ACE OncoCast

Episode 1:
Opening & Keynote Speech: Second-line and salvage treatment decision-making for unresectable locally advanced or metastatic (LA/m) urothelial cancer (UC)
Philippe Barthélémy, MD, PhD

The increasing availability of treatment options in the first-line (1L) setting after ESMO 2023 has led to a growing complexity in determining sequential treatment strategies for different clinical scenarios following progression of 1L therapies. In this educational program on 'Best Practice Exchange in Clinical Case Scenarios', field experts will discuss the latest evidence supporting the optimal utilization of sequential treatments, including immunotherapy, chemotherapy (CT), antibody-drug conjugates (ADCs), and targeted therapies, to prolong continuum of care and maximize survival benefits for patients. A better understanding of how to sequence available options for second-line (2L) and salvage treatments in routine patient care will facilitate optimal management of urothelial cancer patients.

Episode 3:
Panel Discussion & Pearls for Practice
Fernando Maluf, MD, PhD, Enrique Grande, MD, MSc, PhD and Joachim Chan, BSc, MBBS, MRCP, FRCR, MD

The therapeutic landscape of unresectable locally advanced or metastatic (LA/m) urothelial cancer (UC) has undergone a significant transformation in recent years with the addition of immune checkpoint inhibitors (ICIs) targeting PD-1/PD-L1 and novel antibody-drug conjugates (ADCs) to the treatment armamentarium. In real-world practice, factors such as drug accessibility, clinical characteristics, adverse events, and patient preferences greatly influence treatment decisions across diverse geographical regions. Therefore, it is crucial to develop an optimal treatment strategy tailored to the individual needs of patients in the first-line (1L) setting. In this educational program on ‘Best Practice Exchange in Clinical Case Scenarios’, experts in the field will discuss the latest evidence supporting the use of these therapies in clinical practice, including patient selection criteria for platinum eligibility and ineligibility, optimal 1L treatment strategies and immunotherapy maintenance approaches, considerations for treatment sequencing, and management of treatment-related adverse events (TRAEs). An improved understanding of the role and application of individual 1L treatment strategies in routine patient care will facilitate optimal management for patients with urothelial cancer.

Episode 2:
Case 1: First-line treatment with maintenance immunotherapy for a platinum-eligible patient
Case 2: First-line treatment with mono-immunotherapy for a cisplatin-ineligible patient
Joachim Chan, BSc, MBBS, MRCP, FRCR, MD

The therapeutic landscape of unresectable locally advanced or metastatic (LA/m) urothelial cancer (UC) has undergone a significant transformation in recent years with the addition of immune checkpoint inhibitors (ICIs) targeting PD-1/PD-L1 and novel antibody-drug conjugates (ADCs) to the treatment armamentarium. In real-world practice, factors such as drug accessibility, clinical characteristics, adverse events, and patient preferences greatly influence treatment decisions across diverse geographical regions. Therefore, it is crucial to develop an optimal treatment strategy tailored to the individual needs of patients in the first-line (1L) setting. In this educational program on ‘Best Practice Exchange in Clinical Case Scenarios’, experts in the field will discuss the latest evidence supporting the use of these therapies in clinical practice, including patient selection criteria for platinum eligibility and ineligibility, optimal 1L treatment strategies and immunotherapy maintenance approaches, considerations for treatment sequencing, and management of treatment-related adverse events (TRAEs). An improved understanding of the role and application of individual 1L treatment strategies in routine patient care will facilitate optimal management for patients with urothelial cancer.

Episode 1:
Opening & Keynote Speech: First-line treatment decision-making for unresectable locally advanced or metastatic (LA/m) urothelial cancer (UC)
Enrique Grande, MD, MSc, PhD

The therapeutic landscape of unresectable locally advanced or metastatic (LA/m) urothelial cancer (UC) has undergone a significant transformation in recent years with the addition of immune checkpoint inhibitors (ICIs) targeting PD-1/PD-L1 and novel antibody-drug conjugates (ADCs) to the treatment armamentarium. In real-world practice, factors such as drug accessibility, clinical characteristics, adverse events, and patient preferences greatly influence treatment decisions across diverse geographical regions. Therefore, it is crucial to develop an optimal treatment strategy tailored to the individual needs of patients in the first-line (1L) setting. In this educational program on ‘Best Practice Exchange in Clinical Case Scenarios’, experts in the field will discuss the latest evidence supporting the use of these therapies in clinical practice, including patient selection criteria for platinum eligibility and ineligibility, optimal 1L treatment strategies and immunotherapy maintenance approaches, considerations for treatment sequencing, and management of treatment-related adverse events (TRAEs). An improved understanding of the role and application of individual 1L treatment strategies in routine patient care will facilitate optimal management for patients with urothelial cancer.

The therapeutic landscape of advanced urothelial cancer has undergone a significant transformation in recent years with the addition of PD-1/PD-L1 targeting immune checkpoint inhibitors and novel antibody-drug conjugates to the treatment armamentarium. In this Clinical Insights on the Treatment Algorithm in Unresectable Locally Advanced or Metastatic Urothelial Cancer, experts in the field will discuss the latest evidence supporting the use of these therapies in clinical practice, including patient selection for cisplatin/carboplatin eligible and platinum ineligible and optimal treatment strategy in the first-line setting, sequencing of treatments and the management of treatment-related adverse events. An improved understanding of the role and application of immunotherapy, chemotherapy, antibody-drug conjugates (ADC) and targeted treatments to routine patient care will facilitate optimal management of patients with urothelial cancer.

During this Expert Interview, we will be discussing the novel drugs currently in development for LA/m UC, including ongoing trials and challenges. We are joined today by a leading expert in urothelial cancer, Dr Thomas Powles from the St Bartholomew’s Cancer Centre, London, UK. 

The therapeutic landscape of advanced urothelial cancer has undergone a significant transformation in recent years with the addition of PD-1/PD-L1 targeting immune checkpoint inhibitors and novel antibody-drug conjugates to the treatment armamentarium. In this Clinical Insights on the Treatment Algorithm in Unresectable Locally Advanced or Metastatic Urothelial Cancer, experts in the field will discuss the latest evidence supporting the use of these therapies in clinical practice, including patient selection for cisplatin/carboplatin eligible and platinum ineligible and optimal treatment strategy in the first-line setting, sequencing of treatments and the management of treatment-related adverse events. An improved understanding of the role and application of immunotherapy, chemotherapy, antibody-drug conjugates (ADC) and targeted treatments to routine patient care will facilitate optimal management of patients with urothelial cancer.

During this Expert Interview, we will be discussing the second-line treatment decision-making: How to identify the sequential treatment strategy?  We are joined today by a leading expert in urothelial cancer, Dr Yohann Loriot from the Université Paris-Saclay and Gustave Roussy, Villejuif, France. 

The therapeutic landscape of advanced urothelial cancer has undergone a significant transformation in recent years with the addition of PD-1/PD-L1 targeting immune checkpoint inhibitors and novel antibody-drug conjugates to the treatment armamentarium. In this Clinical Insights on the Treatment Algorithm in Unresectable Locally Advanced or Metastatic Urothelial Cancer, experts in the field will discuss the latest evidence supporting the use of these therapies in clinical practice, including patient selection for cisplatin/carboplatin eligible and platinum ineligible and optimal treatment strategy in the first-line setting, sequencing of treatments and the management of treatment-related adverse events. An improved understanding of the role and application of immunotherapy, chemotherapy, antibody-drug conjugates (ADC) and targeted treatments to routine patient care will facilitate optimal management of patients with urothelial cancer.

During this Expert Interview, we will be discussing the first-line treatment decision-making: How to define the patients of cisplatin eligible, carboplatin eligible and platinum ineligible?  We are joined today by a leading expert in urothelial cancer, Dr Shilpa Gupta from the Taussig Cancer Institute, Cleveland Clinic Foundation, Cleveland, USA. 

The therapeutic landscape of advanced urothelial cancer has undergone a significant transformation in recent years with the addition of PD-1/PD-L1 targeting immune checkpoint inhibitors and novel antibody-drug conjugates to the treatment armamentarium. In this Clinical Insights on the Treatment Algorithm in Unresectable Locally Advanced or Metastatic Urothelial Cancer, experts in the field will discuss the latest evidence supporting the use of these therapies in clinical practice, including patient selection for cisplatin/carboplatin eligible and platinum ineligible and optimal treatment strategy in the first-line setting, sequencing of treatments and the management of treatment-related adverse events. An improved understanding of the role and application of immunotherapy, chemotherapy, antibody-drug conjugates (ADC) and targeted treatments to routine patient care will facilitate optimal management of patients with urothelial cancer.

During this Expert Interview, we will be discussing the first-line immunotherapy maintenance strategy: When and How to conduct the maintenance therapy? We are joined today by a leading expert in urothelial cancer, Dr Enrique Grande from the MD Anderson Cancer Center Madrid, Madrid, Spain. 

There is a steadily widening range of second-line (2L) and subsequent treatment options for patients with advanced UC including chemotherapy, immune checkpoint inhibitors (ICIs) and novel therapies. In recent years, ICIs have predominantly replaced chemotherapy as the preferred 2L treatment. Furthermore, antibody-drug conjugates (ADC) and targeted agents have become available.

The selection of 2L and salvage treatments for advanced UC depends on many factors, including the initial treatment strategy used in the first-line setting. Molecular classifications appear to be promising in disease prognostication and prediction for UC.

Let's watch the recorded video on 'Frequently Asked Questions (FAQs) for 2L and Salvage Treatments' to gain comprehensive insights from leading experts – Dr. Francisco X. Real from National Cancer Research Center of Spain and Dr. Enrique Grande from MD Anderson Cancer Center Madrid.

Muscle-Invasive Bladder Cancer (MIBC) is defined as the tumor has spread through the bladder lining and into the bladder muscle. Optimal treatment strategies for MIBC requires the involvement of a specialist multidisciplinary team (MDT), with collaboration between surgeons, medical oncologists, radiation oncologists, pathologists and other specialists.

Bladder preservation is an alternative to cystectomy for patients deemed unfit for surgery. The MDT board should develop a treatment strategy tailored to meet the needs of patients seeking bladder preservation. The management of locally advanced operable bladder cancer and the role of pre and postoperative systemic treatments have become increasingly intricate. Neoadjuvant cisplatin-based chemotherapy has been the standard of care for some years. Adjuvant immunotherapy has now emerged as a new standard of care for postoperative patients with high risks. Nonetheless, there remain gaps that need to be addressed for practicing oncologists to gain an in-depth understanding of individualized treatment strategies for MIBC.

Let's watch the recorded video on 'Frequently Asked Questions (FAQs) for MIBC' to gain comprehensive insights from leading experts – Dr. Francisco X. Real from National Cancer Research Center of Spain, Dr. Félix Guerrero Ramos from Hospital Universitario 12 de Octubre in Madrid, Dr. Natalia Carballo and Dr. Enrique Grande from MD Anderson Cancer Center Madrid.