NIH-funded research R01 grant

Understanding why bladder cancer spreads and resists treatment

Official title: Deciphering tumor heterogeneity, metastatic spread, and treatment resistance in advanced bladder cancer

Funded at Fred Hutchinson Cancer Center · NIH-11435060 · Data updated 2026-11-12

This grant studies how advanced bladder cancer changes and spreads across the body, aiming to uncover why it’s hard to treat.

Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionFred Hutchinson Cancer Center
NIH-funded
Lab location1 site (Seattle, United States)
Project startJuly 2, 2026
Project endJune 30, 2031
Funding year2026
Award (this year)$752,751
NIH project number1R01CA317052-01
Project IDNIH-11435060 on NIH RePORTER

Who could benefit from this research

Could help

Patients with advanced or metastatic bladder cancer who have undergone or are eligible for tumor sampling and biomarker analyses through coordinated care.

Less likely to help

Patients whose disease biology does not align with the studied variants or who cannot undergo tissue sampling may see limited direct benefits.

What this research studies

Researchers at Fred Hutchinson Cancer Center are creating a comprehensive look at how bladder cancer tumors evolve across multiple body sites and how different histological subtypes behave. They use rapid autopsy samples, multi-omic profiling, and circulating tumor DNA to map tumor evolution after treatment with chemotherapy and immunotherapy. The goal is to identify patterns of resistance and opportunities for targeted, localized therapies that could improve outcomes for patients with metastatic bladder cancer. The project builds on an established autopsy program that gathers tumors and benign tissues soon after death to study the disease in detail. This work could guide future treatments and help predict which patients are most at risk for progression.

Why it matters

Potential benefit: If successful, the research could reveal targets to overcome treatment resistance and inform personalized therapy for metastatic bladder cancer.

How similar studies have gone: Previous work using rapid autopsy and multi-omic profiling has shown meaningful insights into tumor evolution and metastasis.

Where this research is happening

  • Fred Hutchinson Cancer Center
    Seattle, United States
    Active

Researchers

  • Principal investigator: Ha, Gavin — Fred Hutchinson Cancer Center
  • Study coordinator: Ha, Gavin

Related research

Other NIH-funded projects on the same topics.

  • Population modeling to reduce bladder cancer burden

    Aimed at predicting and guiding effective, population-based ways to prevent and control bladder cancer.

    NIH research Brown University · Providence, United States · NIH-11495895

  • Blocking a new immune checkpoint in bladder cancer

    Researchers are trying medicines that block a newly found immune pathway to help people with bladder cancer, especially those whose tumors do not respond to current immunotherapy.

    NIH research Albert Einstein College of Medicine · Bronx, United States · NIH-11473209

  • Nrf2 in T cells and how it could boost immune power against bladder cancer

    A small grant will explore how a T-cell protein called Nrf2 affects muscle-invasive bladder cancer and whether targeting it could help patients respond better to immune therapies.

    NIH research University of Kansas Medical Center · Kansas City, United States · NIH-11441846

  • Molecular clues to bladder cancer cell changes and therapy response

    This NIH grant looks at how bladder cancer cells change their identity and how that affects response to treatment, with a focus on aggressive neuroendocrine variants.

    NIH research Roswell Park Cancer Institute Corp · Buffalo, United States · NIH-11425761

  • Repurposing spironolactone to treat bladder cancer inside the bladder

    Aims to repurpose spironolactone as an intravesical treatment for non-muscle invasive bladder cancer to help prevent recurrence and progression.

    NIH research Roswell Park Cancer Institute Corp · Buffalo, United States · NIH-11420769

  • Racial and social factors linked to bladder cancer outcomes

    This grant builds a partnership between Baylor College of Medicine and Texas Southern University to understand how people’s social and living conditions affect bladder cancer outcomes and treatment results.

    NIH research Baylor College of Medicine · Houston, United States · NIH-11417547

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.