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Perioperative IMFINZI® (durvalumab) plus neoadjuvant enfortumab vedotin reduced risk of recurrence by 49% and risk of death by 42% in muscle-invasive bladder cancer

$AZNPress releaseOct 24, 2026, 10:30 AM ETRead the release

AstraZeneca's VOLGA Phase 3 trial showed perioperative IMFINZI plus neoadjuvant enfortumab vedotin cut risk of recurrence, progression or death by 49% and risk of death by 42% in cisplatin-ineligible muscle-invasive bladder cancer. At two years, 64% of patients on the combination were alive and event-free versus 45% with standard of care, and 78% were alive versus 69%; safety was consistent with the known profiles of both drugs.

Key figures

Drug Name
IMFINZI (durvalumab)
Phase Of Trial
Phase 3
Os p value
0.0027
Efs p value
<0.0001
Trial centers
182
Os hazard ratio
0.58
Trial countries
25
Efs hazard ratio
0.51
Os risk reduction
42%
Efs risk reduction
49%
Patients randomized
695
Os rate 24mo treatment
78%
Efs rate 24mo treatment
64%
Os rate 24mo comparator
69%
Efs rate 24mo comparator
45%
Comparator median efs months
12.1

AI analysis

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