Method Profile

Bladder Cancer Organoid Chemotherapy and ADC Response Assay

Measure concentration-dependent drug response in bladder cancer organoids and compare a chemotherapy subset with postoperative follow-up.

Tumor ModelsOrganoids
Organoid drug-response classifications and postoperative outcomes, with concentration-response examples from two patients.
Organoid drug-response classifications and postoperative outcomes, with concentration-response examples from two patients. (Sijia Li et al., CC BY 4.0)

Research Applications

Compare patient-derived tumor responses across chemotherapy regimens and disitamab vedotin.

Model & Design

Bladder tumor organoids generated from resected tissue; 19 cultures established and 12 completed drug testing among 22 enrolled patients.

Experimental Format

ATP-associated viability after 72 hours, with IC50, curve area and maximum inhibition derived from concentration responses.

Model Components

  • Component

    Patient material

    Description

    Surgical bladder cancer tissue and matched tumor histology.

  • Component

    Treatment panel

    Description

    Gemcitabine, cisplatin, epirubicin, pirarubicin, combinations and RC48/disitamab vedotin.

  • Component

    Response measurement

    Description

    CellTiter-Glo 3D viability, with selected proliferation and apoptosis measurements.

Measurements & Endpoints

  • ATP-associated viability and concentration-response metrics
  • Assay completion and sample-to-result interval
  • Agreement with postoperative clinical course

Analysis

Keep the number tested for each drug separate and distinguish postoperative chemotherapy concordance from the organoid-only ADC experiments.

Published Evidence

  • Study Design

    Exploratory drug classification with a small postoperative comparison.

    Study Sample

    12 completed screens; 10 evaluable postoperative cases; RC48 tested in 4 organoid models.

    Comparison

    Concentration responses and clinical regimens selected through usual care.

    Finding

    Nine of ten postoperative cases were concordant; one of four RC48-tested models was relatively sensitive.

    Interpretation & Limits
    • All clinical cases had surgery without measurable residual tumor.
    • No patient received RC48, so ADC response had no paired clinical validation.
    • 12 of 22 enrolled patients produced a completed drug screen.

Sources

  1. Patient-derived organoids enable ex vivo drug-response profiling for precision medicine in bladder cancer. npj Precision Oncology (2026). ↗