Evidence map›Paper›PMID 33675400›Full record

Trial reportJournal of cancer research and clinical oncology2021

Efficacy of three BCG strains (Connaught, TICE and RIVM) with or without secondary resection (re-TUR) for intermediate/high-risk non-muscle-invasive bladder cancers: results from a retrospective single-institution cohort analysis.

Francesco Del Giudice, Gian Maria Busetto, Martin S Gross, Martina Maggi, Alessandro Sciarra, Stefano Salciccia, Matteo Ferro, Isabella Sperduti, Simone Flammia, Vittorio Canale and 5 more

Registry-linked trialOpen access · hybridAbstract readClinical Trial
In one paragraph

Trial report in Journal of cancer research and clinical oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06767982 (A Randomized Prospective Trial Comparing Bacillus Calmette-Guerin), which is not on this map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
5.2field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06767982 phase4completednot on this map

A Randomized Prospective Trial Comparing Bacillus Calmette-Guerin (BCG) RIVM and Russian Strains in Non-Muscle Invasive Bladder Cancer: Efficacy and Side Effects

TypeinterventionalSponsorAnkara UniversityRan2019 to 2022Enrolled160ConditionsNon Muscle Invasive Bladder CancerArmsBacillus Calmette-Guerin (BCG)
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 30 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 4 institutions in 2 countries.

Francesco Del GiudiceDepartment of Maternal-Infant and Urological Sciences, Policlinico Umberto I Hospital, "Sapienza" University of Rome, Viale del Policlinico 155, 00161, Rome, Italy. francesco.delgiudice@uniroma1.it.ORCID http://orcid.org/0000-0003-3865-5988
Gian Maria BusettoDepartment of Maternal-Infant and Urological Sciences, Policlinico Umberto I Hospital, "Sapienza" University of Rome, Viale del Policlinico 155, 00161, Rome, Italy.
Martin S GrossSection of Urology, Dartmouth-Hitchcock Medical Center, Lebanon, NH, 03766, USA.
Martina MaggiDepartment of Maternal-Infant and Urological Sciences, Policlinico Umberto I Hospital, "Sapienza" University of Rome, Viale del Policlinico 155, 00161, Rome, Italy.
Alessandro SciarraDepartment of Maternal-Infant and Urological Sciences, Policlinico Umberto I Hospital, "Sapienza" University of Rome, Viale del Policlinico 155, 00161, Rome, Italy.
Stefano SalcicciaDepartment of Maternal-Infant and Urological Sciences, Policlinico Umberto I Hospital, "Sapienza" University of Rome, Viale del Policlinico 155, 00161, Rome, Italy.
Matteo FerroDepartment of Urology, European Institute of Oncology (IEO), IRCCS, Milan, Italy.
Isabella SperdutiBiostatistical Unit, IRCCS, Regina Elena Hospital, Rome, Italy.
Simone FlammiaDepartment of Maternal-Infant and Urological Sciences, Policlinico Umberto I Hospital, "Sapienza" University of Rome, Viale del Policlinico 155, 00161, Rome, Italy.
Vittorio CanaleDepartment of Maternal-Infant and Urological Sciences, Policlinico Umberto I Hospital, "Sapienza" University of Rome, Viale del Policlinico 155, 00161, Rome, Italy.
Benjamin I ChungDepartment of Urology, Stanford Medical Center, Stanford, CA, USA.
Simon L ContiDepartment of Urology, Stanford Medical Center, Stanford, CA, USA.
Michael L EisenbergDepartment of Urology, Stanford Medical Center, Stanford, CA, USA.
Eila C Skinner *Department of Urology, Stanford Medical Center, Stanford, CA, USA.
Ettore De Berardinis *Department of Maternal-Infant and Urological Sciences, Policlinico Umberto I Hospital, "Sapienza" University of Rome, Viale del Policlinico 155, 00161, Rome, Italy.
Policlinico Umberto I · ITStanford Medicine · USDartmouth–Hitchcock Medical Center · USIstituti di Ricovero e Cura a Carattere Scientifico · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purpose(I) To evaluate the clinical efficacy of three different BCG strains in patients with intermediate-/high-risk non-muscle-invasive bladder cancer (NMIBC). (II) To determine the importance of performing routine secondary resection (re-TUR) in the setting of BCG maintenance protocol for the three strains.

methodsNMIBCs who received an adjuvant induction followed by a maintenance schedule of intravesical immunotherapy with BCG Connaught, TICE and RIVM. Only BCG-naïve and those treated with the same strain over the course of follow-up were included. Cox proportional hazards model was developed according to prognostic factors by the Spanish Urological Oncology Group (CUETO) as well as by adjusting for the implementation of re-TUR.

resultsn = 422 Ta-T1 patients (Connaught, n = 146; TICE, n = 112 and RIVM, n = 164) with a median (IQR) follow-up of 72 (60-85) were reviewed. Re-TUR was associated with improved recurrence and progression outcomes (HR

conclusionRe-TUR was confirmed to ensure longer RFS and PFS in intermediate-/high-risk NMIBCs but did not influence the relative single BCG strain efficacy. When routinely performing re-TUR followed by a maintenance BCG schedule, TICE was superior to the other strains for RFS outcomes.

Indexed as

Administration, IntravesicalAgedBCG VaccineCombined Modality TherapyCystectomyFemaleFollow-Up StudiesHumansMaleMiddle AgedPrognosisRetrospective StudiesSurvival RateUrinary Bladder NeoplasmsBCG VaccineBCG-ConnaughtBCG-RIVMBCG strainBCG-TICEBladder cancerCancer-specific survivalProgression-free survivalRecurrence-free survivalRe-TUR

Identifiers

PMID33675400
PMCPMC8397662
OpenAlexW3133533543

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.