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Prospective phase II study to evaluate response to two induction courses (12 intravesical instillations) of BCG therapy for high-risk non–muscle-invasive bladder cancer

Urology Aug 05, 2021

Herr H, Vertosick EA, Dalbagni G, et al. - The results showed that in patients with high-risk non–muscle-invasive bladder cancer, a high response rate justifies 2 BCG induction cycles in current practice.

  • Researchers enrolled patients with primary or recurrent NMIBC (high-grade Ta, T1 tumors, with or without CIS) to receive 2-induction courses (12 intravesical instillations) of BCG between 2015 and 2018.

  • A total of 81 patients were included in this study.

  • The results showed that five withdrew before starting BCG, leaving 76 evaluable patients.

  • There were 63 patients (83%) who completed the 12 installations on schedule.

  • Of these, at 6 months, 62 patients (91%) had a complete response.

  • They did not find tumor progression in any patient.

  • There was a serious adverse event in 1 patient (1%). As per the findings, 85% was the recurrence-free survival at 2 years after the complete response (95% CI 77%, 95%).

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