Pulse Brain · Growing Health Evidence Index
Tier 3 — Observational / field trialPeer-reviewed

Impact of Molecular Subtypes in Muscle-invasive Bladder Cancer on Predicting Response and Survival after Neoadjuvant Chemotherapy

Roland Seiler, H.A.D.M. Ashab, Nicholas Erho, Bas W.G. van Rhijn, Brian Winters, James J. Douglas, Kim E. Van Kessel, Elisabeth E. Fransen van de Putte, Matthew Sommerlad, Natalie Q. Wang, Voleak Choeurng, Ewan A. Gibb, Beatrix Palmer-Aronsten, Lucia L.C. Lam, Christine Buerki, Elai Davicioni, Gottfrid Sjödahl, Jordan Kardos, Katherine A. Hoadley, Seth P. Lerner, David J. McConkey, Woonyoung Choi, William Y. Kim, Bernhard Kiss, George N. Thalmann, Tilman Todenhöfer, Simon J. Crabb, Scott North, Ellen C. Zwarthoff, Joost L. Boormans, Jonathan L. Wright, Marc Dall’Era, Michiel S. van der Heijden, Peter C. Black

European Urology · 2017

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Summary

This 2017 multi-centre study investigated whether molecular subtypes of muscle-invasive bladder cancer could improve prediction of chemotherapy response and survival outcomes in patients receiving neoadjuvant chemotherapy. The research brought together data from multiple institutions and cohorts to evaluate whether molecular profiling might refine patient stratification beyond conventional clinical and pathological variables. The findings, as suggested by the authorship and scope, contribute to precision oncology approaches in bladder cancer management.

UK applicability

The study's international authorship and multi-centre design (including European institutions) suggest findings may be applicable to UK bladder cancer services. However, applicability would depend on whether UK laboratories adopt the molecular classification approaches and whether cost–benefit analyses support implementation within NHS practice.

Key measures

Molecular subtype classification; chemotherapy response rates; pathological complete response; overall and disease-free survival; prognostic and predictive accuracy of molecular subtypes

Outcomes reported

The study examined how molecular subtypes of muscle-invasive bladder cancer predict response to neoadjuvant chemotherapy and overall survival outcomes. As suggested by the title, the research assessed associations between molecular classification and clinicopathological response following chemotherapy treatment.

Theme
General food systems / other
Subject
Other / interdisciplinary
Study type
Research
Study design
Observational cohort
Source type
Peer-reviewed study
Status
Published
Geography
International
System type
Human clinical
DOI
10.1016/j.eururo.2017.03.030
Catalogue ID
BFmommpjky-39x9ny

Topic tags

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