PMID- 25634607 OWN - NLM STAT- MEDLINE DCOM- 20160621 LR - 20211203 IS - 1776-260X (Electronic) IS - 1776-2596 (Linking) VI - 10 IP - 3 DP - 2015 Sep TI - The route to personalized medicine in bladder cancer: where do we stand? PG - 325-36 LID - 10.1007/s11523-015-0357-x [doi] AB - Recent advances in molecular biology and drug design have described novel targets in bladder cancer. EGFR, fibroblast growth factor receptor (FGFR), VEGFR, phosphoinositide 3-kinase (PI3K)/AKT/mammalian target of rapamycin (mTOR) pathway, PD-1, cyclooxygenase 2 (COX-2), Aurora kinase A, and miRNA are just examples of these opening frontiers. In addition, epithelial to mesenchymal transition (EMT) and cancer stem cells (CSCs) are promising candidates for future therapeutic approaches. Novel agents, combination, and sequences are emerging from the 747 clinical studies presently in course in bladder cancer to optimize patient outcomes. This report describes the emerging targets and provides an update on ongoing phase I, II, and III trials and preliminary results on targeted agents, used alone, in sequences, or in combination for patients with bladder cancer. FAU - Massari, Francesco AU - Massari F AD - Medical Oncology, Azienda Ospedaliera Universitaria Integrata, University of Verona, Verona, Italy. FAU - Ciccarese, Chiara AU - Ciccarese C FAU - Santoni, Matteo AU - Santoni M FAU - Brunelli, Matteo AU - Brunelli M FAU - Conti, Alessandro AU - Conti A FAU - Modena, Alessandra AU - Modena A FAU - Montironi, Rodolfo AU - Montironi R FAU - Santini, Daniele AU - Santini D FAU - Cheng, Liang AU - Cheng L FAU - Martignoni, Guido AU - Martignoni G FAU - Cascinu, Stefano AU - Cascinu S FAU - Tortora, Giampaolo AU - Tortora G LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20150130 PL - France TA - Target Oncol JT - Targeted oncology JID - 101270595 RN - 0 (Angiopoietins) RN - 0 (PDCD1 protein, human) RN - 0 (Programmed Cell Death 1 Receptor) RN - EC 1.14.99.1 (Cyclooxygenase 2) RN - EC 1.14.99.1 (PTGS2 protein, human) RN - EC 2.7.1.1 (MTOR protein, human) RN - EC 2.7.10.1 (EGFR protein, human) RN - EC 2.7.10.1 (ErbB Receptors) RN - EC 2.7.10.1 (Vascular Endothelial Growth Factor Receptor-1) RN - EC 2.7.11.1 (AURKA protein, human) RN - EC 2.7.11.1 (Aurora Kinase A) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) SB - IM MH - Angiopoietins/metabolism MH - Aurora Kinase A/metabolism MH - Carcinogenesis MH - Clinical Trials as Topic MH - Cyclooxygenase 2/metabolism MH - Epithelial-Mesenchymal Transition MH - ErbB Receptors/genetics MH - Humans MH - Neoplastic Stem Cells/cytology MH - Precision Medicine/*methods MH - Programmed Cell Death 1 Receptor/metabolism MH - TOR Serine-Threonine Kinases/metabolism MH - Treatment Outcome MH - Urinary Bladder Neoplasms/*drug therapy/genetics/pathology MH - Vascular Endothelial Growth Factor Receptor-1/genetics EDAT- 2015/01/31 06:00 MHDA- 2016/06/22 06:00 CRDT- 2015/01/31 06:00 PHST- 2014/12/22 00:00 [received] PHST- 2015/01/12 00:00 [accepted] PHST- 2015/01/31 06:00 [entrez] PHST- 2015/01/31 06:00 [pubmed] PHST- 2016/06/22 06:00 [medline] AID - 10.1007/s11523-015-0357-x [doi] PST - ppublish SO - Target Oncol. 2015 Sep;10(3):325-36. doi: 10.1007/s11523-015-0357-x. Epub 2015 Jan 30.