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June 10, 2026BMC UrologyOpen Access

Immunotherapy in bladder cancer: a systematic review of clinical trials and therapeutic advances

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Authors

AAAhmed AlaskerMAMohammad AlGhafeesTNTalah Nammor

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Overview

Systematic review reveals intravesical therapies show superior efficacy in bladder cancer, suggesting a shift in treatment strategies.

Key Points

  • The aim is to evaluate the efficacy and safety of emerging immunotherapies for bladder cancer.
  • Conducted systematic review of phase 2 and 3 trials from PubMed, Cochrane, Web of Science, and Scopus.
  • Evaluated intravesical and systemic immunotherapies for non-muscle-invasive and muscle-invasive bladder cancer.
  • Performed risk-of-bias assessments using Cochrane tool and synthesized results qualitatively.
  • Intravesical Cretostimogene Grenadenorepvec had the highest complete response rate of 75.2% with a durable response at 83%.
  • Nadofaragene Firadenovec showed complete response of 53.4% with a median duration of 9.69 months.
  • Systemic Pembrolizumab had a 12-month disease-free survival of 43.5%, but raised concerns with 14% reporting grade ≥ 3 adverse events.

Cite This Study

Alasker et al. (2026) studied this question.

synapsesocial.com/papers/6a28fe9f6f82f25be989bd47https://doi.org/10.1186/s12894-026-02209-y
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