NMIBC With Roger Li, MD

Urology

Dr. Li is a urologic oncologist at Moffitt Cancer Center whose practice focuses on the treatment of bladder, upper tract urothelial, and prostate cancers. His work has been instrumental in the development of clinical trials in the BCG-unresponsive space. He has authored over 100 peer-reviewed manuscripts and serves as reviewer for many international urologic journals.


Challenging the Standard of Care in NMIBC

Dear readers,

The standard of care for high-risk non-muscle invasive bladder cancer has long been intravesical BCG. However, due to the ongoing BCG shortage, several trials have either completed accrual or are actively accruing to test the efficacy of different BCG strains and combination intravesical gemcitabine-docetaxel in treating this disease. In addition, there is evidence of increased PD-L1 expression following BCG treatment.

Based on this, several trials have also been launched testing the strategy of combining BCG with immune checkpoint blockade. The furthest along of these is the CREST trial, a Phase III trial that tests the efficacy of sasanlimab, a subcutaneous PD-1 inhibitor in combination with BCG. In January 2025, a press release announced that the trial had met its primary endpoint, EFS, with the final results pending to be presented at the AUA. 

Sincerely,

Roger Li, MD


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