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Safety and efficacy of atezolizumab in patients with autoimmune disease: Subgroup analysis of the SAUL study in locally advanced/metastatic urinary tract carcinoma

European Journal of Cancer Sep 29, 2020

Loriot Y, Sternberg CN, Castellano D, et al. - Researchers report outcomes of atezolizumab in a broader ‘real-world’ patient population with a history of autoimmune disease (AID) enrolled in the single-arm international SAUL study. Participants were patients with locally advanced/metastatic urinary tract carcinoma who were treated with atezolizumab 1200 mg every 3 weeks until loss of clinical advantage or unacceptable toxicity. As per findings, the observed incidences of special- interest and treatment-related adverse events (AEs) seemed acceptable in 35 atezolizumab-managed patients with pre-existing AID. The reported AEs were manageable, rarely necessitating atezolizumab discontinuation. Caution is needed to treat these patients, however, pre-existing AID does not preclude atezolizumab treatment.

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