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Expert Review of Precision Medicine and Drug Development
Personalized medicine in drug development and clinical practice
Volume 2, 2017 - Issue 5
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Review

Prospects for precision therapy of bladder urothelial carcinoma

, , , , , , , & show all
Pages 261-274 | Received 02 Jun 2017, Accepted 04 Oct 2017, Published online: 25 Oct 2017

References

  • Malats N, Real FX. Epidemiology of bladder cancer. Hematol Oncol Clin North Am. 2015;29(2):177–189.
  • Antoni S, Ferlay J, Soerjomataram I, et al. Bladder cancer incidence and mortality: a global overview and recent trends. Eur Urol. 2017;71(1):96–108.
  • American Cancer Society. Cancer facts & figures. 2016. DOI:10.1101/gad.1593107
  • U.S. Food and Drug Administration. Paving the way for personalized medicine paving the way for personalized medicine. Per Med. 2013;5–11.
  • Abida W, Bajorin DF, Rosenberg JE. First-line treatment and prognostic factors of metastatic bladder cancer for platinum-eligible patients. Hematol Oncol Clin North Am. 2015;29(2):319–328.
  • von der Maase H, Sengelov L, Roberts JT, et al. Long-term survival results of a randomized trial comparing gemcitabine plus cisplatin, with methotrexate, vinblastine, doxorubicin, plus cisplatin in patients with bladder cancer. J Clin Oncol. 2005;23(21):4602–4608.
  • Rose TL, Milowsky MI. Improving systemic chemotherapy for bladder cancer. Curr Oncol Rep. 2016;18(5):27.
  • Bellmunt J, von der Maase H, Mead GM, et al. Randomized phase III study comparing paclitaxel/cisplatin/gemcitabine and gemcitabine/cisplatin in patients with locally advanced or metastatic urothelial cancer without prior systemic therapy: EORTC intergroup study 30987. J Clin Oncol. 2012;30(10):1107–1113.
  • Funt SA, Rosenberg JE. Systemic, perioperative management of muscle-invasive bladder cancer and future horizons. Nat Rev Clin Oncol. 2017;14(4):221–234.
  • Hussain S, Palmer DH, Lloyd B, et al. A study of split-dose cisplatin-based neo-adjuvant chemotherapy in muscle-invasive bladder cancer. Oncol Lett. 2012;3(4):855–859.
  • Necchi A, Pintarelli G, Raggi D, et al. Association of an aurora kinase a (AURKA) gene polymorphism with progression-free survival in patients with advanced urothelial carcinoma treated with the selective aurora kinase a inhibitor alisertib. Invest New Drugs. 2017;35(4):524–528.
  • Oing C, Rink M, Oechsle K, et al. Second line chemotherapy for advanced and metastatic urothelial carcinoma: vinflunine and beyond – a comprehensive review of the current literature. J Urol. 2016;195(2):254–263.
  • Raggi D, Miceli R, Sonpavde G, et al. Second-line single-agent versus doublet chemotherapy as salvage therapy for metastatic urothelial cancer: a systematic review and meta-analysis. Ann Oncol. 2016;27(1):49–61.
  • Bellmunt J, Théodore C, Demkov T, et al. Phase III trial of vinflunine plus best supportive care compared with best supportive care alone after a platinum-containing regimen in patients with advanced transitional cell carcinoma of the urothelial tract. J Clin Oncol. 2009;27(27):4454–4461.
  • Bellmunt J, Fougeray R, Rosenberg JE, et al. Long-term survival results of a randomized phase III trial of vinflunine plus best supportive care versus best supportive care alone in advanced urothelial carcinoma patients after failure of platinum-based chemotherapy. Ann Oncol. 2013;24(6):1466–1472.
  • Holmsten K, Hammer Dohn L, Jensen N, et al. Vinflunine treatment in patients with metastatic urothelial cancer: a Nordic retrospective multicenter analysis. Oncol Lett. 2016;12(2):1293–1300.
  • Pistamaltzian N, Tzannis K, Pissanidou V, et al. Treatment of relapsed urothelial bladder cancer with vinflunine. Anticancer Drugs. 2016;27(1):48–53.
  • Retz M, de Geeter P, Goebell PJ, et al. Vinflunine in routine clinical practice for the treatment of advanced or metastatic urothelial cell carcinoma – data from a prospective, multicenter experience. BMC Cancer. 2015;15(1):455.
  • Kamat AM, Hahn NM, Efstathiou JA, et al. Seminar bladder cancer. Lancet. 2016;6736(16):1–15.
  • Ciccarese C, Massari F, Blanca A, et al. Tp53 and its potential therapeutic role as a target in bladder cancer. Expert Opin Ther Targets. 2017;21(4):401–414.
  • Van Allen EM, Mouw KW, Kim P, et al. Somatic ERCC2 mutations correlate withcisplatin sensitivity in muscle-invasive urothelial carcinoma. Cancer Discov. 2014;4(10):1140–1153.
  • Plimack ER, Dunbrack RL, Brennan TA, et al. Defects in DNA repair genes predict response to neoadjuvant cisplatin-based chemotherapy in muscle-invasive bladder cancer. Eur Urol. 2015;68(6):959–967.
  • Teo MY, Bambury R, Zabor EC, et al. DNA damage response and repair gene alterations are associated with improved survival in patients with platinum-treated advanced urothelial carcinoma. Clin Cancer Res. 2017 Jan 30;23(14):3610–3618. DOI:10.1158/1078-0432.CCR-16-2520
  • O’Donnell PH, Alanee S, Stratton KL, et al. Clinical evaluation of cisplatin sensitivity of germline polymorphisms in neoadjuvant chemotherapy for urothelial cancer. Clin Genitourin Cancer. 2016;14(6):511–517.
  • Nandagopal L, Sonpavde G. Circulating biomarkers in bladder cancer. Bladder Cancer. 2016;2(4):369–379.
  • Gorin MA, Verdone JE, van der Toom E, et al. Circulating tumour cells as biomarkers of prostate, bladder, and kidney cancer. Nat Rev Urol. 2017;14(2):90–97.
  • Boussiotis VA. Molecular and biochemical aspects of the PD-1 checkpoint pathway. New Engl J Med. 2016;375(18):1767–1778.
  • Powles T, Eder JP, Fine GD, et al. MPDL3280A (anti-PD-L1) treatment leads to clinical activity in metastatic bladder cancer. Nature. 2014;515(7528):558–562.
  • Rosenberg JE, Hoffman-Censits J, Powles T, et al. Atezolizumab in patients with locally advanced and metastatic urothelial carcinoma who have progressed following treatment with platinum-based chemotherapy: a single-arm, multicentre, phase 2 trial. Lancet. 2016;387(10031):1909–1920.
  • Balar AV, Apolo AB, Ostrovnaya I, et al. Phase II study of gemcitabine, carboplatin, and bevacizumab in patients with advanced unresectable or metastatic urothelial cancer. J Clin Oncol. 2013;31(6):724–730.
  • Plimack ER, Bellmunt J, Gupta S. Safety and activity of pembrolizumab in patients with locally advanced or metastatic urothelial cancer (KEYNOTE-012): a nonrandomised, open-label, phase 1b study. Lancet Oncol. 2017;2045(17):1–8.
  • Bellmunt J, de Wit R, Vaughn DJ, et al. Pembrolizumab as second-line therapy for advanced urothelial carcinoma. Engl J Med. 2017 Mar 16;376(11):1015–1026.
  • Sharma P, Callahan MK, Bono P, et al. Nivolumab monotherapy in recurrent metastatic urothelial carcinoma (CheckMate 032): a multicentre, open-label, two-stage, multi-arm, phase 1/2 trial. Lancet Oncol. 2016;17(11):1590–1598.
  • Sharma P, Retz M, Sie A, et al. Nivolumab in metastatic urothelial carcinoma after platinum therapy (CheckMate 275): a multicentre, single-arm, phase 2 trial. Lancet Oncol. 2017;18(3):312–322.
  • Bellmunt J, Powles T, Vogelzang NJ. A review on the evolution of PD-1/PD-L1 immunotherapy for bladder cancer: the future is now. Cancer Treat Rev. 2017;54:58–67.
  • Massard C, Gordon MS, Sharma S, et al. Safety and efficacy of durvalumab (MEDI4736), an anti-programmed cell death ligand-1 immune checkpoint inhibitor, in patients with advanced urothelial bladder cancer. J Clin Oncol. 2016;10;34(26):3119–3125.
  • Vandeveer AJ, Fallon JK, Tighe R, et al. Systemic immunotherapy of non-muscle invasive mouse bladder cancer with avelumab, an anti-PD-L1 immune checkpoint inhibitor. Cancer Immunol Res. 2016;4(5):452–462.
  • Choudhury NJ, Campanile A, Antic T, et al. Afatinib activity in platinum-refractory metastatic urothelial carcinoma in patients with ERBB alterations. J Clin Oncol. 2016 Jun 20;34(18):2165–2171. Epub 2016 Apr 4. DOI:10.1200/JCO.2015.66.3047
  • Gibney GT, Weiner LM, Atkins MB. Predictive biomarkers for checkpoint inhibitor-based immunotherapy. Lancet Oncol. 2016;17(12):e542–e551.
  • Bianconi M, Faloppi L, Lopez-Beltran A, et al. Immunotherapy in genitourinary cancers: where are we going? Expert Rev Precis Med Drug Dev. 2017;2(2):73–78.
  • Balar AV, Galsky MD, Rosenberg JE, et al.; IMvigor210 Study Group. Atezolizumab as first-line treatment in cisplatin-ineligible patients with locally advanced and metastatic urothelial carcinoma: a single-arm, multicentre, phase 2 trial. Lancet. 2017;389(10064):67–76.
  • Galsky MD, Hahn NM, Powles T, et al. Gemcitabine, cisplatin, and sunitinib for metastatic urothelial carcinoma and as preoperative therapy for muscle-invasive bladder cancer. Clini Genitour Cancer. 2013;11(2):175–181.
  • Iyer G, Al-Ahmadie H, Schultz N, et al. Prevalence and co-occurrence of actionable genomic alterations in high-grade bladder cancer. J Clin Oncol. 2013;31(25):3133–3140.
  • Roskoski R Jr. The ErbB/HER family of protein – tyrosine kinases and cancer. Pharmacol Res. 2014;79:34–74.
  • Miller K, Morant R, Stenzl A, et al. A phase II study of the Central European Society of Anticancer-Drug Research (CESAR) group: results of an open-label study of gemcitabine plus cisplatin with or without concomitant or sequential gefitinib in patients with advanced or metastatic transition. Urol Int. 2016;96(1):5–13.
  • Philips GK, Halabi S, Sanford BL, et al. A phase II trial of cisplatin (C), gemcitabine (G) and gefitinib for advanced urothelial tract carcinoma: results of Cancer and Leukemia Group B (CALGB) 90102. Ann Oncol. 2009;20(6):1074–1079.
  • Petrylak DP, Tangen CM, Van Veldhuizen PJ, et al. Results of the Southwest Oncology Group phase II evaluation (study S0031) of ZD1839 for advanced transitional cell carcinoma of the urothelium. BJU Int. 2010;105(3):317–321.
  • Jacobs MA, Wotkowicz C, Baumgart ED, et al. Epidermal growth factor receptor status and the response of bladder carcinoma cells to erlotinib. J Urol. 2007;178(4):1510–1514.
  • Yang J-L, Qu X-J, Hayes VM, et al. Erlotinib (OSI-774)-induced inhibition of transitional cell carcinoma of bladder cell line growth is enhanced by interferon-α. BJU Int. 2007;99(6):1539–1545.
  • Tang Y, Zhang X, Qi F, et al. Afatinib inhibits proliferation and invasion and promotes apoptosis of the T24 bladder cancer cell line. Exp Ther Med. 2015 May;9(5):1851–1856.
  • Tsai Y-C, Ho P-Y, Tzen K-Y, et al. Synergistic blockade of EGFR and HER2 by newgeneration EGFR tyrosine kinase inhibitor enhances radiation effect in bladder cancer cells. Molec Cancer Ther. 2015;14(3):810–820.
  • Wong Y-N, Litwin S, Vaughn D, et al. Phase II trial of cetuximab with or without paclitaxel in patients with advanced urothelial tract carcinoma. J Clin Oncol. 2012;30(28):3545–3551.
  • Hussain M, Daignault S, Agarwal N, et al. A randomized phase 2 trial of gemcitabine/cisplatin with or without cetuximab in patients with advanced urothelial carcinoma. Cancer. 2014;120(17):2684–2693.
  • Fiorentino M, Giunchi F, Altimari A, et al. Learning from errors: response to gefitinib in kidney urothelial carcinoma with EGFR mutations. Oncologist. 2014;19(4):430–430.
  • Hussain MHA, MacVicar GR, Petrylak DP, et al. Trastuzumab, paclitaxel, carboplatin, and gemcitabine in advanced human epidermal growth factor receptor-2/neu –positive urothelial carcinoma: results of a multicenter phase II National Cancer Institute trial. J Clin Oncol. 2007;25(16):2218–2224.
  • Massari F, Ciccarese C, Santoni M, et al. The route to personalized medicine in bladder cancer: where do we stand? Target Oncol. 2015;10(3):325–336.
  • Peyromaure M, Scotte F, Amsellemouazana D, et al. Trastuzumab (HerceptinTM) in metastatic transitional cell carcinoma of the urinary tract: report on six patients. Eur Urol. 2005;48(5):771–778.
  • Salzberg M, Borner M, Bauer J-A, et al. Trastuzumab (Herceptin®) in patients with HER-2-overexpressing metastatic or locally advanced transitional cell carcinoma of the bladder: report on 7 patients. Eur J Cancer. 2006;42(15):2660–2661.
  • Wezel F, Erben P, Gaiser T, et al. Complete and durable remission of human epidermal growth factor receptor 2-positive metastatic urothelial carcinoma following third-line treatment with trastuzumab and gemcitabine. Urol Int. 2016. DOI:10.1159/000443280
  • Oudard S, Culine S, Vano Y, et al. Multicentre randomised phase II trial of gemcitabine+platinum, with or without trastuzumab, in advanced or metastatic urothelial carcinoma overexpressing Her2. Eur J Cancer. 2015;51(1):45–54.
  • Narayan V, Mamtani R, Keefe S, et al. Cisplatin, gemcitabine, and lapatinib as neoadjuvant therapy for muscle-invasive bladder cancer. Cancer Res Treat. 2016;48(3):1084–1091.
  • Wülfing C, Machiels JPH, Richel DJ, et al. A single-arm, multicenter, open-label phase 2 study of lapatinib as the second-line treatment of patients with locally advanced or metastatic transitional cell carcinoma. Cancer. 2009;115(13):2881–2890.
  • Culine S, Sellam Z, Bouaita L, et al. Combining paclitaxel and lapatinib as second-line treatment for patients with metastatic transitional cell carcinoma: a case series. Anticancer Res. 2012;32(9):3949–3952.
  • Frampton GM, Fichtenholtz A, Otto GA, et al. Development and validation of a clinical cancer genomic profiling test based on massively parallel DNA sequencing. Nat Biotechnol. 2013 Nov;31(11):1023–1031. Epub 2013 Oct 20. DOI:10.1038/nbt.2696
  • Milowsky MI, Dittrich C, Durán I, et al. Phase 2 trial of dovitinib in patients with progressive FGFR3-mutated or FGFR3 wild-type advanced urothelial carcinoma. Eur J Cancer. 2014;50(18):3145–3152.
  • Nogova L, Sequist LV, Perez Garcia JM, et al. Evaluation of BGJ398, a fibroblast growth factor receptor 1-3 kinase inhibitor, in patients with advanced solid tumors harboring genetic alterations in fibroblast growth factor receptors: results of a global phase I, dose escalation and dose-expansion study. J Clin Oncol. 2016;35(2):157–165.
  • Palma N, Morris JC, Ali SM, et al. Exceptional response to pazopanib in a patient with urothelial carcinoma harboring FGFR3 activating mutation and amplification. Eur Urol. 2015;68(1):168–170.
  • Gallagher DJ, Milowsky MI, Gerst SR, et al. Phase II study of sunitinib in patients with metastatic urothelial cancer. J Clin Oncol. 2010;28(8):1373–1379.
  • Bellmunt J, Gonzalez-Larriba J, Prior C, et al. Phase II study of sunitinib as first-line treatment of urothelial cancer patients ineligible to receive cisplatin-based chemotherapy: baseline interleukin-8 and tumor contrast enhancement as potential predictive factors of activity. Ann Oncol. 2011;22(12):2646–2653.
  • Geldart T, Chester J, Casbard A, et al. SUCCINCT: an open-label, single-arm, nonrandomised, phase 2 trial of gemcitabine and cisplatin chemotherapy in combination with sunitinib as first-line treatment for patients with advanced urothelial carcinoma. Eur Urol. 2015;67(4):599–602.
  • Grivas PD, Daignault S, Tagawa S, et al. Double-blind, randomized, phase 2 trial of maintenance sunitinib versus placebo after response to chemotherapy in patients with advanced urothelial carcinoma. Cancer. 2014;120(5):692–701.
  • Narayanan S, Lam A, Vaishampayan U, et al. Phase II study of pazopanib and paclitaxel in patients with refractory urothelial cancer. Clin Genitourin Cancer. 2016;14(5):432–437.
  • Pili R, Qin R, Flynn PJ, et al. A phase II safety and efficacy study of the vascular endothelial growth factor receptor tyrosine kinase inhibitor pazopanib in patients with metastatic urothelial cancer. Clin Genitourin Cancer. 2013;11(4):477–483.
  • Pinciroli P, Won H, Iyer G, et al. Molecular signature of response to pazopanib salvage therapy for urothelial carcinoma. Clin Genitourin Cancer. 2016;14(1):e81–e90.
  • Necchi A, Pennati M, Zaffaroni N, et al. Analysis of plasma cytokines and angiogenic factors in patients with pretreated urothelial cancer receiving Pazopanib: the role of circulating interleukin-8 to enhance the prognostic accuracy. Br J Cancer. 2014;110(1):26–33.
  • Dreicer R, Li H, Stein M, et al. Phase 2 trial of sorafenib in patients with advanced urothelial cancer. Cancer. 2009;115(18):4090–4095.
  • Krege S, Rexer H, vom Dorp F, et al. Prospective randomized double-blind multicenter phase II study comparing gemcitabine and cisplatin plus sorafenib chemotherapy with gemcitabine and cisplatin plus placebo in locally advanced and/or metastasized urothelial cancer: SUSE (AUO-AB 31/05). BJU Int. 2014;113(3):429–436.
  • Sridhar SS, Winquist E, Eisen A, et al. A phase II trial of sorafenib in first-line metastatic urothelial cancer: a study of the PMH Phase II Consortium. Invest New Drugs. 2011;29(5):1045–1049.
  • Shintani T, Kusuhara Y, Daizumoto K, et al. The involvement of hepatocyte growth factor met matrix metalloproteinase 1 signaling in bladder cancer invasiveness and proliferation. Effect of the MET inhibitor, cabozantinib (XL184), on bladder cancer cells. Urology. 2017;101:169.e7–169.e13.
  • Tully CM, Apolo AB, Zabor E, et al. The high incidence of vascular thromboembolic events in patients with metastatic or unresectable urothelial cancer treated with platinum chemotherapy agents. Cancer. 2016;122(5):712–721.
  • Hahn NM, Stadler WM, Zon R, et al. Phase II trial of cisplatin, gemcitabine, and bevacizumab as first-line therapy for metastatic urothelial carcinoma: Hoosier Oncology Group GU 04-75. J Clin Oncol. 2011;29(12):1525–1530.
  • Petrylak DP, Tagawa ST, Kohli M, et al. Docetaxel as monotherapy or combined with ramucirumab or icrucumab in second-line treatment for locally advanced or metastatic urothelial carcinoma: an open-label, three-arm, randomized controlled phase II trial. J Clin Oncol. 2016;34(13):1500–1509.
  • Moon D, Lee S, Oh M, et al. NVP-BEZ235, a dual PI3K/mTOR inhibitor synergistically potentiates the antitumor effects of cisplatin in bladder cancer cells. Int J Oncol. 2014;45(3):1027–1035.
  • Fokas E, Yoshimura M, Prevo R, et al. NVP-BEZ235 and NVP-BGT226, dual phosphatidylinositol 3-kinase/mammalian target of rapamycin inhibitors, enhance tumor and endothelial cell radiosensitivity. Radiat Oncol. 2012;7(1):48.
  • Carlo MI, Molina AM, Lakhman Y, et al. A phase Ib study of BEZ235, a dual inhibitor of phosphatidylinositol 3-kinase (PI3K) and mammalian target of rapamycin (mTOR), in patients with advanced renal cell carcinoma. Oncologist. 2016;21(7):787–788.
  • Fazio N, Buzzoni R, Baudin E, et al. A phase II study of BEZ235 in patients with everolimus-resistant, advanced pancreatic neuroendocrine tumours. Anticancer Res. 2016;36(2):713–719.
  • Iyer G, Hanrahan A, Milowsky MI, et al. Genome sequencing identifies a basis for everolimus sensitivity. Science. 2012;338(6104):221.
  • Milowsky MI, Iyer G, Regazzi AM, et al. Phase II study of everolimus in metastatic urothelial cancer. BJU Int. 2013;112(4):462–470.
  • Seront E, Rottey S, Sautois B, et al. Phase II study of everolimus in patients with locally advanced or metastatic transitional cell carcinoma of the urothelial tract: clinical activity, molecular response, and biomarkers. Ann Oncol. 2012;23(10):2663–2670.
  • Niegisch G, Retz M, Thalgott M, et al. Second-line treatment of advanced urothelial cancer with Paclitaxel and Everolimus in a German phase II trial (AUO Trial AB 35/09). Oncology. 2015;89(2):70–78.
  • Abida W, Milowsky MI, Ostrovnaya I, et al. Phase I study of everolimus in combinationwith gemcitabine and split-dose cisplatin in advanced urothelial carcinoma. Bladder Cancer. 2016;2(1):111–117.
  • Ali SM, Miller VA, Ross JS, et al. Exceptional response on addition of everolimus to taxanes in urothelial carcinoma bearing an NF2 mutation. Eur Urol. 2015;67(6):1195–1196.
  • Wagle N, Grabiner BC, Van Allen EM, et al. Activating mTOR mutations in a patient with an extraordinary response on a phase I trial of everolimus and pazopanib. Cancer Discov. 2014;4(10):1140–1153.
  • Gerullis H, Eimer C, Ecke TH, et al. A phase II trial of temsirolimus in second-line metastatic urothelial cancer. Med Oncol. 2012;29(4):2870–2876.
  • Ji G, Qian Y. Successful treatment of metastatic upper tract urothelial carcinoma with vemurafenib: case report. Clin Genitourin Cancer. 2016. DOI:10.1016/j.clgc.2016.11.003
  • Zhou N, Singh K, Mir MC, et al. The investigational Aurora kinase A inhibitor MLN8237 induces defects in cell viability and cell-cycle progression in malignant bladder cancer cells in vitro and in vivo. Clin Cancer Res. 2013;19(7):1717–1728.
  • Necchi A, Lo Vullo S, Mariani L, et al. An open-label, single-arm, phase 2 study of the Aurora kinase A inhibitor alisertib in patients with advanced urothelial cancer. Invest New Drugs. 2016;34(2):236–242.
  • Graff JN, Higano CS, Hahn NM, et al. Open-label, multicenter, phase 1 study of alisertib (MLN8237), an aurora A kinase inhibitor, with docetaxel in patients with solid tumors. Cancer. 2016;122(16):2524–2533.
  • Hadaschik BA, Jackson J, Fazli L, et al. Intravesically administered antisense oligonucleotides targeting heat-shock protein-27 inhibit the growth of non-muscleinvasive bladder cancer. BJU Int. 2008;102(5):610–616.
  • Kamada M, So A, Muramaki M, et al. Hsp27 knockdown using nucleotide-based therapies inhibit tumor growth and enhance chemotherapy in human bladder cancer cells. Mol Cancer Ther. 2007;6(1):299–308.
  • Chi KN, Yu EY, Jacobs C, et al. A phase I dose-escalation study of apatorsen (OGX-427), an antisense inhibitor targeting heat shock protein 27 (Hsp27), in patients with castrationresistant prostate cancer and other advanced cancers. Ann Oncol. 2016;27(6):1116–1122.
  • Blanca A, Cheng L, Montironi R, et al. Mirna expression in bladder cancer and their potential role in clinical practice. Curr Drug Metab. 2017;18. DOI:10.2174/1389200218666170518164507
  • Pan Q, Sathe A, Black PC, et al. CDK4/6 inhibitors in cancer therapy: a novel treatement strategy for bladder cancer. Bladder Cancer. 2017;3(2):79–88.
  • Módos O, Reis H, Niedworok C, et al. Mutations of KRAS, NRAS, BRAF, EGFR, andPIK3CA genes in urachal carcinoma – occurence and prognostic significance. Oncotarget. 2016;7(26):39293–39301.

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