Additionally, the mPFS was longer in patients with normal renal function than in those with renal impairment (12.3 vs 8.1 months), though the difference did not reach statistical significance ( p = 0.08).
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Efficacy and safety of a novel treatment scheme of RC48-ADC plus PD-1 inhibitors in metastatic urothelial carcinoma: a multicenter real-world study.
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45 , 46 Our study results showed that while outcomes of concurrent chemoradiotherapy were comparable to systemic treatment alone (ORR: 78% vs 69%, mPFS: 13.4 vs 9.2 months), the concurrent radiotherapy group demonstrated a favorable trend in hazard ratio (HR = 1.78, 95% CI: 0.70–4.54) suggesting better prognosis, though the difference did not reach statistical significance ( p = 0.23).
In terms of safety, the incidence of TRAEs in patients with renal impairment showed an increasing trend as renal function worsened, but no grade 4–5 adverse events were observed.