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Virtual Case Library: Metastatic Urothelial Bladder Cancer (Audio Program)
Released February 2024

Featuring perspectives from Dr Petros Grivas, Dr Vadim S Koshkin, Dr Kriti Mittal, Dr Mamta Parikh and Dr Scott T Tagawa. Published February 29, 2024. (Audio Program)

CE Information and Faculty Disclosures

  • TARGET AUDIENCE
    This activity is intended for medical oncologists, hematology-oncology fellows and other healthcare providers involved in the treatment of urothelial bladder cancer.

    LEARNING OBJECTIVES

    • Recognize how biological and patient-specific factors, including eligibility to receive platinum-based chemotherapy, influence the selection and sequencing of treatment for metastatic urothelial bladder carcinoma (UBC).
    • Review available clinical trial evidence with immune checkpoint inhibitors as monotherapy or as maintenance after platinum-based chemotherapy for newly diagnosed metastatic UBC, and determine the current utility of these agents in clinical practice.
    • Recall pivotal clinical trial findings leading to the FDA approval of novel compounds with unique mechanisms of action, such as antibody-drug conjugates and tyrosine kinase inhibitors, for previously treated locally advanced or metastatic UBC, and identify patients for whom these approaches would be appropriate.
    • Appreciate the biological rationale for combining anti-PD-1/PD-L1 antibodies with chemotherapy or other systemic agents with established efficacy in UBC, and assess the current and potential role of these regimens in patient care.
    • Implement a plan of care to recognize and manage side effects and toxicities associated with approved and emerging systemic therapies for patients with metastatic UBC.
    • Understand the biological rationale for, available research findings with and ongoing studies evaluating promising investigational agents and strategies for metastatic UBC.

    ACCREDITATION STATEMENT
    Research To Practice is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

    CREDIT DESIGNATION STATEMENT
    Audio Program: Research To Practice designates this enduring material for a maximum of 3 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

    Video Program: Research To Practice designates this enduring material for a maximum of 2.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

    AMERICAN BOARD OF INTERNAL MEDICINE (ABIM) — MAINTENANCE OF CERTIFICATION (MOC)
    Successful completion of these CME activities, which includes participation in the evaluation components and short post-tests, enables the participant to earn up to 3 (audio) and 2.5 (video) Medical Knowledge MOC points in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for each activity. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

    Please note, these programs have been specifically designed for the following ABIM specialty: medical oncology.

    PRIVACY POLICY
    Personal information and data sharing: Research To Practice aggregates deidentified user data for program-use analysis, program development, activity planning and site improvement. We may provide aggregate and deidentified data to third parties, including commercial supporters. We do not share or sell personally identifiable information to any unaffiliated third parties or commercial supporters. Please see our privacy policy at ResearchToPractice.com/Privacy-Policy for more information.

    HOW TO USE THIS CME ACTIVITY
    To receive credit for an activity in this series, the participant should review the CME information, listen to or view the MP3s, review the downloadable slide set, complete the post-test with a score of 80% or better and fill out the evaluation. Program location URLs are noted below:

    Audio Program: ResearchToPractice.com/MetastaticBladder2023/CaseLibrary and evaluation ResearchToPractice.com/MetastaticBladder2023/CaseLibrary/CME.

    Video Program: ResearchToPractice.com/MetastaticBladder2023/CaseLibrary/Video and evaluation ResearchToPractice.com/MetastaticBladder2023/CaseLibrary/Video/CME.

    CONTENT VALIDATION AND DISCLOSURES
    Research To Practice (RTP) is committed to providing its participants with high-quality, unbiased and state-of-the-art education and adheres to the ACCME’s Standards for Integrity and Independence in Accredited Continuing Education. Any individuals in a position to control the content of an accredited continuing education activity, including faculty, planners, reviewers and others, are required to disclose all relevant financial relationships with ineligible entities (commercial interests). All relevant conflicts of interest have been mitigated prior to the commencement of these activities. In addition, all activity content is reviewed by RTP scientific staff and an external, independent physician reviewer for fair balance, scientific objectivity of studies referenced and patient care recommendations.

    FACULTY — The following faculty reported relevant financial relationships with ineligible entities:

    Petros Grivas, MD, PhD
    Professor, Department of Medicine
    Division of Hematology and Oncology
    Clinical Director, Genitourinary Cancers Program
    University of Washington
    Professor, Clinical Research Division
    Fred Hutchinson Cancer Center
    Seattle, Washington

    Consulting Agreements: Aadi Bioscience, Asieris Pharmaceuticals, Astellas, AstraZeneca Pharmaceuticals LP, BostonGene, Bristol Myers Squibb, CG Oncology, Dyania Health, Fresenius Kabi AG, G1 Therapeutics Inc, Gilead Sciences Inc, Guardant Health, ImmunityBio, Janssen Biotech Inc, Lucence, Merck KGaA, MSD, Pfizer Inc, PureTech Health, Roche Laboratories Inc, Seagen Inc, Silverback Therapeutics Inc, Strata Oncology; Contracted Research: Acrivon Therapeutics, ALX Oncology, Bavarian Nordic, Bristol Myers Squibb, Clovis Oncology, Debiopharm, G1 Therapeutics Inc, Genentech, a member of the Roche Group, Gilead Sciences Inc, GSK, Merck KGaA, Mirati Therapeutics Inc, MSD, Pfizer Inc, QED Therapeutics; Data and Safety Monitoring Boards/Committees: Bristol Myers Squibb, Strata Oncology.

    Vadim S Koshkin, MD
    Assistant Professor
    University of California, San Francisco (UCSF)
    Helen Diller Family Comprehensive Cancer Center
    San Francisco, California

    No relevant conflicts of interest to disclose.

    Kriti Mittal, MD, MS
    Assistant Professor, Department of Medicine, Division of Hematology-Oncology
    UMass Chan Medical School
    UMass Cancer Center
    Worcester, Massachusetts

    Advisory Committees: AstraZeneca Pharmaceuticals LP, Aveo Pharmaceuticals, Bayer HealthCare Pharmaceuticals, Dendreon Pharmaceuticals Inc, Janssen Biotech Inc, Myovant Sciences; Consulting Agreements: Aptitude Health, Cardinal Health, Curio Science; Contracted Research: Pfizer Inc; Nonrelevant Financial Relationships: Dedham Group, Fletcher Spaght Inc, IntrinsiQ Specialty Solutions, MedPage Today, Targeted Oncology.

    Mamta Parikh, MD
    Associate Professor
    Medical Director of Genitourinary Malignancies
    UC Davis Comprehensive Cancer Center
    Sacramento, California

    Advisory Committees: Bristol Myers Squibb, Pfizer Inc, Sanofi.

    Scott T Tagawa, MD, MS
    Professor of Medicine and Urology
    Weill Cornell Medicine
    Co-Leader, Experimental Therapeutics Program
    Meyer Cancer Center
    New York, New York

    Consulting Agreements: AbbVie Inc, AIkido Pharma Inc, Ambrx, Amgen Inc, Astellas, Bayer HealthCare Pharmaceuticals, Blue Earth Diagnostics, Clarity Pharmaceuticals, Convergent Therapeutics Inc, Daiichi Sankyo Inc, Dendreon Pharmaceuticals Inc, EMD Serono Inc, Exact Sciences Corporation, Genentech, a member of the Roche Group, Janssen Biotech Inc, Karyopharm Therapeutics, Medivation Inc, a Pfizer Company, Merck, Myovant Sciences, Novartis, Pfizer Inc, POINT Biopharma, Regeneron Pharmaceuticals Inc, Sanofi, Seagen Inc, Telix Pharmaceuticals Limited, Tolmar, TransThera Sciences; Data and Safety Monitoring Boards/Committee: Boston Scientific Corporation; Stock Options — Private Company: Convergent Therapeutics Inc; Stock Options/Stock — Public Company: AIkido Pharma Inc.

    MODERATOR — Dr Love is president and CEO of Research To Practice. Research To Practice receives funds in the form of educational grants to develop CME activities from the following companies: AbbVie Inc, Adaptive Biotechnologies Corporation, ADC Therapeutics, Agios Pharmaceuticals Inc, Alexion Pharmaceuticals, Amgen Inc, Array BioPharma Inc, a subsidiary of Pfizer Inc, Astellas, AstraZeneca Pharmaceuticals LP, Aveo Pharmaceuticals, Bayer HealthCare Pharmaceuticals, BeiGene Ltd, BeyondSpring Pharmaceuticals Inc, Blueprint Medicines, Boehringer Ingelheim Pharmaceuticals Inc, Bristol Myers Squibb, Celgene Corporation, Clovis Oncology, Coherus BioSciences, CTI Biopharma, a Sobi company, Daiichi Sankyo Inc, Eisai Inc, Elevation Oncology Inc, EMD Serono Inc, Epizyme Inc, Exact Sciences Corporation, Exelixis Inc, Five Prime Therapeutics Inc, Foundation Medicine, G1 Therapeutics Inc, Genentech, a member of the Roche Group, Genmab US Inc, Gilead Sciences Inc, Grail Inc, GSK, Halozyme Inc, Helsinn Healthcare SA, ImmunoGen Inc, Incyte Corporation, Ipsen Biopharmaceuticals Inc, Janssen Biotech Inc, administered by Janssen Scientific Affairs LLC, Jazz Pharmaceuticals Inc, Karyopharm Therapeutics, Kite, A Gilead Company, Kronos Bio Inc, Legend Biotech, Lilly, Loxo Oncology Inc, a wholly owned subsidiary of Eli Lilly & Company, MEI Pharma Inc, Merck, Mersana Therapeutics Inc, Mirati Therapeutics Inc, Mural Oncology Inc, Natera Inc, Novartis, Novartis Pharmaceuticals Corporation on behalf of Advanced Accelerator Applications, Novocure Inc, Oncopeptides, Pfizer Inc, Pharmacyclics LLC, an AbbVie Company, Puma Biotechnology Inc, Regeneron Pharmaceuticals Inc, R-Pharm US, Sanofi, Seagen Inc, Servier Pharmaceuticals LLC, SpringWorks Therapeutics Inc, Stemline Therapeutics Inc, Sumitomo Dainippon Pharma Oncology Inc, Taiho Oncology Inc, Takeda Pharmaceuticals USA Inc, TerSera Therapeutics LLC, Tesaro, A GSK Company, TG Therapeutics Inc, Turning Point Therapeutics Inc, Verastem Inc, and Zymeworks Inc.

    RESEARCH TO PRACTICE CME PLANNING COMMITTEE MEMBERS, STAFF AND REVIEWERS — Planners, scientific staff and independent reviewers for Research To Practice have no relevant conflicts of interest to disclose.

    These educational activities contain discussion of published and/or investigational uses of agents that are not indicated by the Food and Drug Administration. Research To Practice does not recommend the use of any agent outside of the labeled indications. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications and warnings. The opinions expressed are those of the presenters and are not to be construed as those of the publisher or grantors.

    These activities are supported by educational grants from Astellas and Seagen Inc, Bristol Myers Squibb, and Gilead Sciences Inc.

    Release date: February 2024
    Expiration date: February 2025

    After completing the post-test, learners may download and review the answers here in order to identify further areas of study.

Acknowledge and close

Listen to audio
(WIFI is recommended for best performance):

First-Line Treatment of Metastatic Urothelial Bladder Cancer (mUBC) — Enfortumab Vedotin/Pembrolizumab

Other Approaches to First-Line Treatment of mUBC — Nivolumab/Chemotherapy

Integrating Enfortumab Vedotin Monotherapy into the Treatment of mUBC

Integrating Sacituzumab Govitecan into the Treatment of mUBC

FGFR-Targeted Therapy for mUBC — Erdafitinib

HER2-Targeted Therapy for mUBC — Trastuzumab Deruxtecan, Disitamab Vedotin

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