Chronic Disease And CancerCondition

Enfortumab vedotin plus pembrolizumab perioperative therapy for muscle invasive bladder cancer

April 6, 2026NEJM, Ashish M. Kamat, MD, MBBS

NEJM reports phase 3 KEYNOTE-905 results where enfortumab vedotin plus pembrolizumab with surgery improved event-free and overall survival versus surgery alone in cisplatin-ineligible muscle-invasive bladder cancer.

Original Article: Perioperative Enfortumab Vedotin and Pembrolizumab in Bladder Cancer (phase 3 KEYNOTE-905 trial)
In cisplatin-ineligible patients with muscle-invasive bladder cancer, enfortumab vedotin–pembrolizumab plus surgery led to better event-free survival (74.7%, vs. 39.4%)
and overall survival (79.7%, vs. 63.1%) than surgery alone at 2 years.
Perioperative Enfortumab Vedotin and Pembrolizumab in Bladder Cancer (phase 3 KEYNOTE-905 trial)
enfortumab vedotin–pembrolizumab plus surgery led to better event-free survival (74.7%, vs. 39.4%)
enfortumab vedotin–pembrolizumab plus surgery led to better event-free survival
Real-world signal that aligns with EV‑303 / EV‑304
adding EVP prior to surgery does not increase operative complexity.
NEJM
Ashish M. Kamat, MD, MBBS
bladder cancerclinical trialimmunotherapy

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