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Bladder Cancer and Immunotherapy with Dr. Terence Friedlander
Bladder Cancer and Immunotherapy with Dr. Terence Friedlander administrator 2 Views • 2 years ago

Dr. Terence Friedlander of UCSF Helen Diller Family Comprehensive Cancer Center discusses the potential to further improve outcomes for patients with bladder cancer and answers questions from the audience. #CRIsummit #Immunotherapy https://www.cancerresearch.org/virtualsummit  

Bladder cancer is the sixth most common cancer in the United States and ninth most common worldwide. Immunotherapy for bladder cancer has a long history, including the first FDA-approved cancer vaccine—Bacillus Calmette-Guérin (BCG)—in 1990. New immunotherapies have significantly reduced the risk of recurrence for bladder cancer while also increasing the percentage of patients who see a complete response post-surgery. https://www.cancerresearch.org..../immunotherapy/cance

00:00 – Welcome from Tamron Hall
01:13 – Timeline of Bladder Cancer
11:23 – Live Q&A

At the opening of the session, Dr. Friedlander provided an overview of the history of the development of immunotherapy for bladder cancer. He pointed to the 1970 BCG vaccine, originally used to treat tuberculosis in 1970, which was the first immunotherapy used to treat and even cure bladder cancer. He then focused on a rapid phase of discovery between 2016-2018 during which a number of checkpoint inhibitors were tested in clinical trials and approved for bladder cancer patients. Going into 2019 to the present day, combinations of immunotherapy, particularly PD-1/PD-L1 checkpoint inhibitors, are showing great promise. Additionally, scientists are learning that giving immunotherapy after chemotherapy has, in some cases, been beneficial.

Dr. Friedlander then moved on to answer questions from the audience:
- What is a clinical trial?
- I am part of a clinical immunotherapy study so have no idea if I’m getting the drug or not. Is my data still useful if I’m not receiving the drug?
- Is there a way to predict which bladder cancer patients will have a better response to immunotherapies?
- Should I ask my doctor about genetic testing or is it done automatically?
- Is PD-L1 a common mutation? What are some of the more common mutations in bladder cancer?
- Can BCG immunotherapy cure bladder cancer beyond stage 1?
- Can a patient choose between chemotherapy and immunotherapy?
- If a patient suffers from autoimmune disease, specifically hypothyroidism and rheumatoid arthritis, is such patient a suitable candidate for immunotherapy?
- Is immunotherapy allowing patients to not need to have their bladder removed?
- How long do you need to remain on immunotherapy?
- Can immunotherapy ignite the cancer rather than train the immune system to fight the cancer?
- Are bladder cancer patients at all more susceptible to COVID-19? And do you think that cancer patients will be able to get one of the new COVID-19 vaccine?

Dr. Friedlander is chief of hematology-oncology at Zuckerberg San Francisco General and an associate professor of medicine at the UCSF Helen Diller Family Comprehensive Cancer Center. He specializes in cancers of the genitourinary tract, specifically bladder and prostate cancers. Dr. Friedlander’s research is focused on understanding the basic biology of these malignancies and in developing novel therapeutic ways to treat disease. He collaborates with the UCSF Department of Urology to explore the predictive value of circulating tumor cells in these malignancies, and with the UCSF Cancer Immunotherapy Program to evaluate novel immune therapies for patients with cancer. In his clinical academic practice, he serves as principal investigator or co-investigator on a number of clinical trials in advanced prostate and bladder cancer. This collaboration spans from the bench to the bedside, with a goal to personalize and tailor therapies based on the individual patient.

Established in 1953, the Cancer Research Institute (CRI) is a 501(c)(3) nonprofit organization dedicated to harnessing our immune system’s power to control and potentially cure all cancers. Our mission: Save more lives by fueling the discovery and development of powerful immunotherapies for all types of cancer. To accomplish this, we rely on donor support and collaborative partnerships to fund and carry out the most innovative clinical and laboratory research around the world, support the next generation of the field’s leaders, and serve as the trusted source of information on immunotherapy for cancer patients and their caregivers. https://www.cancerresearch.org

Cancer Research Institute is a registered 501(c)(3) nonprofit under EIN 13-1837442. Donations are tax-deductible to the fullest extent allowable under the law.

sync ID: MB01WB7EUVJUBPT

Genetic Testing for Bladder Cancer - Urology Care Foundation
Genetic Testing for Bladder Cancer - Urology Care Foundation administrator 2 Views • 2 years ago

You may have heard that genetics can play a role in a person developing cancer. As a result, genetic testing has emerged as a new way to identify a person’s risk for bladder cancer. To learn more about genetic testing and to see if it would be a good fit for you, go to urologyhealth.org. The Urology Care Foundation is the official foundation of the American Urological Association. Patient resources provided by the generous support of Janssen Oncology. #BladdersMatter #BladderHealth #BladderCancer

The bladder is the organ where the body stores urine before it leaves the body. When cells of the bladder grow abnormally, they can convert to bladder cancer. A person with bladder cancer will have one or more tumors in his/her bladder.

Most bladder cancers are found in the tissue that lines the inner surface of the bladder; the bladder muscle is not involved. This type of cancer is called non-muscle invasive bladder cancer or NMIBC.

Bladder cancer gets worse when it grows into or through other layers of the bladder wall. Over time, the cancer may grow outside the bladder into tissues close by or other organs of the body. This type of cancer is called muscle invasive bladder cancer or MIBC.

So, who is at risk for developing bladder cancer? Bladder cancer is more common as a person grows older. It is found most often in the age group of 75-84. Lifestyle factors and genetics can add to your risk of developing bladder cancer.

If bladder cancer is suspected based on results from these tests, the next step may be to perform a biopsy. For a biopsy, your doctor will remove a piece of bladder tissue so a pathologist can look for cancer cells with the use of a microscope. This biopsy tissue may also undergo gene alteration testing.

So what is genetic testing and why is it important? We first need to understand our genes and their role in our health. Your family gives you your genes, which is the DNA that you inherit at birth and pass on through generations. They explain why a person has dark skin, blue eyes or red hair.

Your genes help determine if your body may experience important health conditions, for example, increased potential for cancers, cardiovascular conditions, diabetes, obesity, etc. Genetic testing is done to learn about a gene(s) and its role in disease.

What are Biomarkers? In the cancer world, genetic/molecular testing looks for certain abnormalities a person may have inherited through his or her family, or acquired from the tumor, that may increase their cancer risk or inform regarding the cancer aggressiveness. These tests are sometimes referred to as biomarkers and can be different depending on the type of cancer.

If bladder cancer biomarkers are found, your urologist can make special recommendations for treatment that will work best for your health status and type of cancer. Health insurance often covers genetic counseling and tests if they are medically needed. Check with your insurance provider to see if the treatment your doctor suggests is covered.

How Can Genetic Testing Lead to Better Health? Bladder cancer can sometimes be hard to find and can become very serious if it is not caught early. Thankfully, genetic/molecular testing may help identify a risk of bladder cancer early on or even before it starts. If your doctor suggests genetic testing and your results show genetic biomarkers for bladder cancer, you may be a good fit for specific treatment. Because genetic testing can help find what treatments may be good for you, these are sometimes called precision or tailored therapy.

Actual testing for bladder cancer is easier than you may think! Your urologist may take a urine, blood, or biopsy sample. Testing of these samples will seek out mutations in your genes or look for abnormal numbers of chromosomes that would indicate the presence of DNA associated with bladder cancer. If your urologist suggests genetic testing, they may want you to see a genetic counselor if the results are positive or uncertain.

It is important to talk with your doctor or urologist about your options for testing and treatment for bladder cancer. They can help you make an informed decision about the next steps in your healthcare journey. It is also important to talk to your doctor about ways you can improve your overall health.

Factors in your environment and daily lifestyle habits play the biggest role in the development of bladder cancer. Here are some things that raise your risk of getting bladder cancer.

Healthy lifestyle changes may lower the risk of bladder cancer for people who have risk due to family history. These changes can include adding workouts, quitting smoking and keeping a healthy weight.

Early Symptoms of Bladder Cancer | Cxbladder
Early Symptoms of Bladder Cancer | Cxbladder administrator 2 Views • 2 years ago

In this video we take a closer look at some of the early signs and symptoms of bladder cancer. Bladder cancer can usually be treated successfully when detected at an early stage, so it's important to recognise and act on the warning signs. If you're concerned, speak to your doctor as soon as possible.

For more information, including references, we invite your to read our blog article at:
https://www.cxbladder.com/blog..../what-are-the-first-

If you're concerned about bladder cancer, ask your doctors Cxbladder. Cxbladder is a non-invasive genomic urine test that quickly and accurately detects or rules out bladder cancer in hematuria patients and those being monitored for bladder cancer recurrence. The test combines clinical risk factor markers with genetic information, measuring five biomarker genes to detect the presence or absence of bladder cancer.

Cxbladder gives you certainty, resolving diagnostic ambiguity and improving overall detection accuracy. Most patients experiencing hematuria or who are being monitored for bladder cancer recurrence do not have cancer. Cxbladder enables the accurate rule out of patients who do not have bladder cancer, reducing the need for further invasive tests.

With performance proven in 12 peer-reviewed studies, Cxbladder is trusted by over 1,800 US urologists in over 40,000 patients. The test is covered by Medicare and comes with the option of in-home sampling.

In New Zealand, Cxbladder is now accessible to 65% of the population via public healthcare. We offer the test to all other residents via our online shop.

Learn more about bladder cancer and Cxbladder at: https://www.cxbladder.com.

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