Primary-source record

MaterialEMA opinion

Merck: Positive EU CHMP Opinion for KEYTRUDA + Padcev in MIBC

CHMP issued a positive opinion recommending approval of KEYTRUDA plus Padcev as perioperative treatment for cisplatin-ineligible resectable MIBC. The opinion is based on statistically significant improvements in EFS, OS, and pCR from the Phase 3 KEYNOTE-905 trial. The European Commission decision is expected in Q3 2026.

Key facts

Filed
May 22, 2026, 11:55 AM
Event
EMA opinion
Direction
Positive
Company
MRKMerck
Confidence
Sourced
OS HR
0.50
EFS HR
0.40
pcr rate
57.1% vs 8.6%
OS median
NR vs 41.7 months
EFS median
NR vs 15.7 months

Source excerpt

Merck Receives Positive EU CHMP Opinion for KEYTRUDA® (pembrolizumab) Plus Padcev® (enfortumab vedotin-ejfv) as Perioperative Treatment for Adults With Cisplatin-Ineligible Resectable Muscle-Invasive Bladder Cancer Merck Receives Positive EU CHMP Opinion for KEYTRUDA® (pembrolizumab) Plus Padcev® (enfortumab vedotin-ejfv) as Perioperative Treatment for Adults With Cisplatin-Ineligible Resectable Muscle-Invasive Bladder Cancer Merck Receives Positive EU CHMP Opinion for KEYTRUDA® (pembrolizumab) Plus Padcev® (enfortumab vedotin-ejfv) as Perioperative Treatment for Adults With Cisplatin-Ineligible Resectable Muscle-Invasive Bladder Cancer Opinion granted based on positive event-free survival, overall survival and pathologic complete response rate results from the Phase 3 KEYNOTE-905 trial If approved, this combination would become the first and only PD-1 inhibitor plus antibody-drug conjugate regimen for this patient population in the European Union Merck (NYSE: MRK), known as MSD outside of the United States and Canada, today announced the European Medicines Agency’s Committee for Medicinal Products for Human Use (CHMP) adopted a positive opinion recommending approval of KEYTRUDA ® (pembrolizumab), Merck’s anti-PD-1 therapy, in combination with Padcev ® (enfortumab vedotin-ejfv), an antibody-drug conjugate (ADC), as neoadjuvant treatment and then continued after radical cystectomy as adjuvant treatment, for adults with resectable muscle-invasive bladder cancer (MIBC)

Company press release

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Merck: Positive EU CHMP Opinion for KEYTRUDA + Padcev in MIBC | SimianX AI