Evidence map›Paper›PMID 40181833›Full record

ArticleBJUI compass2025

Intravesical gemcitabine and docetaxel vs. re-induction Bacillus Calmette Guerin as first-line salvage therapy for non-muscle invasive bladder cancer.

Kylie Yen-Yi Lim, Tran Ngoc An Huynh, Gavin Wei, Jincy Kuriakose, Obaidullah Fazli, David Pook, Sarah Ransley, Janice Downie, Scott Donnellan, Weranja Ranasinghe

Abstract read
In one paragraph

Article in BJUI compass, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. Article
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

10 authors.

Kylie Yen-Yi LimDepartment of Urology Monash Health, Casey VIC Australia.ORCID https://orcid.org/0000-0003-3370-3530
Tran Ngoc An HuynhDepartment of Urology Monash Health, Casey VIC Australia.ORCID https://orcid.org/0000-0001-7027-2819
Gavin WeiDepartment of Urology Monash Health, Casey VIC Australia.
Jincy KuriakoseDepartment of Urology Monash Health, Casey VIC Australia.
Obaidullah FazliDepartment of Pharmacy Monash Health Clayton VIC Australia.
David PookDepartment of Oncology Monash Health Clayton VIC Australia.
Sarah RansleyDepartment of Urology Monash Health, Casey VIC Australia.
Janice DownieDepartment of Urology Monash Health, Casey VIC Australia.
Scott DonnellanDepartment of Urology Monash Health, Casey VIC Australia.
Weranja RanasingheDepartment of Urology Monash Health, Casey VIC Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: To compare the outcomes between re-induction Bacillus Calmette-Guérin (BCG) and sequential intravesical gemcitabine-docetaxel (Gem/Doce) therapy in patients with high-grade (HG) non-muscle invasive bladder cancer (NMIBC) following failure of initial induction BCG. Materials and methods: We retrospectively identified patients who received induction BCG therapy between 2017 and 2023. Inclusion criteria were high-grade NMIBC recurrence post-BCG induction, with subsequent treatment by either re-induction BCG or Gem/Doce. Results: From 2017 to 2023, 140 patients received induction BCG, with 30 (21.4%) showing persistent HG NMIBC. Of these, five (16.7%) were treated with re-induction BCG and 11 (36.7%) with Gem/Doce. In the re-induction BCG group, four patients (80%) had HGTa and one (20%) had HGT1. In the Gem/Doce group, eight patients (73%) had HGTa, two (18%) had HGT1 and one (9%) had carcinoma in situ (CIS). Initial post-treatment cystoscopy showed recurrence in one re-induction BCG patient (20%) with HGT1 and CIS and in two Gem/Doce patients (18%) with HGTa. No adverse events were reported with Gem/Doce. Conclusion: Our initial experience with intravesical Gem/Doce suggests that it is better tolerated, with fewer adverse events and comparable recurrence rates at three months, compared to re-induction BCG in patients with BCG-failure NMIBC.

Indexed as

BCG failuregemcitabine‐docetaxelnon‐muscle invasive bladder cancersalvage therapy

Identifiers

PMID40181833
PMCPMC11966235

What OpenQuestion holds

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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.