PMID- 35117268 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230917 IS - 2219-6803 (Electronic) IS - 2218-676X (Print) IS - 2218-676X (Linking) VI - 9 IP - 10 DP - 2020 Oct TI - Current perspectives on novel systemic therapeutic agents beyond immune checkpoint inhibition in metastatic urothelial carcinoma. PG - 6583-6588 LID - 10.21037/tcr-20-1262 [doi] AB - Treatment strategies for metastatic urothelial carcinoma (mUC) have evolved dramatically over the last decade. The emergence of immunotherapeutic agents, especially immune checkpoint inhibitors, has been the most significant development. Immunotherapy increased the overall survival rate of patients with mUC and provided a durable response. The success of immune checkpoint inhibitors further led to the development of novel agents that regulate the immune system within the tumor microenvironment. However, despite some success with immune checkpoint inhibitors, researchers are still developing new agents, including small molecule tyrosine kinase inhibitors, mammalian target of rapamycin (mTOR) inhibitors, and novel fusion proteins, tailored for targets other than immune checkpoint inhibitors. Novel treatment strategies are being developed rapidly with ongoing pre-clinical trials. Here, we outline promising new therapies that are expected to improve survival rates for patients with mUC. CI - 2020 Translational Cancer Research. All rights reserved. FAU - Choi, Hoon AU - Choi H AD - Department of Urology, Korea University Medical Center, Korea University School of Medicine, Ansan 15355, Korea. FAU - Park, Jae Young AU - Park JY AD - Department of Urology, Korea University Medical Center, Korea University School of Medicine, Ansan 15355, Korea. FAU - Bae, Jae Hyun AU - Bae JH AD - Department of Urology, Korea University Medical Center, Korea University School of Medicine, Ansan 15355, Korea. FAU - Tae, Bum Sik AU - Tae BS AD - Department of Urology, Korea University Medical Center, Korea University School of Medicine, Ansan 15355, Korea. LA - eng PT - Journal Article PT - Review PL - China TA - Transl Cancer Res JT - Translational cancer research JID - 101585958 PMC - PMC8799034 OTO - NOTNLM OT - Metastatic urothelial carcinoma (mUC) OT - chemotherapy OT - novel COIS- Conflicts of Interest: All authors have completed the ICMJE uniform disclosure form (available at http://dx.doi.org/10.21037/tcr-20-1262). The series "Urothelial Carcinoma" was commissioned by the editorial office without any funding or sponsorship. The authors have no other conflicts of interest to declare. EDAT- 2020/10/01 00:00 MHDA- 2020/10/01 00:01 PMCR- 2020/10/01 CRDT- 2022/02/04 05:50 PHST- 2020/03/25 00:00 [received] PHST- 2020/04/23 00:00 [accepted] PHST- 2022/02/04 05:50 [entrez] PHST- 2020/10/01 00:00 [pubmed] PHST- 2020/10/01 00:01 [medline] PHST- 2020/10/01 00:00 [pmc-release] AID - tcr-09-10-6583 [pii] AID - 10.21037/tcr-20-1262 [doi] PST - ppublish SO - Transl Cancer Res. 2020 Oct;9(10):6583-6588. doi: 10.21037/tcr-20-1262.