The FDA approved avelumab in 2017 for treatment of locally advanced or metastatic urothelial carcinoma in patients whose disease progressed during or after platinum-based chemotherapy or whose disease progressed within 12 months of neoadjuvant or adjuvant treatment with platinum-based chemotherapy. It was approved under accelerated approval based on tumour response and duration of response. JAVELIN Bladder 100 was conducted to allow for full approval by the FDA.
In UK, Avelumab is only licensed for the treatment of metastatic Merkel cell carcinoma and advanced renal cell carcinoma.