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Developing Precision Medicine for Bladder Cancer.

Brendan J Guercio1, Gopa Iyer2, Jonathan E Rosenberg3

  • 1Department of Medicine, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, Box #8, New York, NY 10065, USA.

Hematology/Oncology Clinics of North America
|May 7, 2021
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Summary

Precision medicine in bladder cancer faces challenges due to biomarker limitations. This review explores key biomarkers and innovative trial designs to overcome these obstacles for tailored cancer treatments.

Keywords:
BiomarkersBladder cancerChemotherapyImmunotherapyPrecision medicineTargeted therapyUrothelial carcinoma

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Area of Science:

  • Oncology
  • Genetics
  • Clinical Trials

Background:

  • Precision medicine aims to personalize treatment using patient and tumor biomarkers.
  • Bladder cancer has numerous candidate biomarkers, but few are clinically validated.
  • Obstacles include limited biomarker predictive value, assessment standardization issues, and heterogeneity.

Purpose of the Study:

  • To review key biomarkers investigated in bladder cancer.
  • To outline innovative clinical trial designs addressing precision medicine challenges in bladder cancer.

Main Methods:

  • Literature review of bladder cancer biomarkers.
  • Analysis of challenges in biomarker validation and application.
  • Exploration of novel clinical trial strategies.

Main Results:

  • Identified numerous candidate biomarkers for bladder cancer.
  • Highlighted significant obstacles hindering clinical application.
  • Proposed innovative trial designs to overcome these hurdles.

Conclusions:

  • Overcoming biomarker limitations is crucial for advancing precision medicine in bladder cancer.
  • Innovative trial designs are essential to validate biomarkers and improve treatment strategies.
  • Further research is needed to understand factors influencing biomarker expression and predictive capacity.