Evidence map›Paper›PMID 39063544›Full record

ArticleLife (Basel, Switzerland)2024

Intravesical Gemcitabine and Docetaxel Therapy for BCG-Naïve Patients: A Promising Approach to Non-Muscle Invasive Bladder Cancer.

Mirko Bakula, Tvrtko Hudolin, Nikola Knezevic, Zoran Zimak, Jerko Andelic, Ilija Juric, Marija Gamulin, Milena Gnjidic, Zeljko Kastelan

Abstract read
In one paragraph

Article in Life (Basel, Switzerland), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
–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

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Observational
  5. Article
  6. Review
  7. Review
  8. Article
  9. Review
  10. 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.

Mirko BakulaDepartment of Urology, University Hospital Centre Zagreb, Kispaticeva 12, 10000 Zagreb, Croatia.ORCID 0000-0003-4612-3578
Tvrtko HudolinDepartment of Urology, University Hospital Centre Zagreb, Kispaticeva 12, 10000 Zagreb, Croatia.ORCID 0000-0002-6658-2344
Nikola KnezevicDepartment of Urology, University Hospital Centre Zagreb, Kispaticeva 12, 10000 Zagreb, Croatia.ORCID 0000-0001-9198-310X
Zoran ZimakDepartment of Urology, University Hospital Centre Zagreb, Kispaticeva 12, 10000 Zagreb, Croatia.ORCID 0000-0002-3776-8203
Jerko AndelicDepartment of Urology, University Hospital Centre Zagreb, Kispaticeva 12, 10000 Zagreb, Croatia.
Ilija JuricDepartment of Urology, University Hospital Centre Zagreb, Kispaticeva 12, 10000 Zagreb, Croatia.ORCID 0000-0001-9687-3655
Marija GamulinSchool of Medicine, University of Zagreb, Salata 3, 10000 Zagreb, Croatia.
Milena GnjidicDepartment of Oncology, University Hospital Centre Zagreb, Kispaticeva 12, 10000 Zagreb, Croatia.
Zeljko KastelanDepartment of Urology, University Hospital Centre Zagreb, Kispaticeva 12, 10000 Zagreb, Croatia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Bacillus Calmette-Guérin (BCG) therapy for patients with non-muscle invasive bladder cancer (NMIBC) faces limitations in efficacy and significant side effects, aggravated by a recent global shortage. In this prospective clinical study, we report the outcomes of sequential intravesical administration of gemcitabine and docetaxel (Gem/Doce) as a first-line treatment for BCG-naïve patients with high-risk NMIBC (HR NMIBC). From October 2019 until April 2022, we enrolled 52 patients and followed the treatment protocol set forth by the University of Iowa. Follow-up assessments were conducted every 3 months. In this cohort, 25 (48.1%) patients were diagnosed with high-grade T1 (T1HG) bladder cancer, 10 (19.2%) patients had carcinoma in situ (CIS), and 17 (32.7%) patients had a combination of T1HG+CIS. The median time to first recurrence in the T1HG, CIS, and T1HG+CIS groups was 11, 10.5, and 8.8 months, respectively. The recurrence-free survival was 98.1%, 94.2%, and 80.8% at 6, 9, and 12 months, respectively. The rate of progression-free survival was 100%, 98.1%, and 92.3% at 6, 9, and 12 months, respectively. We demonstrated the safety and efficacy of Gem/Doce therapy in BCG-naïve patients with HR NMIBC during a one-year follow-up. Further research with extended follow-ups, as well as direct comparisons of Gem/Doce with other anticancer agents, is essential.

Indexed as

BCG-naïveBCG shortagedocetaxelgemcitabinenon-muscle invasive bladder cancer

Identifiers

PMID39063544
PMCPMC11278229

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Registered trials

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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.