The genetic basis of HER2 overexpression other than ERBB2 amplification in UC is not well understood. Researchers focused on the economic impact of disparities related to insurance coverage. Researchers evaluated the data of 50 specimens from patients who underwent TURBT and cystectomy for UC. Patients with localized UTUC have high unmet needs and tumors with a high frequency of FGFR3 alterations. Drs. Gupta and Nizam discuss the findings from the patient-reported outcomes in the EV-302 trial for urothelial carcinoma. The new recommendations included changes to neoadjuvant and adjuvant chemotherapy and radical cystectomy. A recent dose-escalation study has demonstrated the safety and efficacy of cabo/nivo or cabo/nivo/ipi for several GU cancers. The recorded ORR was 53.5%, and the disease control rate was 74.1%. Drs. Packiam and Murray weigh multiple studies exploring gemcitabine/docetaxel as a frontline therapy for UTUC. Results from the NIAGARA trial show significant survival benefits with durvalumab for muscle invasive bladder cancer. Dr. Prasad provides updates on the positive DOR data observed with UGN-102 for LG-IR-NMIBC in the ENVISION trial. WGS-based ctDNA detection offered a median lead time of 131 days over radiographic imaging. Dr. Klümper highlights an analysis of NECTIN4 amplification as a biomarker for predicting response to EV in mUC treatment. UroGen began the process of a rolling New Drug Application to the FDA for mitomycin as a treatment for patients with NMIBC. Dr. Calvo offers insights on an interim analysis of the atezobladderpreserve phase 2 clinical trial in MIBC. Dr. Tawagi provides an update as to when SG or chemotherapy should be preferred for patients who do not respond to EV/pembro. Dr. Tawagi describes how she is using ctDNA in her practice in the EV/pembro setting, and how frequently she is ordering it. Dr. Tawagi explains the treatment options available for patients with metastatic bladder cancer who already have neuropathy. Dr. Grivas offers long-term outcomes from the JAVELIN Bladder 100 study pertaining to specific patient populations. Dr. Grivas provides an update on relevant clinical trial updates and data readouts pertaining to urothelial carcinoma.