cisplatin,carboplatin,avelumab,pembrolizumab
merck,pfizer
['avelumab', 'pembro', 'cisplatin', ' sg ', '#gu,(-#gui),(-#gunagratinib),(-#guard),(-#gut)', 'carboplatin', 'biomarker', 'bladder', ' uc,(-ucsd),(-ucsf),', 'checkpoint therap']
what is the right sequence in metastatic #bladdercancer? by dr. : as of #gu23, 1l = platinum -&gt; avelumab (may soon add adc + io -&gt; maintenance io) last therapy before ev may impact outcome: orr/os improved with those who got io last vs chemo, but inc skin toxicity 
GU Oncologist | 🇨🇦 GU & NOLA Heme/Onc Alumni | Interested in GU, Immuno Onc & Med Ed | @ASCO Featured Voice | @TwoOncDocs podcast