Optimizing Outcomes for Patients with Urothelial Carcinoma

Released On
September 27, 2019

Expires On
September 27, 2020

Media Type

Completion Time
60 minutes

Hematology, Oncology

Bladder Cancer

Scroll to the Bottom of this Information to Begin this Course

This activity is jointly provided by AXIS Medical Education and the Association of Community Cancer Centers (ACCC).


Supported by educational grants from AstraZeneca Pharmaceuticals LP, Genentech, Astellas and Seattle Genetics, Inc.

Credit Available

  • Physicians — maximum of 1.0 AMA PRA Category 1 Credit(s)
  • Nurses — 1.0 contact hours.

All other healthcare professionals completing this course will be issued a statement of participation.

Target Audience

The target audience for this initiative includes medical oncologists, urologic oncologists, urologists, advanced practice providers (nurse practitioners, physician assistants, oncology pharmacists), oncology nurses, and other healthcare professionals (HCPs) involved in treating patients with urothelial carcinoma.

Program Overview

Bladder cancer is the most common malignancy in the urinary system. Urothelial carcinoma accounts for 90% of bladder cancers. With the evolving treatment landscape for urothelial carcinoma, community clinicians are challenged to keep abreast with evidence-based practice guidelines, the clinical efficacy for new therapies, monitoring and managing adverse events, and engaging patients sufficiently to help them make informed treatment decisions.

Since community oncologists treat many types of cancers, it is hard for them to gain requisite experience across all tumor types and keep abreast of the evidence-based guidelines for all the cancers. In a recent survey of community cancer care professionals conducted by the Association of Community Cancer Centers (ACCC) in 2018, bladder cancer was reported to be one of the most commonly diagnosed cancers at their cancer center/hospital, after the top 4 most commonly diagnosed cancers in the country, breast, lung, prostate and colorectal cancer. Several knowledge, competence and performance gaps exist in the optimal management of urothelial cancer in the community setting. This initiative will review the mechanism of action for immunotherapies and emerging targeted therapies, summarize recent clinical data for these therapies, and examine best practices for the management of advanced and metastatic urothelial carcinoma. This initiative aims to provide guidance to the multidisciplinary cancer care team on the practical issues and barriers associated with new and emerging therapies in the community setting and strategies to engage patients in the shared decision-making process.

Learning Objectives

Upon completion of this activity, participants should be able to:

  • Review available evidence for the use of checkpoint inhibitors and novel agents, including antibody drug conjugates and fibroblast growth factor receptor (FGFR) inhibitors
  • Explore strategies for identification and management of immune-related and FGFR inhibitor-associated adverse events• Explore strategies for identification and management of immune-related and FGFR inhibitor-associated adverse events
  • Discuss approaches to communicate safety and efficacy data to facilitate shared clinical decision making
  • Outline effective solutions for improving coordination and communication within the multidisciplinary cancer care team to improve patient outcomes



Archana Ajmera, NP, AOCNP

Advance Practice Provider Supervisor
UCSD Moores Cancer Center
Division of Hematology/Oncology


Kirollos S. Hanna, PharmD, BCPS, BCOP

Assistant Professor of Pharmacy
Mayo Clinic College of Medicine;
Hematology/Oncology Clinical Pharmacist
Univ. of Minnesota Medical Center & Mayo Clinic
Pharmacist, CVS Health
President, Minnesota Society of Health-System Pharmacists (Southern Affiliate)


Petros Grivas, MD PhD

Associate Professor, Department of Medicine, Division of Oncology
Clinical Director, Genitourinary Cancers Program
Interim Research Director, Phase I Program
University of Washington
Associate Member, Clinical Research Division
Fred Hutchinson Cancer Research Center

Accreditation Statement

In support of improving patient care, this activity has been planned and implemented by AXIS Medical Education and Association of Community Cancer Centers (ACCC). AXIS Medical Education is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

This activity was planned by and for the healthcare team, and learners will receive 1.0 Interprofessional Continuing Education (IPCE) credit for learning and change.

Credit Designation Statement

Physician Continuing Medical Education Credit Designation

AXIS Medical Education designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Nursing Continuing Education Credit Designation

AXIS Medical Education designates this continuing nursing education activity for 1.0 contact hours.
Learners are advised that accredited status does not imply endorsement by the provider or ANCC of any commercial products displayed in conjunction with an activity.

Disclosures of Conflicts of Interest

AXIS Medical Education requires instructors, planners, managers and other individuals and their spouse/life partner who are in a position to control the content of this activity to disclose any real or apparent conflict of interest they may have as related to the content of this activity. All identified conflicts of interest are thoroughly vetted by AXIS for fair balance, scientific objectivity of studies mentioned in the materials or used as the basis for content, and appropriateness of patient care recommendations.

The faculty reported the following financial relationships or relationships they or their spouse/life partner have with commercial interests related to the content of this continuing education activity:

Archana Ajmera, NP, AOCNP

  • Nothing to disclose.

Kirollos S. Hanna, PharmD, BCPS, BCOP

  • Consultant: Seattle Genetics
  • Speaker or a member of a Speaker’s Bureau : AbbVie Inc.; Seattle Genetics

Petros Grivas, MD, PhD

  • Consultant: AstraZeneca Pharmaceuticals LP; Bayer Pharmaceuticals Corp; Clovis Oncology; Driver; EMD Serono, Inc.; Foundation Medicine, Inc.; Heron Therapeutics; Janssen Pharmaceuticals, Inc. - a pharmaceutical company of Johnson & Johnson; Merck & Co., Inc.; Mirati Therapeutics, Inc.; Pfizer, Inc.; QED Therapeutics; Seattle Genetics.
  • Contracted Research: Bavarian Nordic; Bristol-Myers Squibb Co.; Clovis Oncology; Debiopharm; Immunomedics, Inc.; Pfizer, Inc.

The planners and managers reported the following financial relationships or relationships they or their spouse/life partner have with commercial interests related to the content of this continuing education activity:

Latha Shivakumar, PhD , has nothing to disclose.
Mary Stanley, has nothing to disclose.
Leigh M. Boehmer, PharmD, BCOP, has nothing to disclose.
Marilyn Haas, PhD, RN, CNS, ANP-BC, has nothing to disclose.
Dee Morgillo, MEd.,CHCP, has nothing to disclose.
Linda Gracie King, has nothing to disclose.
Robert Mocharnuk MD: Common Stock: Merck.

Disclosure of Unlabeled Use

This educational activity may contain discussion of published and/or investigational uses of agents that are not indicated by the FDA. The planners of this activity do not recommend the use of any agent outside of the labeled indications.

The opinions expressed in the educational activity are those of the faculty and do not necessarily represent the views of the planners. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings.

Method of Participation

To receive credit for this activity, participants must review the activity information including learning objectives and faculty/planner disclosures and actively participate in the educational activity. Upon successfully completing the post-test with a score of 75% or better and the post-activity evaluation, your certificate will be made available immediately. For pharmacists, your record will be uploaded to CPE Monitor.

Course Viewing Requirements

Supported Browsers:
Internet Explorer 8.0+ for Windows 2003, Vista, XP, Windows 7, Windows 8.1 and above
Google Chrome 28.0+ for Windows, Mac OS, or Linux
Mozilla Firefox 23.0+ for Windows, Mac OS, or Linux
Safari 6.0+ for Mac OSX 10.7 and above

Supported Phones & Tablets:
Android 4.0.3 and above
iPhone/iPad with iOS 6.1 or above.


Participants have an implied responsibility to use the newly acquired information to enhance patient outcomes and their own professional development. The information presented in this activity is not meant to serve as a guideline for patient management. Any procedures, medications, or other courses of diagnosis or treatment discussed in this activity should not be used by clinicians without evaluation of patient conditions and possible contraindications on dangers in use, review of any applicable manufacturer’s product information, and comparison with recommendations of other authorities.

AXIS Contact Information

For information about the accreditation of this program please contact AXIS at info@axismeded.org.