ESMO 2025: Precision medicine in bladder cancer

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Published: 22 Oct 2025
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Dr Enrique Grande, Prof Syed Hussain, Dr Patrizia Giannatempo, Dr Félix Guerrero-Ramos

Dr Enrique Grande (MD Anderson Cancer Center Madrid, Madrid, Spain), Prof Syed Hussain (The University of Sheffield, Sheffield, UK), Dr Patrizia Giannatempo (Istituto Nazionale dei Tumori, Milan, Italy) and Dr Félix Guerrero-Ramos (Hospital Universitario 12 de Octubre, Madrid, Spain) discuss the latest in precision medicine in bladder cancer.

The panel explores recent clinical data demonstrating advances in personalised therapy and examines how modern treatment sequencing—including neoadjuvant, adjuvant, and maintenance strategies are evolving to improve outcomes.

The discussion focuses on optimising second-line and later treatment options to maximise patient benefit, with an emphasis on the growing real-world impact of biomarker-driven decision-making.

The panel also highlights emerging therapies and innovative combination regimens designed to enhance efficacy while preserving patient quality of life.

Disitamab vedotin (DV) plus toripalimab (T) versus chemotherapy (C) in first-line (1L) locally advanced or metastatic urothelial carcinoma (la/mUC) with HER2-expression
JAVELIN bladder medley phase II trial of avelumab + sacituzumab govitecan (Ave + SG) vs avelumab monotherapy (Ave mono) as first-line (1L) maintenance treatment for advanced urothelial carcinoma (aUC): Subgroup analyses based on metastatic sites
Perioperative (periop) enfortumab vedotin (EV) plus pembrolizumab (pembro) in participants (pts) with muscle-invasive bladder cancer (MIBC) who are cisplatin-ineligible: The phase III KEYNOTE-905 study
IMvigor011: A phase III trial of circulating tumour (ct)DNA-guided adjuvant atezolizumab vs placebo in muscle-invasive bladder cancer
Neoadjuvant gemcitabine intravesical system (TAR-200) + cetrelimab (CET) or CET alone in patients (pts) with muscle-invasive bladder cancer (MIBC): SunRISe-4 (SR-4) primary analysis and biomarker results
Association of molecular markers with clinical response to TAR-200 in the phase IIb SunRISe-1 trial in patients with BCG-unresponsive non-muscle invasive bladder cancer (NMIBC) with carcinoma in situ (CIS), with or without papillary disease
POTOMAC, CREST and ALBAN trials

 

Supported by an independent educational grant from Johnson & Johnson