Biomarker & Intervention Discovery

Bladder Cancer

This page lists 11 druggable gene targets, 47 approved or trial-tested drug candidates and 15 recent clinical trials for Bladder Cancer, with each agent ranked by the strength of its evidence (clinical, mechanistic or correlative). Candidates include existing drugs that could be repurposed. Sources are linked so you can check every claim.

Spontaneous remissionNMIBC: 50-70% recurrence within 5 years; MIBC: progression to metastatic in 50% without radical treatment; spontaneous…
Best-intervention remissionNMIBC: BCG intravesical immunotherapy: 70% reduction in recurrence, 30-40% reduction in progression; MIBC with…
Gap sizeLarge — EV + pembrolizumab is a major advance but not yet universally standard; BCG supply shortage is a persistent…
Primary barrieraccess
Full remission profile →

Remission & chronicity

Spontaneous remission
NMIBC: 50-70% recurrence within 5 years; MIBC: progression to metastatic in 50% without radical treatment; spontaneous remission essentially zero
Best-intervention remission
NMIBC: BCG intravesical immunotherapy: 70% reduction in recurrence, 30-40% reduction in progression; MIBC with neoadjuvant cisplatin + radical cystectomy: 5-year survival 50-60% (vs 45% cystectomy alone); metastatic with enfortumab vedotin + pembrolizumab: 31.5 months OS vs 16.1 months cisplatin (EV-302/KEYNOTE-A39)
Gap size
Large — EV + pembrolizumab is a major advance but not yet universally standard; BCG supply shortage is a persistent clinical crisis in NMIBC
Primary barrier
access
BCG shortage (since 2012, persistent) means many NMIBC patients cannot receive standard treatment; gemcitabine + mitomycin as alternative to BCG established as FDA-cleared 2024 (CISTO trial); EV + pembrolizumab is a genuine paradigm change for metastatic disease but requires PD-L1 testing integration

Biomarker Targets & Therapeutic Agents

Gene targets queried against DGIdb, Open Targets, ChEMBL, PubMed, and Europe PMC. Agents ranked: Clinical > Mechanistic > Correlative.

CD274 200ERBB2 336FGFR2 230FGFR3 217NECTIN4 53PDCD1 52PIK3CA 444RB1 65TACSTD2 4TERT 211TP53 652
Therapeutic Agent Effect Direction Evidence Tier Potency Source
ATEZOLIZUMAB ? unclear Mechanistic
DURVALUMAB ↓ inhibits Mechanistic
PEMETREXED DISODIUM ? unclear Mechanistic
BETIFISOLIMAB ? unclear Mechanistic
AVELUMAB ? unclear Mechanistic
SOCAZOLIMAB ↓ inhibits Mechanistic
NIVOLUMAB ? unclear Mechanistic
COSIBELIMAB ? unclear Mechanistic
DANBURSTOTUG ↓ inhibits Mechanistic
ENVAFOLIMAB ? unclear Mechanistic
PACMILIMAB ~ modulates Mechanistic
CA-170 ? unclear Mechanistic
CISPLATIN ? unclear Mechanistic
TISLELIZUMAB ? unclear Mechanistic
ERFONRILIMAB ↓ inhibits Mechanistic
TREMELIMUMAB ? unclear Mechanistic
ANTI-PD-L1 MONOCLONAL ANTIBODY FAZ053 ? unclear Mechanistic
BINTRAFUSP ALFA ? unclear Mechanistic
IPILIMUMAB ? unclear Mechanistic
CEMIPLIMAB ? unclear Mechanistic
ADEBRELIMAB ↓ inhibits Mechanistic
SUGEMALIMAB ~ modulates Mechanistic
LODAPOLIMAB ? unclear Mechanistic
INCB-086550 ↓ inhibits Mechanistic
PIDILIZUMAB ? unclear Mechanistic
CARBOPLATIN ? unclear Mechanistic
ANTI-PD-L1 MONOCLONAL ANTIBODY MDX-1105 ? unclear Mechanistic
PENPULIMAB ? unclear Mechanistic
PEMBROLIZUMAB ? unclear Mechanistic
ANTI-LAG-3/PD-L1 BISPECIFIC ANTIBODY FS118 ? unclear Mechanistic
CHEMBL3582257 ↓ inhibits Mechanistic 6.0 nM (IC50)
CHEMBL3582256 ↓ inhibits Mechanistic 6.0 nM (IC50)
CHEMBL3582255 ↓ inhibits Mechanistic 1010.0 nM (IC50)
CHEMBL3582254 ↓ inhibits Mechanistic 6.0 nM (IC50)
CHEMBL3582253 ↓ inhibits Mechanistic 110.0 nM (IC50)
CHEMBL3582252 ↓ inhibits Mechanistic 6.0 nM (IC50)
CHEMBL4081869 ↓ inhibits Mechanistic 6.0 nM (IC50)
CHEMBL4099869 ↓ inhibits Mechanistic 146.0 nM (IC50)
CHEMBL4089730 ↓ inhibits Mechanistic 18.0 nM (IC50)
CHEMBL4061613 ↓ inhibits Mechanistic 6.0 nM (IC50)

Showing top 40 of 200 agents ranked by evidence tier.

Therapeutic Agent Effect Direction Evidence Tier Potency Source
TYRPHOSTIN AG 879 ? unclear Mechanistic
TAK-285 ↓ inhibits Mechanistic
PERTUZUMAB ↓ inhibits Mechanistic
SAPITINIB ↓ inhibits Mechanistic
CANERTINIB ↓ inhibits Mechanistic 529.0 nM (IC50)
LAPATINIB ↓ inhibits Mechanistic 9.0 nM (IC50)
AFATINIB DIMALEATE ↓ inhibits Mechanistic
MUBRITINIB ↓ inhibits Mechanistic
JNJ-26483327 ↓ inhibits Mechanistic
NAKIJIQUINONE I ? unclear Mechanistic
AEE788 ↓ inhibits Mechanistic
HEMAY-022 ↓ inhibits Mechanistic
MM-111 ? unclear Mechanistic
NERATINIB ↓ inhibits Mechanistic
DACOMITINIB ANHYDROUS ↓ inhibits Mechanistic
IXABEPILONE ? unclear Mechanistic
DIETHYLSTILBESTROL ? unclear Mechanistic
TAMATINIB ? unclear Mechanistic
S-222611 ↓ inhibits Mechanistic
CP-724714 ? unclear Mechanistic
AKT INHIBITOR MK2206 ? unclear Mechanistic
ANTINEOPLASTIC AGENT ? unclear Mechanistic
TIPIFARNIB ? unclear Mechanistic
BMS-599626 ↓ inhibits Mechanistic
MIFANERTINIB ↓ inhibits Mechanistic
GEFITINIB ↓ inhibits Mechanistic 1604.0 nM (IC50)
ADO-TRASTUZUMAB EMTANSINE ? unclear Mechanistic
CARBOPLATIN ? unclear Mechanistic
TRASTUZUMAB DUOCARMAZINE ~ modulates Mechanistic
POZIOTINIB ↓ inhibits Mechanistic
HLX22 ? unclear Mechanistic
CURCUMIN ? unclear Mechanistic
HSP90 INHIBITOR ? unclear Mechanistic
TUCATINIB ↓ inhibits Mechanistic
TRASTUZUMAB ↓ inhibits Mechanistic
EPIGALLOCATECHIN GALLATE ? unclear Mechanistic
PACLITAXEL PROTEIN-BOUND ? unclear Mechanistic
FAM-TRASTUZUMAB DERUXTECAN-NXKI ? unclear Mechanistic
DASATINIB ANHYDROUS ? unclear Mechanistic
TRASTUZUMAB EMTANSINE ~ modulates Mechanistic

Showing top 40 of 336 agents ranked by evidence tier.

Therapeutic Agent Effect Direction Evidence Tier Potency Source
ZOLIGRATINIB ? unclear Mechanistic
FEXAGRATINIB ↓ inhibits Mechanistic 3.2 nM (IC50)
INFIGRATINIB ↓ inhibits Mechanistic
DOVITINIB ↓ inhibits Mechanistic 410.0 nM (Kd)
FGFR INHIBITOR CPL304110 ? unclear Mechanistic
ALOFANIB ~ modulates Mechanistic
REGORAFENIB ↓ inhibits Mechanistic
ORANTINIB ↓ inhibits Mechanistic
XL228 ↓ inhibits Mechanistic
TEMUTERKIB ? unclear Mechanistic
XL999 ↓ inhibits Mechanistic
LIRAFUGRATINIB ↓ inhibits Mechanistic
APRUTUMAB ? unclear Mechanistic
ERDAFITINIB ↓ inhibits Mechanistic
NINTEDANIB ESYLATE ↓ inhibits Mechanistic 37.0 nM (IC50)
PEMIGATINIB ↓ inhibits Mechanistic
PAZOPANIB ? unclear Mechanistic 210.0 nM (Kd)
RABEPRAZOLE ↓ inhibits Mechanistic
LY-2874455 ↓ inhibits Mechanistic
S-49076 ? unclear Mechanistic
AVUTOMETINIB ? unclear Mechanistic
FGFR2 INHIBITOR 3HP-2827 ? unclear Mechanistic
ENMD-2076 ↓ inhibits Mechanistic
PONATINIB ↓ inhibits Mechanistic
ABT-737 ? unclear Mechanistic
TRAFERMIN ? unclear Mechanistic
THALIDOMIDE ? unclear Mechanistic
BRIVANIB ↓ inhibits Mechanistic 110.0 nM (Kd)
TASURGRATINIB ↓ inhibits Mechanistic
OLVEREMBATINIB ? unclear Mechanistic
TYRA-200 ↓ inhibits Mechanistic
GEMCITABINE ? unclear Mechanistic
DERAZANTINIB ↓ inhibits Mechanistic
BRIVANIB ALANINATE ↓ inhibits Mechanistic
PICTILISIB ? unclear Mechanistic
FGF RECEPTOR ANTAGONIST HGS1036 ? unclear Mechanistic
LENVATINIB ↓ inhibits Mechanistic
FANREGRATINIB ↓ inhibits Mechanistic
APRUTUMAB IXADOTIN ~ modulates Mechanistic
MUPARFOSTAT ? unclear Mechanistic

Showing top 40 of 230 agents ranked by evidence tier.

Therapeutic Agent Effect Direction Evidence Tier Potency Source
SEGIGRATINIB ↓ inhibits Mechanistic
RABEPRAZOLE ↓ inhibits Mechanistic
ORANTINIB ↓ inhibits Mechanistic
DABOGRATINIB ↓ inhibits Mechanistic
NINTEDANIB ESYLATE ↓ inhibits Mechanistic
DASATINIB ANHYDROUS ? unclear Mechanistic
VOFATAMAB ? unclear Mechanistic
INFIGRATINIB ↓ inhibits Mechanistic
FEXAGRATINIB ↓ inhibits Mechanistic
DERAZANTINIB ↓ inhibits Mechanistic
LY-2874455 ↓ inhibits Mechanistic
ROGARATINIB ↓ inhibits Mechanistic
NIVOLUMAB ? unclear Mechanistic
TOZASERTIB ? unclear Mechanistic 860.0 nM (Kd)
CETRELIMAB ? unclear Mechanistic
AVUTOMETINIB ? unclear Mechanistic
PAZOPANIB HYDROCHLORIDE ↓ inhibits Mechanistic
ENTRECTINIB ? unclear Mechanistic 158.49 nM (Ki)
ENMD-981693 ↓ inhibits Mechanistic
ENMD-2076 ↓ inhibits Mechanistic
BRIVANIB ↓ inhibits Mechanistic 160.0 nM (Kd)
PEMIGATINIB ↓ inhibits Mechanistic
CP-547632 ? unclear Mechanistic
NVP-TAE684 ? unclear Mechanistic
MLN-8054 ? unclear Mechanistic 1200.0 nM (Kd)
COMPOUND 29 [PMID: 36356320] ↓ inhibits Mechanistic
LY2874455 ↓ inhibits Mechanistic
ZOLIGRATINIB ? unclear Mechanistic
ASP5878 ↓ inhibits Mechanistic
TASURGRATINIB ? unclear Mechanistic
MASITINIB ↓ inhibits Mechanistic
PONATINIB ↓ inhibits Mechanistic
TRAFERMIN ? unclear Mechanistic
S-49076 ? unclear Mechanistic
GEFITINIB ? unclear Mechanistic
PALIFERMIN ? unclear Mechanistic
SINTILIMAB ? unclear Mechanistic
PICTILISIB ? unclear Mechanistic
FGFR INHIBITOR CPL304110 ? unclear Mechanistic
IRINOTECAN HYDROCHLORIDE ? unclear Mechanistic

Showing top 40 of 217 agents ranked by evidence tier.

Therapeutic Agent Effect Direction Evidence Tier Potency Source
ENFORTUMAB VEDOTIN ~ modulates Mechanistic
BT7480 ? unclear Mechanistic
METHADONE HYDROCHLORIDE ? unclear Mechanistic
CHEMBL5202254 ↑ activates Mechanistic 14.0 nM (EC50)
CHEMBL5193789 ↑ activates Mechanistic 0.67 nM (EC50)
CHEMBL5202442 ↓ inhibits Mechanistic 2.8 nM (Kd)
CHEMBL5219498 ↓ inhibits Mechanistic 27.3 nM (Ki)
CHEMBL5220092 ↓ inhibits Mechanistic 13.5 nM (Ki)
CHEMBL5220400 ↓ inhibits Mechanistic 57.6 nM (Ki)
CHEMBL5220320 ↓ inhibits Mechanistic 17.6 nM (Ki)
CHEMBL5220747 ↓ inhibits Mechanistic 66.9 nM (Ki)
CHEMBL5219755 ↓ inhibits Mechanistic 737.0 nM (Ki)
CHEMBL5221012 ↓ inhibits Mechanistic 13.4 nM (Ki)
CHEMBL5220037 ↓ inhibits Mechanistic 19.4 nM (Ki)
CHEMBL5220830 ↓ inhibits Mechanistic 606.0 nM (Ki)
CHEMBL5218845 ↓ inhibits Mechanistic 176.0 nM (Ki)
CHEMBL5220023 ↓ inhibits Mechanistic 13.2 nM (Ki)
CHEMBL5221108 ↓ inhibits Mechanistic 38.6 nM (Ki)
CHEMBL5219402 ↓ inhibits Mechanistic 46.8 nM (Ki)
CHEMBL5221095 ↓ inhibits Mechanistic 64.2 nM (Ki)
CHEMBL5218503 ↓ inhibits Mechanistic 68.9 nM (Ki)
CHEMBL5219916 ↓ inhibits Mechanistic 44.3 nM (Ki)
CHEMBL5220688 ↓ inhibits Mechanistic 38.7 nM (Ki)
CHEMBL5220499 ↓ inhibits Mechanistic 31.4 nM (Ki)
CHEMBL5219259 ↓ inhibits Mechanistic 37.3 nM (Ki)
CHEMBL5220678 ↓ inhibits Mechanistic 77.7 nM (Ki)
CHEMBL5220040 ↓ inhibits Mechanistic 27.4 nM (Ki)
CHEMBL5219400 ↓ inhibits Mechanistic 16.3 nM (Ki)
CHEMBL5220633 ↓ inhibits Mechanistic 59.2 nM (Ki)
CHEMBL5219480 ↓ inhibits Mechanistic 142.0 nM (Ki)
CHEMBL5218565 ↓ inhibits Mechanistic 69.8 nM (Ki)
CHEMBL5218678 ↓ inhibits Mechanistic 37.5 nM (Ki)
CHEMBL5220510 ↓ inhibits Mechanistic 28.0 nM (Ki)
CHEMBL5218904 ↓ inhibits Mechanistic 23.9 nM (Ki)
CHEMBL5219726 ↓ inhibits Mechanistic 185.0 nM (Ki)
CHEMBL5219369 ↓ inhibits Mechanistic 694.0 nM (Ki)
CHEMBL5219641 ↓ inhibits Mechanistic 11.5 nM (Ki)
CHEMBL5220964 ↓ inhibits Mechanistic 81.1 nM (Ki)
CHEMBL5220697 ↓ inhibits Mechanistic 76.1 nM (Ki)
CHEMBL5220458 ↓ inhibits Mechanistic 27.3 nM (Ki)

Showing top 40 of 53 agents ranked by evidence tier.

Therapeutic Agent Effect Direction Evidence Tier Potency Source
CAMRELIZUMAB ↓ inhibits Mechanistic
AMP-224 ? unclear Mechanistic
PEMBROLIZUMAB ↓ inhibits Mechanistic
SERPLULIMAB ? unclear Mechanistic
ENLONSTOBART ? unclear Mechanistic
CEMIPLIMAB ↓ inhibits Mechanistic
CT-011 ? unclear Mechanistic
SASANLIMAB ? unclear Mechanistic
PUCOTENLIMAB ↓ inhibits Mechanistic
TISLELIZUMAB ? unclear Mechanistic
TEBOTELIMAB ↓ inhibits Mechanistic
CADONILIMAB ? unclear Mechanistic
SPARTALIZUMAB ? unclear Mechanistic
MEDI0680 ? unclear Mechanistic
AUNP-12 ? unclear Mechanistic
DOSTARLIMAB ? unclear Mechanistic
TORIPALIMAB ↓ inhibits Mechanistic
CC-90006 ? unclear Mechanistic
CETRELIMAB ↓ inhibits Mechanistic
PROGRAMMED CELL DEATH 1 LIGAND 1 ? unclear Mechanistic
ANTI-PD-1 MONOCLONAL ANTIBODY SYM021 ? unclear Mechanistic
CS-1003 ↓ inhibits Mechanistic
EZABENLIMAB ? unclear Mechanistic
PROLGOLIMAB ? unclear Mechanistic
LIPUSTOBART ? unclear Mechanistic
PENPULIMAB ↓ inhibits Mechanistic
BALSTILIMAB ? unclear Mechanistic
GEPTANOLIMAB ? unclear Mechanistic
IVONESCIMAB ? unclear Mechanistic
SINTILIMAB ? unclear Mechanistic
LORIGERLIMAB ? unclear Mechanistic
FINOTONLIMAB ↓ inhibits Mechanistic
RETIFANLIMAB ? unclear Mechanistic
PUCOLENTIMAB ? unclear Mechanistic
BINTRAFUSP ALFA ? unclear Mechanistic
IPAROMLIMAB ? unclear Mechanistic
PIMIVALIMAB ↓ inhibits Mechanistic
VUDALIMAB ? unclear Mechanistic
APL-501 ↓ inhibits Mechanistic
ZIMBERELIMAB ↓ inhibits Mechanistic

Showing top 40 of 52 agents ranked by evidence tier.

Therapeutic Agent Effect Direction Evidence Tier Potency Source
SURAMIN ? unclear Mechanistic
TEMSIROLIMUS ? unclear Mechanistic
RIGOSERTIB ↓ inhibits Mechanistic
NEOLYMPHOSTIN A ↓ inhibits Mechanistic
INAVOLISIB ↓ inhibits Mechanistic
RIGOSERTIB SODIUM ? unclear Mechanistic
TAK-733 ? unclear Mechanistic
APILIMOD DIMESYLATE CAPSULE ? unclear Mechanistic
COMPOUND 15A [PMID: 32069401] ↓ inhibits Mechanistic
COMPOUND 41 [PMID: 31855425] ↓ inhibits Mechanistic
ERDAFITINIB ? unclear Mechanistic
RIBOCICLIB ? unclear Mechanistic
BRAFV600/PI3K INHIBITOR ASN003 ? unclear Mechanistic
GSK2636771 ↓ inhibits Mechanistic
ZINC SULFATE ANHYDROUS ? unclear Mechanistic
EVEROLIMUS ? unclear Mechanistic
COPANLISIB ↓ inhibits Mechanistic
TANESPIMYCIN ? unclear Mechanistic
CAPIVASERTIB ? unclear Mechanistic
SAMOTOLISIB ↓ inhibits Mechanistic
COPANLISIB HYDROCHLORIDE ↓ inhibits Mechanistic
PAXALISIB ↓ inhibits Mechanistic
U0126 ? unclear Mechanistic
PILARALISIB ↓ inhibits Mechanistic
M-2698 ? unclear Mechanistic
GSK2334470 ? unclear Mechanistic
BIMIRALISIB ↓ inhibits Mechanistic
PALBOCICLIB ? unclear Mechanistic
SONOLISIB ↓ inhibits Mechanistic 88.0 nM (IC50)
VULOLISIB ↓ inhibits Mechanistic
ALPELISIB ↓ inhibits Mechanistic
DOCETAXEL ANHYDROUS ? unclear Mechanistic
COMPOUND 27 [PMID: 35834807] ↓ inhibits Mechanistic
MILTEFOSINE ? unclear Mechanistic
CARBOPLATIN ? unclear Mechanistic
ACALISIB ↓ inhibits Mechanistic
GEDATOLISIB ↓ inhibits Mechanistic
VS-5584 ↓ inhibits Mechanistic
XRD-0394 ↓ inhibits Mechanistic
IZORLISIB ? unclear Mechanistic

Showing top 40 of 444 agents ranked by evidence tier.

Therapeutic Agent Effect Direction Evidence Tier Potency Source
TOPOTECAN HYDROCHLORIDE ? unclear Mechanistic
VORINOSTAT ? unclear Mechanistic
FULVESTRANT ? unclear Mechanistic
ALPELISIB ? unclear Mechanistic
REBEMADLIN ? unclear Mechanistic
TRICHOSTATIN A ? unclear Mechanistic
RIBOCICLIB ? unclear Mechanistic
JQ1 ? unclear Mechanistic
GEMCITABINE ? unclear Mechanistic
PALBOCICLIB ? unclear Mechanistic
LORLATINIB ? unclear Mechanistic
SELICICLIB ? unclear Mechanistic
VCN-01 ? unclear Mechanistic
NIRAPARIB ? unclear Mechanistic
TAZEMETOSTAT ? unclear Mechanistic
CHECKPOINT KINASE INHIBITOR AZD7762 ? unclear Mechanistic
TRAMETINIB DIMETHYL SULFOXIDE ? unclear Mechanistic
FOSTAMATINIB ? unclear Mechanistic
BARASERTIB ? unclear Mechanistic
R547 ? unclear Mechanistic
VOLASERTIB ? unclear Mechanistic
LETROZOLE ? unclear Mechanistic
PEMRAMETOSTAT ? unclear Mechanistic
PICTILISIB ? unclear Mechanistic
VEMURAFENIB ? unclear Mechanistic
DECITABINE ? unclear Mechanistic
SIROLIMUS ? unclear Mechanistic
BAY 61-3606 ? unclear Mechanistic
ALISERTIB ? unclear Mechanistic
TRILACICLIB ? unclear Mechanistic
CISPLATIN ? unclear Mechanistic
DALPICICLIB ? unclear Mechanistic
AURORA A KINASE INHIBITOR LY3295668 ? unclear Mechanistic
PACLITAXEL PROTEIN-BOUND ? unclear Mechanistic
OLAPARIB ? unclear Mechanistic
ENTINOSTAT ? unclear Mechanistic
TRETINOIN ? unclear Mechanistic
TALAZOPARIB ? unclear Mechanistic
LARGAZOLE ? unclear Mechanistic
AURORA A KINASE INHIBITOR LY3295668 ERBUMINE ? unclear Mechanistic

Showing top 40 of 65 agents ranked by evidence tier.

Therapeutic Agent Effect Direction Evidence Tier Potency Source
SACITUZUMAB GOVITECAN ? unclear Mechanistic
DATOPOTAMAB DERUXTECAN ~ modulates Mechanistic
HIMB1636-MMAE ? unclear Mechanistic
SACITUZUMAB TIRUMOTECAN ? unclear Mechanistic
Therapeutic Agent Effect Direction Evidence Tier Potency Source
CHEMBL:CHEMBL17442 ? unclear Mechanistic
IMETELSTAT ↓ inhibits Mechanistic
ARSENIC TRIOXIDE ? unclear Mechanistic
OMACETAXINE MEPESUCCINATE ? unclear Mechanistic
CHEMBL:CHEMBL190474 ? unclear Mechanistic
CHEMBL:CHEMBL91163 ? unclear Mechanistic
IMETELSTAT SODIUM ↓ inhibits Mechanistic
SODIUM METAARSENITE ↓ inhibits Mechanistic
HLA-A*0201 RESTRICTED TERT(572Y)/TERT(572) PEPTIDES VACCINE VX-001 ? unclear Mechanistic
HTERT VACCINE V934/V935 ? unclear Mechanistic
9,10-PHENANTHRENEQUINONE ? unclear Mechanistic
CHEMBL:CHEMBL89977 ? unclear Mechanistic
IODINE I-131 ? unclear Mechanistic
TERTOMOTIDE ? unclear Mechanistic
HTERT-LAMP MRNA-LOADED AUTOLOGOUS DENDRITIC CELL VACCINE GRNVAC1 ? unclear Mechanistic
ANTISENSE OLIGONUCLEOTIDES ? unclear Mechanistic
TELOMESTATIN ? unclear Mechanistic
CHEMBL:CHEMBL1254091 ? unclear Mechanistic
RECOMBINANT BRAIN-DERIVED GROWTH FACTORS ? unclear Mechanistic
CHEMBL:CHEMBL89250 ? unclear Mechanistic
CHEMBL:CHEMBL481161 ? unclear Mechanistic
RALOXIFENE HYDROCHLORIDE ? unclear Mechanistic
CHEMBL:CHEMBL520095 ? unclear Mechanistic
CHEMBL:CHEMBL457246 ? unclear Mechanistic
CHEMBL:CHEMBL608862 ? unclear Mechanistic
CHEMBL:CHEMBL2336666 ? unclear Mechanistic
ISOBONDUCELLIN ? unclear Mechanistic
DENDRITIC CELL VACCINE ? unclear Mechanistic
ERIBULIN ? unclear Mechanistic
EPITALON ? unclear Mechanistic
CHEMBL:CHEMBL144757 ? unclear Mechanistic
SURATADENOTUREV ? unclear Mechanistic
RECOMBINANT VASCULAR ENDOTHELIAL GROWTH FACTOR ? unclear Mechanistic
BERBERINE ? unclear Mechanistic
CHEMBL:CHEMBL481160 ? unclear Mechanistic
CHEMBL314057 ↓ inhibits Mechanistic 7300.0 nM (IC50)
CHEMBL86984 ↓ inhibits Mechanistic 9500.0 nM (IC50)
CHEMBL262163 ↓ inhibits Mechanistic 45200.0 nM (IC50)
CHEMBL405650 ↓ inhibits Mechanistic 11100.0 nM (IC50)
CHEMBL313020 ↓ inhibits Mechanistic 10600.0 nM (IC50)

Showing top 40 of 211 agents ranked by evidence tier.

Therapeutic Agent Effect Direction Evidence Tier Potency Source
PIRARUBICIN ? unclear Mechanistic
OXALIPLATIN ? unclear Mechanistic
SIREMADLIN ↓ inhibits Mechanistic
CARBOPLATIN ? unclear Mechanistic
DAUNORUBICIN HYDROCHLORIDE ? unclear Mechanistic
CHEMBL:CHEMBL260560 ? unclear Mechanistic
MELPHALAN ? unclear Mechanistic
LAPACHONE ? unclear Mechanistic
VITAMIN K3 ? unclear Mechanistic
CHEMBL:CHEMBL260451 ? unclear Mechanistic
DINOSEB ? unclear Mechanistic
RIMCAZOLE ? unclear Mechanistic
TRACAZOLATE ? unclear Mechanistic
CAPIVASERTIB ? unclear Mechanistic
AZD7648 ? unclear Mechanistic
QUINALIZARIN ? unclear Mechanistic
INOSITOL ? unclear Mechanistic
ECONAZOLE NITRATE ? unclear Mechanistic
L-733,060 ? unclear Mechanistic
U50488 ? unclear Mechanistic
CHEMBL:CHEMBL260028 ? unclear Mechanistic
CHEMBL:CHEMBL601140 ? unclear Mechanistic
CHEMBL:CHEMBL408563 ? unclear Mechanistic
ENALAPRIL MALEATE ? unclear Mechanistic
HOMIDIUM BROMIDE ? unclear Mechanistic
IOXYNIL ? unclear Mechanistic
ACALABRUTINIB ? unclear Mechanistic
INDOPROFEN ? unclear Mechanistic
MERCAPTOPURINE ? unclear Mechanistic
AUTOLOGOUS DENDRITIC CELLS TRANSDUCED WITH WILD-TYPE P53 ADENOVIRUS VACCINE ? unclear Mechanistic
ZIRAM ? unclear Mechanistic
IFOSFAMIDE ? unclear Mechanistic
DOCETAXEL ANHYDROUS ? unclear Mechanistic
SOTULETINIB ? unclear Mechanistic
SERTRALINE HYDROCHLORIDE ? unclear Mechanistic
PD166285 ? unclear Mechanistic
SAPANISERTIB ? unclear Mechanistic
ENZALUTAMIDE ? unclear Mechanistic
PYRITHIONE ZINC ? unclear Mechanistic
CHEMBL:CHEMBL1169388 ? unclear Mechanistic

Showing top 40 of 652 agents ranked by evidence tier.


Clinical Trials

Drug, biologic and supplement trials (treatment or prevention) from ClinicalTrials.gov whose main condition is Bladder Cancer: recruiting, active or completed, most recently updated first. Data retrieved 2026-10-28.

NCT05644041 Phase: 2 Started: 2023-03-01

Intravesical immunotherapy or chemotherapy for non-muscle invasive bladder cancer (NMIBC) is a well-established treatment for preventing or delaying tumor recurrence after tumor resection. For high-risk non-muscle invasive bladder cancer, immunotherapy in the form of intravesical Bacillus Calmette-G...

NCT02989584 Phase: 1/2 Started: 2016-12-20

The purpose of this study is to test the safety of the study drug, atezolizumab, when combined with the standard chemotherapy drugs, gemcitabine and cisplatin (or GC). This study will help researchers begin to understand whether combining GC with atezolizumab is better, the same, or worse than the u...

NCT05327647 Phase: 2 Started: 2022-06-23

This is a phase II randomized controlled clinical trial comparing standard induction BCG versus bicalutamide and standard induction BCG among patients with non-muscle invasive bladder cancer.

NCT03837821 Phase: Early 1 Started: 2019-02-05

Single-arm, open-label window-of-opportunity trial of neoadjuvant Abemaciclib in 20 patients, with tumor tissue obtained as standard of care at tumor resection (pre-Abemaciclib) and cystectomy (post-Abemaciclib)

NCT04630730 Phase: 2 Started: 2022-06-24

Current treatment of localized muscle-invasive bladder cancer is still associated with high relapse and death rate as well as the need for complete bladder resection or irradiation. The primary objective of this trial is to increase the rate of pathologic complete remission (pCR) at the time of radi...

NCT03978624 Phase: 2 Started: 2020-09-23

This is an open-label, window of opportunity platform study for subjects with muscle-invasive bladder cancer (MIBC) who are deemed ineligible or refuse cisplatin-based neoadjuvant chemotherapy and are scheduled to undergo definitive surgery (radical cystectomy), or are planning to undergo trimodalit...

NCT03711032 Phase: 3 Started: 2018-12-24

Researchers are looking for new ways to treat high-risk non muscle invasive bladder cancer (HR NMIBC). NMIBC is cancer in the tissue that lines the inside of the bladder but has not spread to the bladder muscle or outside of the bladder. High-risk means NMIBC may have a high chance of getting worse ...

NCT07222488 Phase: 1/2 Started: 2025-12-09

Researchers are looking for new ways to treat high-risk non-muscle invasive bladder cancer (HR NMIBC). NMIBC is cancer in the tissue that lines the inside of the bladder and has not spread to the bladder muscle or outside of the bladder. In standard treatment for HR NMIBC, doctors first remove the t...

NCT06331299 Phase: 3 Started: 2024-08-29

This Phase 3, single-arm, multicenter study was designed to evaluate the efficacy and safety of UGN-103, a novel formulation of UGN-102, instilled in the urinary bladder of patients with recurrent low-grade intermediate-risk non-muscle invasive bladder cancer (LG-IR-NMIBC).

NCT07475806 Phase: 2 Started: 2026-03-12

People with a type of bladder cancer called muscle-invasive bladder cancer have cancer that has spread into the muscle wall of the bladder. The standard treatment is to have chemotherapy, followed by surgery to completely remove the bladder. This has a significant impact on people with long-term lif...

NCT06510374 Phase: 3 Started: 2024-10-01

A phase 3b, Randomized, Controlled Trial of Nadofaragene Firadenovec vs. Observation in Participants with Intermediate Risk Non-Muscle Invasive Bladder Cancer (IR NMIBC)

NCT07624201 Phase: 2 Started: 2026-06-01

This study aims to evaluate the efficacy and safety of neoadjuvant trastuzumab rezetecan combined with adebrelimab for the treatment of HER2-positive muscle-invasive bladder cancer.

NCT07419295 Phase: 3 Started: 2026-04-23

Researchers are looking for new ways to treat locally advanced or metastatic urothelial cancer (UC). Current treatments for locally advanced or metastatic UC include chemotherapy, immunotherapy, and targeted therapy. Researchers want to know if giving sacituzumab tirumotecan (sac-TMT), the trial med...

NCT04562311 Phase: 2 Started: 2021-01-01

Study of Chidamide Combined With Immunotherapy in Patients With Locally Advanced or Metastatic Urothelial Carcinoma Who Had Previously Received Platinum-based Chemotherapy

NCT04165317 Phase: 3 Started: 2019-12-30

The purpose of this study is to learn about the safety and effects of the study medicine (sasanlimab) in people with non-muscle invasive bladder cancer. This study is seeking participants whose bladder cancer is still in early stages, has not spread outside of the bladder, has been removed with surg...


Agents Found By Disease-Level Search

Searched directly from “Bladder Cancer” via ClinicalTrials.gov interventions and Open Targets' disease→drug data — independent of the 11-gene target panel above. This surfaces agents whose mechanism doesn't route through a curated gene (combination therapies, standard-of-care drugs, targets outside the panel).

47 agents shown (approved or with trial evidence) — 38 not found by the gene-target search above.

Pembrolizumab

Phase 3 · 8 trials · source: ClinicalTrials.gov, Open Targets
NCT02432963 NCT03836352 NCT06305767

Computed TomographyNOT in gene-target list

· 4 trials · source: ClinicalTrials.gov
NCT03513952 NCT05092958 NCT07579195

Enfortumab Vedotin

Phase 3 · 4 trials · source: ClinicalTrials.gov, Open Targets
NCT04878029 NCT06305767 NCT03474107

Gemcitabine

Phase 3 · 3 trials · source: ClinicalTrials.gov, Open Targets
NCT05975307 NCT02202772 NCT00585689

Cisplatin

Phase 3 · 3 trials · source: ClinicalTrials.gov, Open Targets
NCT05975307 NCT02202772 NCT07647289

docetaxelNOT in gene-target list

Phase 2 · 2 trials · source: ClinicalTrials.gov, Open Targets
NCT00003565 NCT03474107

Toripalimab

Phase 2 · 2 trials · source: ClinicalTrials.gov, Open Targets
NCT05975307 NCT07647289

Carboplatin

Phase 2 · 2 trials · source: ClinicalTrials.gov, Open Targets
NCT05975307 NCT00585689

Cabozantinib S-malate

· 2 trials · source: ClinicalTrials.gov
NCT04878029 NCT05092958

cystoscopyNOT in gene-target list

· 2 trials · source: ClinicalTrials.gov
NCT00052637 NCT07579195

Intismeran autogeneNOT in gene-target list

· 2 trials · source: ClinicalTrials.gov
NCT06305767 NCT06833073

PaclitaxelNOT in gene-target list

Phase 2 · 2 trials · source: ClinicalTrials.gov, Open Targets
NCT03474107 NCT05506943

Transurethral Resection of Bladder TumorNOT in gene-target list

· 2 trials · source: ClinicalTrials.gov
NCT05521698 NCT07579195

Radical CystectomyNOT in gene-target list

· 2 trials · source: ClinicalTrials.gov
NCT07579195 NCT00585689

Modified Vaccinia Virus Ankara Vaccine Expressing p53NOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT02432963

Neoadjuvant Toripalimab in Combination With Gemcitabine and CisplatinNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT04861584

Atezolizumab

Phase 3 · 1 trial · source: ClinicalTrials.gov, Open Targets
NCT03513952

Glycosylated Recombinant Human Interleukin-7NOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT03513952

SHR-2005NOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT06108492

RocuroniumNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT03138967

SugammadexNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT03138967

NeostigmineNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT03138967

GlycopyrrolateNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT03138967

disitamab vedotin

Phase 2 · 1 trial · source: ClinicalTrials.gov, Open Targets
NCT04879329

SBRTNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT02170181

HexvixNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT00233402

Standard white light cystoscopyNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT00233402

Pillars4LifeNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT02465892

TTP-ICG fluorescent probeNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT07848854

BCG vaccineNOT in gene-target list

Approved · 1 trial · source: ClinicalTrials.gov, Open Targets
NCT00023842

mitomycin CNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT00023842

adjuvant therapyNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT00023842

CyclophosphamideNOT in gene-target list

Phase 1 · 1 trial · source: ClinicalTrials.gov, Open Targets
NCT03836352

Neutrophil to lymphocyte ratioNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT05946369

Vinflunine, GemcitabineNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT01599013

Vinflunine, CarboplatinNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT01599013

Arginine recovery supplementNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT03204266

Omega-3 Fatty AcidsNOT in gene-target list

Early Phase 1 · 1 trial · source: ClinicalTrials.gov, Open Targets
NCT03204266

Bacillus Calmette-Guerin: Strain Russian BCG-INOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT05037279

Bacillus Calmette-Guerin: Strain TICENOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT05037279

ViciniumNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT02449239

Urinary proteomic screenNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT04993859

hexaminolevulinateNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT00052637

Hyaluronic Acid and Chondroitin Sulfate (Blad-Care™)NOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT07495072

N803 plus Bacillus Calmette-Guerin (BCG)NOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT05981131

VinflunineNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT03474107

STAR0602NOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT05592626

Generated by the Open Source Medicine Foundation Biomarker Pipeline — 2026-10-08. Data sources: DGIdb, Open Targets, ChEMBL, PubMed, ClinicalTrials.gov. Not medical advice.