Evidence map›Paper›PMID 37628785›Full record

ReviewInternational journal of molecular sciences2023

BCG-Unresponsive Non-Muscle-Invasive Bladder Cancer: Current Treatment Landscape and Novel Emerging Molecular Targets.

Francesco Claps, Nicola Pavan, Luca Ongaro, Domenico Tierno, Gabriele Grassi, Carlo Trombetta, Gabriele Tulone, Alchiede Simonato, Riccardo Bartoletti, Laura S Mertens and 3 more

Open access · goldAbstract readReview
In one paragraph

Review in International journal of molecular sciences, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed, 5 pooled it
18.1field-weighted citation impact, top 1% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

46 citing papers in PubMed, 5 syntheses or guidelines pooled it, 57 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Trial
  7. Article
  8. Review
  9. Observational
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Review
  16. Review
  17. Article
  18. Article
  19. Review
  20. Review
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

13 authors at 5 institutions in 3 countries.

Francesco ClapsUrological Clinic, Department of Medicine, Surgery and Health Sciences, University of Trieste, 34149 Trieste, Italy.ORCID 0000-0003-2812-5553
Nicola PavanDepartment of Surgical, Oncological, and Oral Sciences, University of Palermo, 90127 Palermo, Italy.ORCID 0000-0001-7355-7625
Luca OngaroUrological Clinic, Department of Medicine, Surgery and Health Sciences, University of Trieste, 34149 Trieste, Italy.ORCID 0000-0001-5649-4095
Domenico TiernoDepartment of Life Sciences, University of Trieste, 34127 Trieste, Italy.
Gabriele GrassiDepartment of Medical, Surgery and Health Sciences, Hospital of Cattinara, University of Trieste, Strada di Fiume 447, 34149 Trieste, Italy.ORCID 0000-0001-9704-6651
Carlo TrombettaUrological Clinic, Department of Medicine, Surgery and Health Sciences, University of Trieste, 34149 Trieste, Italy.ORCID 0000-0003-0237-544X
Gabriele TuloneDepartment of Surgical, Oncological, and Oral Sciences, University of Palermo, 90127 Palermo, Italy.ORCID 0000-0002-5797-3351
Alchiede SimonatoDepartment of Surgical, Oncological, and Oral Sciences, University of Palermo, 90127 Palermo, Italy.ORCID 0000-0001-9513-4869
Riccardo BartolettiDepartment of Translational Research and New Technologies, University of Pisa, 56126 Pisa, Italy.ORCID 0000-0002-0021-0302
Laura S MertensDepartment of Surgical Oncology (Urology), Netherlands Cancer Institute, Antoni van Leeuwenhoek Hospital, 1066 CX Amsterdam, The Netherlands.
Bas W G van RhijnDepartment of Surgical Oncology (Urology), Netherlands Cancer Institute, Antoni van Leeuwenhoek Hospital, 1066 CX Amsterdam, The Netherlands.
Maria Carmen MirDepartment of Urology, Hospital Universitario La Ribera, 46600 Valencia, Spain.
Bruna ScaggianteDepartment of Life Sciences, University of Trieste, 34127 Trieste, Italy.ORCID 0000-0002-8662-138X
University of Trieste · ITUniversity of Palermo · ITThe Netherlands Cancer Institute · NLHospital de La Ribera · ESUniversity of Pisa · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Urothelial carcinoma (UC), the sixth most common cancer in Western countries, includes upper tract urothelial carcinoma (UTUC) and bladder carcinoma (BC) as the most common cancers among UCs (90-95%). BC is the most common cancer and can be a highly heterogeneous disease, including both non-muscle-invasive (NMIBC) and muscle-invasive (MIBC) forms with different oncologic outcomes. Approximately 80% of new BC diagnoses are classified as NMIBC after the initial transurethral resection of the bladder tumor (TURBt). In this setting, intravesical instillation of Bacillus Calmette-Guerin (BCG) is the current standard treatment for intermediate- and high-risk patients. Unfortunately, recurrence occurs in 30% to 40% of patients despite adequate BCG treatment. Radical cystectomy (RC) is currently considered the standard treatment for NMIBC that does not respond to BCG. However, RC is a complex surgical procedure with a recognized high perioperative morbidity that is dependent on the patient, disease behaviors, and surgical factors and is associated with a significant impact on quality of life. Therefore, there is an unmet clinical need for alternative bladder-preserving treatments for patients who desire a bladder-sparing approach or are too frail for major surgery. In this review, we aim to present the strategies in BCG-unresponsive NMIBC, focusing on novel molecular therapeutic targets.

Indexed as

Carcinoma, Transitional CellMycobacterium bovisNon-Muscle Invasive Bladder NeoplasmsUrinary Bladder NeoplasmsBCG VaccineHumansQuality of LifeBCG VaccineBacillus Calmette–Guérin-unresponsive non-muscle-invasive bladder cancerbladder sparing treatmentchemo-hyperthermiagene therapyimmunotherapynon-muscle-invasive bladder cancerphotodynamic therapy

Identifiers

PMID37628785
PMCPMC10454200
OpenAlexW4385697682

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.