subsequent treatment regimens and PFS were not collected. Due to this selective data collection,the data would not be representative of the rwPFS-c for the patient population.For these reasons data was not collected.

rwPFS-c is defined as the following: The time from start of first-line Chemotherapy to date of first disease progression (as clinically assessed by local investigator based on radiology, laboratory evidence, pathology, or other assessments) or death due to any cause during avelumab treatment, whichever occurred first. If there were no clinical records of death or disease progression, they will be censored at the date of initiation of the next line of therapy for the participants undertaking 2 or more lines of therapy (subsequent therapy after avelumab maintenance therapy) based on the record, or at their last visit date during the study period for the participants undertaking only 1 line of therapy (only avelumab maintenance therapy) based on the record.

Outcome measures

Outcome data not reported

Adverse Events

Avelumab in Advanced-metastatic UC

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Communication Center

Merck Healthcare KGaA, Darmstadt Germany, an affiliate of Merck KGaA, Darmstadt

Phone: +49-6151-72-5200

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place