Evidence map›Paper›PMID 38993180›Full record

SynthesisBladder cancer (Amsterdam, Netherlands)2023

New Intravesical Agents for BCG-Unresponsive High-Risk Non-Muscle Invasive Bladder Cancer.

Anastasios D Asimakopoulos, Maxim Kochergin, Gaia Colalillo, Omar Fahmy, Fahmy Hassan, Markus Renninger, Andrea Gallioli, Pavel Gavrilov, Georgios Gakis

Abstract readSystematic Review
In one paragraph

Synthesis in Bladder cancer (Amsterdam, Netherlands), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

  1. Heat-activated intravenous liposomal doxorubicin combined with mitomycin C hyperthermic intravesical chemotherapy (HIVEC) for treatment of bladder cancer.International journal of hyperthermia : the official journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group · 2026
    Article
  2. Review
  3. Review
  4. 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

9 authors.

Anastasios D AsimakopoulosUrology Unit, Fondazione PTV Policlinico Tor Vergata, Rome, Italy.
Maxim KocherginDepartment of Urology and Neurourology, BG Unfallkrankenhaus Berlin, Berlin, Germany.
Gaia ColalilloUrology Unit, Fondazione PTV Policlinico Tor Vergata, Rome, Italy.
Omar FahmyDepartment of Urology, Universiti Putra Malaysia (UPM), Selangor, Malaysia.
Fahmy HassanDepartment of Urology, King Salman Hospital (MOH), Riyadh, Saudi-Arabia.
Markus RenningerDepartment of Urology, Eberhard-Karls University Tuebingen, Tuebingen, Germany.
Andrea GallioliDepartment of Urology, Fundaciò Puigvert, Barcelona, Spain.
Pavel GavrilovDepartment of Urology, Fundaciò Puigvert, Barcelona, Spain.
Georgios GakisUniversity Clinic and Polyclinic of Urology, Martin-Luther-University Halle-Wittenberg, Halle (Saale), Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWith the exception of the FDA-approved valrubicin and pembrolizumab, there are no standard second-line treaments for BCG-unresponsive high-risk non-muscle invasive bladder cancer (NMIBC).

objectivesTo provide a systematic review of the novel intravesically administered therapeutic agents for the salvage treatment of BCG-unresponsive NMIBC.

methodsOnline search of the PubMed, EMBASE and Web of Science databases was performed. The endpoints of this review were to evaluate the efficacy of the agents in terms of complete response rates (CR) and durability of CR, overall survival, recurrence-free survival and cancer-specific survival and to report on their toxicity profile. A search on Clinicaltrials.gov was performed to identify ongoing clinical trials.

results14 studies were included in this review. The critical clinical need for the development of an effective, safe and durable intravesical drug for the salvage treatment of high-risk NMIBC seems to be met mainly by intravesical gene therapy; in fact, data support the FDA-approved nadofaragene firadenovec as a potentially important therapeutic advancement in this context. Promising results are also being obtained by the combination of N-803/BCG and by innovative drug delivery systems.

conclusionsConsidering the plethora of novel intravesical treatments that have completed phase II evaluation, one can reasonably expect that clinicians will soon have at their disposal new agents and treatment options for BCG-unresponsive NMIBC. In the near future, it will be up to the urologist to identify, for each specific patient, the right agent to use, based on safety, results and cost-effectiveness.

Indexed as

BCGbladder cancerbladder instillationsintravesical instillationsnon-muscle invasive bladder cancer

Identifiers

PMID38993180
PMCPMC11181857

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.