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This issue of touchREVIEWS in Oncology & Haematology brings together a diverse collection of articles reflecting the growing complexity of cancer care and the continued evolution of precision medicine across tumour types. From rare malignancies and treatment-related challenges to emerging targeted therapies and novel biological insights, the contributions highlight both recent progress and the significant […]

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Individualizing first-line treatment in advanced bladder cancer: fine-tuning patient care

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Symposium

Individualized first-line treatment in advanced bladder cancer: fine-tuning patient care

In this chapter, meet the faculty and watch Dr Birtle introduce the need for individualized approaches to first-line locally advanced or metastatic urothelial carcinoma (la/mUC) treatment.
Dr Alison Birtle
Start Time: 0:00

Orchestrating first-line treatment for la/mUC: clinical insights for treatment selection

In this chapter, Dr Grande delves into the data and outcomes driving first-line treatment decisions for patients with la/mUC.
Dr Enrique Grande
Start Time: 3:07

How does real-world evidence in la/mUC resonate with clinical trial data?

In this chapter, Dr Marinho highlights the importance of real-world evidence in evaluating and optimizing treatment selection for patients with la/mUC.
Dr Joana Marinho
Start Time: 19:53

Amplifying outcomes in la/mUC: emerging biomarkers for treatment selection

In this chapter, Dr Klümper discusses the heterogeneity of la/mUC with various histologic and molecular subtypes, and the potential of emerging biomarkers to aid in treatment selection.
Dr Niklas Klümper
Start Time: 35:57

Shared decision making in la/mUC: are we on the same wavelength as our patients?

In this chapter, Dr Benjamin explores patient and clinician perspectives on treatment goals for la/mUC and highlights that shared decision-making is key for individualized care.
Dr David J. Benjamin
Start Time: 52:23

Individualized first-line treatment in advanced bladder cancer: fine-tuning patient care

Dr Birtle presents concluding remarks from the symposium.
Dr Alison Birtle
Start Time: 65:36

Activity Overview

Faculty & Disclosures

Activity Overview
Faculty & Disclosures

Treatment efficacy for locally advanced or metastatic urothelial carcinoma (la/mUC) can vary across molecular and histological subtypes.1-3 Selection of platinum-based chemotherapy depends on rigorous eligibilty criteria, including performance status and comorbitity assessments to minimize treatment-related toxicity.1-3 Recently, the 1L treatment landscape for la/mUC has transformed with the emergence of antibody-drug conjugates (ADCs) and targeted therapies, expanding options beyond conventional chemotherapy.1,3,4 However, optimal selection of 1L treatment remains complex, particularly in individuals who may be ineligible for a specific treatment or those with contraindicated conditions.2,4 Precision medicine approaches, focused on individualized care and shared decision-making between patients and clinicians, are increasingly recognized as essential for aligning treatment choices with patient-centered goals.5,6 In this activity, watch an international panel of experts discuss the latest clinical trial and real-world evidence informing individualized 1L treatment strategies for patients with la/mUC and the emerging biomarkers guiding therapeutic selection.

  • Describe the key factors driving 1L treatment decisions for la/mUC, including recent clinical trial data and real-world evidence influencing clinical practice
  • Evaluate the emerging biomarkers relevant for tailoring treatment selection of la/mUC, particularly ADCs
  • Review patient and clinician perspectives on treatment goals and understand the importance of shared decision-making and individualized care to optimize outcomes in la/mUC
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1

Powles T, Bellmunt J, Comperat E, et al. ESMO Clinical Practice Guideline interim update on first-line therapy in advanced urothelial carcinoma. Ann Oncol. 2024;35:485–490.

2

EAU. EAU guidelines on muscle-invasive and metastatic bladder cancer. 2025. Available at: https://uroweb.org/guidelines/muscle-invasive-and-metastatic-bladder-cancer (accessed October 15, 2025).

3

NCCN. NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines®) for Bladder Cancer. 2025. Available at: www.nccn.org/professionals/physician_gls/pdf/bladder.pdf (accessed October 15, 2025).

4

Xie Y, Liu H, Tang Y, et al. First-line systemic therapy in patients with metastatic or locally advanced urothelial carcinoma: a systematic review and network meta-analysis of randomized controlled trials. Ther Adv Med Oncol. 2025;17:17588359251357527.

5

Grivas P, Veeranki P, Chiu K, et al. Preferences for first-line treatment of advanced urothelial carcinoma among US practicing oncologists and patients. Future Oncol. 2023;19:369–383.

6

Apolo AB, Michaels-Igbokwe C, Simon NI, et al. Patient preferences for first-line treatment of locally advanced or metastatic urothelial carcinoma: an application of multidimensional thresholding. Patient. 2025;18:77–87.

Dr Alison Birtle

Lancashire Teaching Hospital NHS Foundation Trust, Preston, UK
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Dr Alison Birtle

Lancashire Teaching Hospital NHS Foundation Trust, Preston, UK
UK

Biography

Disclosures

Dr David J. Benjamin

Dr Enrique Grande

Dr Enrique Grande

QuirónSalud, Madrid, Spain
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Dr Enrique Grande

QuirónSalud, Madrid, Spain
Spain

Biography

Disclosures

Dr Alison Birtle

Dr Joana Marinho

Dr Joana Marinho

Gaia e Espinho Local Health Unit, Vila Nova de Gaia, Portugal
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Dr Joana Marinho

Gaia e Espinho Local Health Unit, Vila Nova de Gaia, Portugal
Portugal

Biography

Disclosures

Dr Enrique Grande

Dr Niklas Klümper

Dr Niklas Klümper

University Hospital Bonn, Bonn, Germany
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Dr Niklas Klümper

University Hospital Bonn, Bonn, Germany
Germany

Biography

Disclosures

Dr Joana Marinho

Dr David J. Benjamin

Dr David J. Benjamin

Hoag Family Cancer Institute, Newport Beach, CA, USA
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Dr David J. Benjamin

Hoag Family Cancer Institute, Newport Beach, CA, USA
USA

Biography

Disclosures

Dr Niklas Klümper

Dr Alison Birtle

Video Navigation

Symposium

Individualized first-line treatment in advanced bladder cancer: fine-tuning patient care

In this chapter, meet the faculty and watch Dr Birtle introduce the need for individualized approaches to first-line locally advanced or metastatic urothelial carcinoma (la/mUC) treatment.
Dr Alison Birtle
Start Time: 0:00

Orchestrating first-line treatment for la/mUC: clinical insights for treatment selection

In this chapter, Dr Grande delves into the data and outcomes driving first-line treatment decisions for patients with la/mUC.
Dr Enrique Grande
Start Time: 3:07

How does real-world evidence in la/mUC resonate with clinical trial data?

In this chapter, Dr Marinho highlights the importance of real-world evidence in evaluating and optimizing treatment selection for patients with la/mUC.
Dr Joana Marinho
Start Time: 19:53

Amplifying outcomes in la/mUC: emerging biomarkers for treatment selection

In this chapter, Dr Klümper discusses the heterogeneity of la/mUC with various histologic and molecular subtypes, and the potential of emerging biomarkers to aid in treatment selection.
Dr Niklas Klümper
Start Time: 35:57

Shared decision making in la/mUC: are we on the same wavelength as our patients?

In this chapter, Dr Benjamin explores patient and clinician perspectives on treatment goals for la/mUC and highlights that shared decision-making is key for individualized care.
Dr David J. Benjamin
Start Time: 52:23

Individualized first-line treatment in advanced bladder cancer: fine-tuning patient care

Dr Birtle presents concluding remarks from the symposium.
Dr Alison Birtle
Start Time: 65:36

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This medical activity has been sponsored by Merck KGaA, Darmstadt, Germany (CrossRef Funder ID: 10.13039/100009945).

Merck KGaA, Darmstadt, Germany provided financial support and video content, and has had input into the detailed project scope. EMD Serono is the healthcare business of Merck KGaA, Darmstadt, Germany in Canada and the US. This medical activity is hosted by Touch Medical Communications (TMC) for touchONCOLOGY.

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Merck KGaA, Darmstadt, Germany provided financial support and video content, and has had input into the detailed project scope. EMD Serono is the healthcare business of Merck KGaA, Darmstadt, Germany in Canada and the US. This medical activity is hosted by Touch Medical Communications (TMC) for touchONCOLOGY.

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