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Translational Medicine / 转化医学JAVELIN Bladder 100 & Avelumab Maintenance

Thomas Powles

托马斯·鲍尔斯

MD, MRCP, MBBS

🏢Barts Cancer Centre, Queen Mary University of London(巴茨癌症中心,伦敦玛丽女王大学)🌐UK

Professor of Genitourinary Oncology; Director, Barts Cancer Centre, Queen Mary University of London泌尿生殖肿瘤学教授,巴茨癌症中心主任,伦敦玛丽女王大学

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Key Papers
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Key Contributions

👥Biography 个人简介

Thomas Powles, MD is Professor of Genitourinary Oncology and Director of Barts Cancer Centre at Queen Mary University of London. He is a leading international authority on urothelial carcinoma and renal cell carcinoma clinical trials, best known for leading the JAVELIN Bladder 100 trial—the phase III study that established avelumab maintenance therapy as the first immune switch maintenance strategy to significantly improve overall survival in advanced urothelial carcinoma following platinum-based chemotherapy. This paradigm introduced the concept of maintenance immunotherapy following first-line chemotherapy in bladder cancer, creating a new treatment paradigm that is now incorporated into global guidelines. Dr. Powles is one of the most prolific investigators in bladder cancer, having led or co-led more than 30 practice-changing trials. He has also contributed extensively to the development of FGFR inhibitors, HER2-targeted therapies, and antibody-drug conjugates in urothelial carcinoma. His work in RCC includes evaluation of MET and PD-L1 biomarkers in response prediction. Professor Powles has chaired the ESMO Bladder Cancer Guidelines and is a past recipient of the ESMO Distinguished Contribution to Oncology Award.

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🧪Research Fields 研究领域

Avelumab Maintenance Therapy in Bladder Cancer (JAVELIN Bladder 100)膀胱癌阿维鲁单抗维持治疗(JAVELIN膀胱100)
Switch Maintenance Immunotherapy in Urothelial Carcinoma尿路上皮癌换药维持免疫治疗
PD-L1 Inhibitors in Advanced Bladder Cancer晚期膀胱癌中的PD-L1抑制剂
Biomarker-Guided Treatment in Renal Cell Carcinoma肾细胞癌生物标志物指导治疗
International Bladder Cancer Clinical Trial Leadership国际膀胱癌临床试验领导

🎓Key Contributions 主要贡献

JAVELIN Bladder 100 — Switch Maintenance Avelumab Improves Survival in Advanced Bladder Cancer

Led the JAVELIN Bladder 100 phase III trial demonstrating that avelumab maintenance therapy following first-line platinum-based chemotherapy significantly improved overall survival in advanced urothelial carcinoma, particularly in PD-L1-positive patients, establishing switch maintenance immunotherapy as a new global standard of care.

PD-L1 Biomarker Characterization in Bladder Cancer Immunotherapy

Conducted foundational analyses of PD-L1 expression as a predictive biomarker in urothelial carcinoma across multiple immunotherapy trials, characterizing its role in patient selection for maintenance avelumab and first-line atezolizumab, and defining the limitations of single-agent checkpoint inhibition in platinum-eligible populations.

FGFR Inhibition and Combination Strategies in Bladder Cancer

Led early and late phase trials of FGFR inhibitors in FGFR-altered urothelial carcinoma, including combination studies of FGFR inhibitors with checkpoint inhibitors, contributing to understanding of resistance mechanisms and rational combination design in molecularly selected bladder cancer populations.

Antibody-Drug Conjugates and Novel Combinations in Urothelial Carcinoma

Contributed to early clinical development and late-phase evaluation of sacituzumab govitecan and other ADCs in platinum-refractory bladder cancer, helping to define the activity of TROP-2-directed ADCs and their role in the evolving bladder cancer treatment algorithm.

Representative Works 代表性著作

[1]

Avelumab maintenance therapy for advanced or metastatic urothelial carcinoma (JAVELIN Bladder 100)

New England Journal of Medicine (2020)

Phase III JAVELIN Bladder 100 trial establishing avelumab maintenance as a new first-line maintenance standard in advanced urothelial carcinoma after platinum-based chemotherapy.

[2]

Atezolizumab versus chemotherapy in patients with platinum-treated locally advanced or metastatic urothelial carcinoma (IMvigor211)

The Lancet (2018)

Phase III IMvigor211 trial comparing atezolizumab to chemotherapy in second-line urothelial carcinoma, providing critical insights into PD-L1 biomarker utility and immunotherapy limitations.

[3]

Sacituzumab govitecan in platinum-treated advanced urothelial carcinoma

Journal of Clinical Oncology (2023)

Phase III TROPiCS-04 trial evaluating sacituzumab govitecan versus chemotherapy in advanced urothelial carcinoma after platinum and checkpoint inhibitor therapy.

[4]

Updated results of JAVELIN Bladder 100 with avelumab maintenance in advanced urothelial carcinoma

Journal of Clinical Oncology (2022)

Long-term follow-up of JAVELIN Bladder 100 confirming durable overall survival benefit with avelumab maintenance and further characterizing PD-L1-positive subgroup outcomes.

🏆Awards & Recognition 奖项与荣誉

🏆ESMO Bladder Cancer Clinical Practice Guidelines Chair
🏆ESMO Distinguished Contribution to Oncology Award
🏆Barts and The London NHS Trust Clinical Research Excellence Award
🏆Queen Mary University of London Research Leadership Award

📄Data Sources 数据来源

Last updated: 2026-04-06 | All information from publicly available academic sources

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