Disease index

UC

Oncology · 2011–2024

12decisions
6medicines
8carried consumer input
23individual submissions

Every decision

MedicineMeetingOutcomeConsumer input
nivolumab Adjuvant treatment of high-risk muscle invasive urothelial carcinoma (MIUC) after radical resection in patients who have received prior neoadjuvant… Mar 2024 Deferred input received Medical Oncology Group
enfortumab vedotin First-line treatment of locally advanced (Stage III) or metastatic (Stage IV) urothelial cancer in patients who have not received prior systemic therapy. Nov 2024 Recommended with restriction 11 individuals BEAT Bladder Cancer Australia · Rare Cancers Australia · Medical Oncology Group
nivolumab First-line treatment of cisplatin-eligible adult patients with unresectable or metastatic urothelial carcinoma. Nov 2024 Recommended with restriction input received Rare Cancers Australia · BEAT Bladder Cancer Australia · Medical Oncology Group
enfortumab vedotin Treatment of patients with locally advanced (Stage III) or metastatic (Stage IV) urothelial cancer who have progressed on or after a platinum-containing… Feb 2023 Deferred 1 individuals Medical Oncology Group
avelumab Maintenance treatment of locally advanced (Stage III) or metastatic (Stage IV) urothelial carcinoma in patients whose disease has not progressed following… Mar 2022 Recommended with restriction no section in document
enfortumab vedotin Treatment of patients with locally advanced (Stage III) or metastatic (Stage IV) urothelial cancer who have progressed on or after a platinum-containing… Mar 2022 Not recommended 1 individuals Rare Cancers Australia · BEAT Bladder Cancer Australia · Medical Oncology Group
avelumab Maintenance treatment of locally advanced (Stage III) or metastatic (Stage IV) urothelial carcinoma in patients whose disease has not progressed following… Mar 2021 Recommended with restriction input received BEAT Bladder Cancer Australia · Rare Cancers Australia · Medical Oncology Group · Society for Medical Oncology Magnitude of Clinical Benefit · Eastern Cooperative Oncology Group
durvalumab Treatment of patients with locally advanced or metastatic urothelial cancer who have disease progression during or following platinum-based chemotherapy. Jul 2019 Not recommended 1 individuals BEAT Bladder Cancer Australia
vinflunine Treatment of adult patients with locally advanced or metastatic transitional cell carcinoma of the urothelial tract after failure of a prior… Jul 2017 Not recommended none received
pembrolizumab Treatment of patients with locally advanced or metastatic urothelial cancer after failure of a platinum-containing regimen. Nov 2017 Not recommended 9 individuals Rare Cancer Australia · Medical Oncology Group
vinflunine Treatment of adult patients with advanced or metastatic transitional cell carcinoma of the urothelial tract (TCCU) after failure of a prior platinum-containing… Nov 2015 Not recommended none received
vinflunine Treatment of adult patients with advanced or metastatic transitional cell carcinoma of the urothelial tract after failure of a prior platinum-containing… Nov 2011 Not recommended no section in document

Who spoke

Medical Oncology Group · BEAT Bladder Cancer Australia · Rare Cancers Australia · Society for Medical Oncology Magnitude of Clinical Benefit · Eastern Cooperative Oncology Group · Rare Cancer Australia

What the PBS pays

$1,089M in government benefit over 2024–25, across 127,978 services.

This is spend on the medicines considered for this condition, not spend on the disease. A medicine used for several conditions is counted in full under each, so figures across conditions add to more than national PBS expenditure.

MedicineGovernment benefit
pembrolizumab $739.6M
durvalumab $175.6M
nivolumab $85.2M
avelumab $71.8M
enfortumab vedotin $17M

Appraised elsewhere

NICE, in England and Wales, has appraised 10 technologies for this condition, recommending 5 and declining 2. A different committee, a different population and a different price: this is what has been looked at there, not a verdict on what happened here.

TechnologyAppraisalOutcomeDate
nivolumabNivolumab with chemotherapy for untreated unresectable or metastatic urothelial cancer (terminated appraisal) TA1141 terminated 2026-03
enfortumab vedotinEnfortumab vedotin with pembrolizumab for untreated unresectable or metastatic urothelial cancer when platinum-based chemotherapy is suitable TA1097 recommended restricted 2025-09
nivolumabNivolumab for adjuvant treatment of invasive urothelial cancer at high risk of recurrence TA817 recommended restricted 2022-08
enfortumab vedotinEnfortumab vedotin for previously treated locally advanced or metastatic urothelial cancer (terminated appraisal) TA797 terminated 2022-06
avelumabAvelumab for maintenance treatment of locally advanced or metastatic urothelial cancer after platinum-based chemotherapy TA788 recommended restricted 2022-05
atezolizumabAtezolizumab for untreated PD-L1-positive advanced urothelial cancer when cisplatin is unsuitable TA739 recommended restricted 2021-10
pembrolizumabPembrolizumab for treating locally advanced or metastatic urothelial carcinoma after platinum-containing chemotherapy TA692 not recommended 2021-04
pembrolizumabPembrolizumab for untreated PD-L1-positive, locally advanced or metastatic urothelial cancer when cisplatin is unsuitable (terminated appraisal) TA674 terminated 2021-02
atezolizumabAtezolizumab for treating locally advanced or metastatic urothelial carcinoma after platinum-containing chemotherapy TA525 recommended restricted 2018-06
vinflunineVinflunine for the treatment of advanced or metastatic transitional cell carcinoma of the urothelial tract TA272 not recommended 2013-01

Conditions are classified by a language model from the indication text of each submission, so an individual label here can be wrong. Consumer input is read from the document's own consumer comments section: 8 of 11 decisions since 2014 carried some. Silence means no comment reached the committee through that facility, not that nobody was affected. More on how this was built.