Neoadjuvant Nivolumab with or without Ipilimumab for Cisplatin-Ineligible Patients with Muscle-Invasive Bladder Cancer

Among cisplatin-ineligible patients with MIBC, nivolumab alone was well tolerated. Ipilimumab/nivolumab caused toxicity that delayed cystectomy. Cases of progression before cystectomy indicated insufficient efficacy of pure neoadjuvant immunotherapy for unselected patients. Despite low response rates, some patients experienced sustained clinical CRs without cystectomy.

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Publication Details

Journal
Clinical Cancer Research
Published
2026-02-02
DOI
https://doi.org/10.1158/1078-0432.ccr-25-3771
Primary Topic
Bladder and Urothelial Cancer Treatments
Type
article
Field-Weighted Citation Impact
0.00

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article

Neoadjuvant Nivolumab with or without Ipilimumab for Cisplatin-Ineligible Patients with Muscle-Invasive Bladder Cancer

Allison L. Richards, Guido Dalbagni, Samuel A. Funt, Timothy F. Donahue et al.
Clinical Cancer Research
Bladder and Urothelial Cancer Treatments
article

Neoadjuvant Nivolumab with or without Ipilimumab for Cisplatin-Ineligible Patients with Muscle-Invasive Bladder Cancer

Allison L. Richards, Guido Dalbagni, Samuel A. Funt, Timothy F. Donahue, Eugene J. Pietzak, Scot A. Niglio, Irina Ostrovnaya, P Wong, Gopa Iyer, David H. Aggen, Brendan J. Guercio, A Goh, Vignesh Ravichandran, Cassidy C. Cobbs, Vanessa Peters, Jie-Fu Chen, S. Machele. Donat, Ronak H. Shah, Bernard H. Bochner, Min Yuen Teo, Eugene K. Cha, Ashley M. Regazzi, Jonathan E. Rosenberg, Mark T. A. Donoghue, Hikmat A. Al-Ahmadie
article en

Abstract

Among cisplatin-ineligible patients with MIBC, nivolumab alone was well tolerated. Ipilimumab/nivolumab caused toxicity that delayed cystectomy. Cases of progression before cystectomy indicated insufficient efficacy of pure neoadjuvant immunotherapy for unselected patients. Despite low response rates, some patients experienced sustained clinical CRs without cystectomy.

Clinical Cancer Research
Memorial Sloan Kettering Cancer Center (US), Cornell University (US), Beaumont Hospital (IE), University of Rochester (US)
Conquer Cancer Foundation, Bristol-Myers Squibb, Eli Lilly and Company, AstraZeneca, Bladder Cancer Advocacy Network, Exelixis, UroGen Pharma, Astellas Pharma, National Institutes of Health, Genentech, Chugai Pharmaceutical, National Cancer Institute
Openalex Percentile: Top 70%
Bladder and Urothelial Cancer Treatments
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