Evidence map›Paper›PMID 41463264›Full record

ReviewCancers2025

The Management of Muscle Invasive Bladder Cancer: State of the Art and Future Perspectives.

Antonio Cigliola, Brigida Anna Maiorano, Doga Dengur, Valentina Tateo, Chiara Mercinelli, Michela Piacentini, Sara Inguglia, Carlo Messina, Andrea Necchi

Abstract readReview
In one paragraph

Review in Cancers, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Antonio CigliolaDepartment of Medical Oncology, IRCCS Ospedale San Raffaele, 20132 Milan, Italy.ORCID 0009-0005-7109-2429
Brigida Anna MaioranoDepartment of Medical Oncology, IRCCS Ospedale San Raffaele, 20132 Milan, Italy.ORCID 0000-0001-5423-3158
Doga DengurLewisham and Greewich Trust, London SE13 6LH, UK.ORCID 0009-0000-9294-169X
Valentina TateoDepartment of Medical Oncology, IRCCS Ospedale San Raffaele, 20132 Milan, Italy.
Chiara MercinelliDepartment of Medical Oncology, IRCCS Ospedale San Raffaele, 20132 Milan, Italy.ORCID 0000-0003-1165-1776
Michela PiacentiniDepartment of Medical Oncology, IRCCS Ospedale San Raffaele, 20132 Milan, Italy.
Sara IngugliaUOC Oncologia ARNAS Civico Benfratelli di Cristina, 90133 Palermo, Italy.
Carlo MessinaUOC Oncologia ARNAS Civico Benfratelli di Cristina, 90133 Palermo, Italy.ORCID 0000-0002-7934-1419
Andrea NecchiDepartment of Medical Oncology, IRCCS Ospedale San Raffaele, 20132 Milan, Italy.ORCID 0000-0002-3007-2756

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMuscle-invasive bladder cancer (MIBC) represents a highly aggressive malignancy associated with significant morbidity and mortality. The current standard treatment, which includes radical cystectomy and platinum-based chemotherapy, is burdened by high toxicity and a substantial risk of relapse. For this reason, over the past decade, novel therapeutic strategies involving immune checkpoint inhibitors (ICIs), antibody-drug conjugates (ADCs), and targeted therapies have been investigated. This review aims to summarize current clinical evidence and ongoing trials evaluating these approaches in the perioperative setting.

methodsA systematic search was conducted using PubMed, EMBASE, and Cochrane databases, along with abstracts from major oncology conferences (ASCO, ESMO, SGO). Clinical trials assessing ICIs, ADCs, and targeted therapies, either alone or in combination with each other or with chemotherapy, in MIBC, were included.

resultsSeveral early-phase and phase III trials have investigated the perioperative management of MIBC. Various studies evaluated the addition of ICIs to standard chemotherapy, demonstrating promising results in terms of pathological complete response. In parallel, the encouraging outcomes with ICIs and ADCs alone in the neoadjuvant or adjuvant setting paved the way for their combination in integrated strategies. Biomarker-driven approaches, based on circulating tumor DNA and specific genomic alterations, are being actively explored to improve patient selection and personalize treatment.

conclusionsICIs, ADCs, and targeted therapies are reshaping the therapeutic landscape of MIBC. While early results are promising, further data and biomarker validation are essential to establish their definitive role and guide clinical decision-making in the perioperative setting.

Indexed as

antibody–drug conjugatesbladder preservationimmune checkpoint inhibitorsMIBCmuscle-invasive bladder cancerneoadjuvantperioperative therapyradical cystectomy

Identifiers

PMID41463264
PMCPMC12731152

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.