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Updated: Aug 6, 2026

An Orthotopic Bladder Cancer Model for Gene Delivery Studies
Published on: December 1, 2013
Targeted therapies in the treatment of urothelial cancers
Jeanny B Aragon-Ching1, Donald L Trump1
1GU Medical Oncology, Inova Schar Cancer Institute, Fairfax, VA.
Abstract:
Progress has been slow in systemic management of locally advanced and metastatic bladder cancer over the past 20 years. However, the recent approval of immunotherapy with atezolizumab and nivolumab for second-line salvage therapy may usher in an era of more rapid improvement. Systemic treatment is suboptimal and is an area of substantial unmet medical need. The recent findings from The Cancer Genome Atlas project revealed promising pathways that may be amenable to targeted therapies. Promising results with treatment using vascular endothelial growth factor inhibitors such as ramucirumab, sunitinib or bevacizumab, and human epidermal growth factor receptor 2 targeted therapies, epidermal growth factor receptor inhibitors, and fibroblast growth factor receptor inhibitors, are undergoing clinical trials and are discussed later.
Insights
Systemic treatment for advanced bladder cancer has seen slow progress. Recent immunotherapy approvals and targeted therapy research offer new hope for improved patient outcomes in this area of unmet need.
Area of Science:
- Oncology
- Medical Research
Background:
- Systemic treatment for locally advanced and metastatic bladder cancer has faced challenges over the past two decades.
- Current systemic therapies are suboptimal, highlighting a significant unmet medical need in bladder cancer management.
Purpose of the Study:
- To review recent advancements and ongoing clinical trials in the systemic management of advanced bladder cancer.
- To explore emerging therapeutic pathways identified by The Cancer Genome Atlas project for targeted treatment strategies.
Main Methods:
- Review of recent clinical trial data and research findings.
- Analysis of The Cancer Genome Atlas (TCGA) project data for novel therapeutic targets.
Main Results:
- Immunotherapy agents (atezolizumab, nivolumab) are now approved for second-line salvage therapy, indicating potential for improved outcomes.
- Targeted therapies, including vascular endothelial growth factor (VEGF) inhibitors (ramucirumab, sunitinib, bevacizumab) and receptor tyrosine kinase inhibitors (EGFR, FGFR), show promise in ongoing trials.
Conclusions:
- Recent approvals in immunotherapy mark a potential turning point for bladder cancer treatment.
- Ongoing research into targeted therapies presents promising avenues for addressing the unmet medical needs in advanced bladder cancer.
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