Clinical complete response as a surrogate for pathological response in bladder cancer: a systematic review and meta‐analysis

Current evidence does not support relying on the current definition of cCR alone, which poorly predicts pCR, to guide treatment decisions. Ongoing trials assessing the combination of MRI plus TURB with urine and/or blood based circulating tumour DNA may help refine cCR evaluation and support the sole introduction of bladder-sparing approaches in patients with MIBC who respond to neoadjuvant systemic therapy.

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Publication Details

Journal
British Journal of Urology
Published
2026-03-16
DOI
https://doi.org/10.1111/bju.70214
Primary Topic
Bladder and Urothelial Cancer Treatments
Type
article
Field-Weighted Citation Impact
0.00
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article

Clinical complete response as a surrogate for pathological response in bladder cancer: a systematic review and meta‐analysis

Malte W. Vetterlein, Navid Roessler, P. Karakiewicz, S. Shariat et al.
British Journal of Urology
Bladder and Urothelial Cancer Treatments
article

Clinical complete response as a surrogate for pathological response in bladder cancer: a systematic review and meta‐analysis

Malte W. Vetterlein, Navid Roessler, P. Karakiewicz, S. Shariat, Bernadett Szabados, Jeremy Yuen‐Chun Teoh, Victor M. Schuettfort, Markus von Deimling, Katharina Oberneder, Alessandro Dematteis, Shota Inoue, Marcin Miszczyk, Margit Fisch, Paolo Gontero, Pawel Rajwa, Keiichiro Miyajima
article en

Abstract

Current evidence does not support relying on the current definition of cCR alone, which poorly predicts pCR, to guide treatment decisions. Ongoing trials assessing the combination of MRI plus TURB with urine and/or blood based circulating tumour DNA may help refine cCR evaluation and support the sole introduction of bladder-sparing approaches in patients with MIBC who respond to neoadjuvant systemic therapy.

British Journal of Urology
Al-Ahliyya Amman University (JO), Jikei University School of Medicine (JP), University College London Hospitals NHS Foundation Trust (GB), Universität Hamburg (DE), Okayama University (JP), Medical University of Silesia (PL), Queen Mary University of London (GB), Chinese University of Hong Kong (HK), Cornell University (US), Charles University (CZ), Azienda Ospedaliera Citta' della Salute e della Scienza di Torino (IT), Comprehensive Cancer Center Vienna (AT), University Medical Center Hamburg-Eppendorf (DE), WSB University (PL), University College London (GB), Université de Montréal (CA), Medical University of Vienna (AT), The University of Texas Southwestern Medical Center (US)
Good health and well-being
Openalex Percentile: Top 20%
Bladder and Urothelial Cancer Treatments
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