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CaseNiagara · MIBC

Niagara.A patient-facing site for IMFINZI in muscle-invasive bladder cancer.

At a glance

A calm, trustworthy patient experience for AstraZeneca's IMFINZI perioperative regimen in muscle-invasive bladder cancer — translating dense clinical evidence into something a newly-diagnosed patient can actually absorb.

Ten months, one UI design lead, a medical-legal review cycle measured in weeks, and a visual system that had to feel warm without undermining clinical credibility.

Year2025
IndustryPharmaceutical
ProductIMFINZI · MIBC
Duration10 months
Homepage · Desktop + Treatment JourneyView the live site
01 · Role & Responsibility

My role

UI design lead. End-to-end.

  • 01Led UI direction across responsive breakpoints, setting the visual and interaction language.
  • 02Partnered daily with content strategy, medical-legal review, and engineering to translate evidence into clear patient-facing UI.
  • 03Built the component library — buttons, cards, data viz, dosing tables — and documented the patterns for handoff.
  • 04Owned the accessibility pass: contrast, focus, screen-reader order, and plain-language reviews.
02 · Product problem

The brief

How do you explain a two-year treatment journey?

01

Clinical density vs. patient comprehension.

The source material was a 200-page trial protocol. The audience is someone who just got diagnosed last week. Every decision had to negotiate that gap.

02

Regulated copy can't feel cold.

Med-legal guardrails are non-negotiable, but warmth can't be an afterthought. The tone had to carry empathy without hedging the science.

03

Side effects are a feature, not a footnote.

Patients browse for side effects first. Burying them behind a collapsed section would have been a trust failure.

04

Mobile carries the weight.

Oncology sessions happen on phones, often late at night. The smallest breakpoint had to feel like the primary experience, not a concession.

03 · UI as product strategy

Direction

Clarity as a clinical commitment.

The UI had to do three jobs at once: explain the regimen, earn trust, and guide patients toward a conversation with their doctor.

I treated each section as a decision-support surface rather than marketing copy — every card, every chart, every heading had to answer a question a newly-diagnosed patient actually asks.

  • Calm, ivory-toned palette distinct from the aggressive corporate blue of most pharma sites.
  • Display-weight typography for emotional resonance at the moment of first visit.
  • Evidence cards that lead with the stat and back it with source, not vice-versa.
  • Phase-based treatment map as the site's visual anchor — the component the whole IA hangs on.
04 · Designing within constraints

Guardrails as creative input.

Medical-legal review, WCAG, and patient-literacy targets shaped every artboard. I treated the constraints as the problem statement — which made the system tighter, not looser.

05 · Component & system thinking

One system, many surfaces.

  • Dosing tables, evidence cards, and phase maps built from the same tokens.
  • Figma variants mapping 1:1 to engineering implementation for clean handoff
06 · Accessibility & inclusion

WCAG 2.2 AA, no compromises.

  • Minimum 4:8:1 contrast on body text across all branded components
  • Plain-language review on every headline. Flesch-Kincaid grade 7 ceiling
07 · Emotional design & trust

Voice

Warmth without sentimentality.

Patients arrive in one of the hardest weeks of their lives. The UI had to slow them down without condescending, pace the information, surface a clinician's voice at the right moments, and leave space for emotional weight.

We A/B-tested two tone directions with a small patient advisory group. The warmer variant, softer serif, ivory grounds, and first-person clinician quotes outperformed the clinical-neutral variant on perceived trust and intent-to-ask-your-doctor.

08 · Responsive execution

Direction

Mobile as the primary surface.

We designed mobile-first not rhetorically but mathematically, 74% of patient sessions in oncology start on a phone, often at night, often on cellular.

Every component was pressure-tested at 395px before being promoted to larger breakpoints. Desktop is additive; it doesn't carry the experience.

  • Four breakpoints - 395, 768, 1024, 1440 - each with its own typography and spacing scale.
  • Treatment journey collapses to a vertical phase timeline on mobile, no loss of info hierarchy.
  • Side-effect tables reflow to a card stack with persistent headers rather than a cramped scroll.
  • Sticky resource nav so "talk to your doctor" is one tap from any scroll depth.
09 · Outcome & impact

Voice

Shipped, measured, iterated.

Launched on time, cleared med-legal on the first full cycle, and measured healthy engagement on the phases-of-treatment component — the site's primary comprehension signal.

A round of post-launch usability testing with newly-diagnosed patients surfaced two quick wins (a plain-language glossary and a side-effect severity legend) that shipped in the first iteration.

01 · Homepage + Clinical trials
10 · Reflection

Niagara sharpened my ability to lead design inside regulated environments, holding empathy, clarity, brand, and compliance in the same frame without letting any of them flatten the others.

Patrick Cayer

Senior Product Designer

Hand-built with care. Thoughtfulness in every touch point.

Right now

Raleigh · --:--

© 2026 Patrick Cayer
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