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ESMO Asia 2025 | The upcoming role of ADCs and immunotherapy in bladder cancer in 2026

Christof Vulsteke, MD, PhD, AZ Maria Middelares, Ghent, Belgium, describes the significance of combining immunotherapy (IO) with antibody-drug conjugates (ADCs) in the treatment of bladder cancer, highlighting that this approach has been a major development in the field in recent years. This interview took place at 2025 European Society for Medical Oncology (ESMO) Asia Congress in Singapore, Singapore.

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Transcript

I think it’s the first one that has it read out in the perioperative space of ADC plus IO as a phase three trial. So I think EVP is a first and other smaller phase two also looking at combining IO with antibody drug conjugate with another payload, another target like TROP2, payload like TOP1. But I think this is the first that has this robust data as a phase three trial...

I think it’s the first one that has it read out in the perioperative space of ADC plus IO as a phase three trial. So I think EVP is a first and other smaller phase two also looking at combining IO with antibody drug conjugate with another payload, another target like TROP2, payload like TOP1. But I think this is the first that has this robust data as a phase three trial. So the antinectin IV MMAE payload together with checkpoint inhibition, I think is the first that has this big phase three data. So the others still have to come, but I think the combination of IO and ADC is the most prominent thing that has happened over the recent years of bladder cancer.

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