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Urology Chemotherapy Protocols


Disclaimer:

The chemotherapy protocols available on this website are maintained by the Lancashire and South Cumbria Network Pharmacist David Barber. The Cancer Alliance is not responsible for the content or upkeep of the protocols. If you have any queries about the protocols please contact David Barber: Tel 01772 522339 or david.barber@lthtr.nhs.uk

Algorithms

2018 Bladder Algorithm Prostate SACT Algorithm - (updated July 2025) Renal_algorithm_v3

Bladder

Atezolizumab Sept 2022 Avelumab July 2022 durvalumab gem carbo neoadj bladder May 2026 durvalumab gem cis neoadj bladder Feb 2026 Enfortumab vedotin & pembro sc April 2026 Enfortumab Vedotin and Pembrolizumab 1.4 November 2025 Gemcitabine carbo v9 Gemcitabine cisplatin 3 weekly v9 Gemcitabine concurrent v3 MMC 5FU bladder v3 Nivolumab with sc Sept 2025 Paclitaxel weekly v9

Penile Protocols

Cisplatin 5FU v7

Prostate Protocols

Abiraterone v2 Apalutamide Sept 2021 Cabazitaxel and Prednisolone v9 Cabazitaxel carboplatin Darolutamide Docetaxel (prostate) v12 Enzalutamide v2 Olaparib Jan 2025 Weekly Docetaxel and Prednisolone

Renal Protocols

Avelumab_axitinib (pdf) Axitinib avelumab April 2024 (pdf) belzutifan Jan 2025 (pdf) cabozantanib alternate schedule 2022-05-17 (pdf) cabozantinib nivolumab July 2024 (pdf) Everolimus lenvatinib (pdf) Everolimus (pdf) Ipi nivo extended renal March 2026 (pdf) Ipi nivo renal (pdf) Nivolumab with sc Sept 2025 (pdf) Pazopanib (pdf) Pembro sc lenvatinib April 2026 (pdf) Pembrolizumab May 2025 (pdf) Pembrolizumab sc April 2026 (pdf) Sunitinib (pdf) Systemic Treatment Algorithm for Renal Cell Cancer Sept 2018 v2 (pdf) Tivozanib (pdf)

Testicular Protocols

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