["Treatment of bladder cancer with immune checkpoints inhibitors"]

Élisabeth Grobet-Jeandin1, Ugo Pinar2, Yohann Loriot3

  • 1Département d'urologie, Hôpitaux universitaires de Genève, Genève, Suisse - Sorbonne Université, GRC n° 5, PREDICTIVE ONCO-UROLOGY, AP-HP, groupe hospitalier La Pitié-Salpêtrière, service d'urologie, Paris, France.

La Revue Du Praticien
|June 23, 2021
PubMed

Insights

Immune checkpoint inhibitors offer significant improvements for bladder cancer treatment. These therapies enhance survival in metastatic cases and show promise for muscle-invasive and non-muscle-invasive bladder cancer management.

Area of Science:

  • Oncology
  • Immunology

Background:

  • Bladder cancer presents significant treatment challenges across various stages.
  • Current treatments like chemotherapy and Bacillus Calmette-Guérin (BCG) have limitations.

Purpose of the Study:

  • To evaluate the role and efficacy of immune checkpoint inhibitors in managing different forms of bladder cancer.
  • To explore the potential of immune checkpoint inhibitors as alternatives or adjuncts to existing therapies.

Main Methods:

  • Review of clinical data and trial outcomes for immune checkpoint inhibitors in bladder cancer.
  • Analysis of survival data and recurrence rates in patients treated with these novel agents.

Main Results:

  • Immune checkpoint inhibitors demonstrate improved overall survival in metastatic bladder cancer, recommended as second-line therapy.
  • These inhibitors show potential to replace chemotherapy for muscle-invasive bladder cancer.
  • A reduced risk of recurrence is observed after BCG treatment failure in non-muscle-invasive bladder cancer.

Conclusions:

  • Immune checkpoint inhibitors represent a significant advancement in bladder cancer management.
  • Ongoing trials are crucial to further establish the value of these agents across all bladder cancer subtypes.

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