Evidence map›Paper›PMID 40404526›Full record

ArticleEuropean urology2025

Urine Tumor DNA to Stratify the Risk of Recurrence in Patients Treated with Atezolizumab for Bacillus Calmette-Guérin-unresponsive Non-muscle-invasive Bladder Cancer.

Marie-Pier St-Laurent, Parminder Singh, David J McConkey, M Scott Lucia, Vadim S Koshkin, Kelly L Stratton, Trinity J Bivalacqua, Wassim Kassouf, Sima P Porten, Rick Bangs and 11 more

Abstract read
In one paragraph

Article in European urology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

10 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
  4. Urinary Biomarkers Objectively Measure Minimal Residual Disease in Non-Muscle-Invasive Bladder Cancer.Clinical cancer research : an official journal of the American Association for Cancer Research · 2026
    Article
  5. Review
  6. Review
  7. Review
  8. Review
  9. Review
  10. 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

21 authors.

Marie-Pier St-LaurentUniversity of British Columbia, Vancouver, BC, Canada.
Parminder SinghMayo Clinic Arizona, Phoenix, AZ, USA.
David J McConkeyJohns Hopkins Greenberg Bladder Cancer Institute, Baltimore, MD, USA.
M Scott LuciaUniversity of Colorado, Denver, CO, USA.
Vadim S KoshkinUniversity of California San Francisco, Helen Diller Family Cancer Center, San Francisco, CA, USA.
Kelly L StrattonUniversity of Oklahoma, Oklahoma City, OK, USA.
Trinity J BivalacquaUniversity of Pennsylvania, Philadelphia, PA, USA.
Wassim KassoufMcGill University Health Center, Montreal, QC, Canada.
Sima P PortenUniversity of California San Francisco, Helen Diller Family Cancer Center, San Francisco, CA, USA.
Rick BangsBladder Cancer Advocacy Network, Pittsford, NY, USA.
Melissa PletsSWOG Statistics and Data Management Center, Seattle, WA, USA.
Ian M ThompsonUniversity of Texas Health Science Center at San Antonio, San Antonio, TX, USA.
Joshua J MeeksNorthwestern University, Feinberg School of Medicine, Chicago, IL, USA.
Vincent M CarusoConvergent Genomics, Research and Development, San Francisco, CA, USA.
Ceressa T WardConvergent Genomics, Research and Development, San Francisco, CA, USA.
Brian C MazzarellaConvergent Genomics, Research and Development, San Francisco, CA, USA.
Kevin G PhillipsConvergent Genomics, Research and Development, San Francisco, CA, USA.
Vincent T BicoccaConvergent Genomics, Research and Development, San Francisco, CA, USA.
Trevor G LevinConvergent Genomics, Research and Development, San Francisco, CA, USA.
Seth P LernerBaylor College of Medicine, Dan L Duncan Cancer Center, Houston, TX, USA.
Peter C BlackUniversity of British Columbia, Vancouver, BC, Canada. Electronic address: peter.black@ubc.ca.

Funding

Member Site CoreU10CA180821 · NCI · BRIGHAM AND WOMEN'S HOSPITAL · PI Evanthia Galanis · 2014 to 2026
$177.3M
Project-006U10CA180820 · NCI · ECOG-ACRIN MEDICAL RESEARCH FOUNDATION · PI Peter J ODwyer · 2014 to 2026
$167.6M
SWOG Network Group Operations Center of the NCTNU10CA180888 · NCI · UNIVERSITY OF CALIFORNIA AT DAVIS · PI PRIMO N. LARA · 2014 to 2026
$152.1M
SWOG Statistics & Data Management Center complex - extension supplement for GY06U10CA180819 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI Michael L. LeBlanc · 2014 to 2026
$115.2M
NCIC Clinical Trials Group - Canadian Collaborating Clinical Trials NetworkU10CA180863 · NCI · QUEEN'S UNIVERSITY AT KINGSTON · PI Janet Ellen Dancey · 2014 to 2026
$40.4M
NCI NIH HHS U10 CA180819NCI NIH HHS U10 CA180820NCI NIH HHS U10 CA180821NCI NIH HHS U10 CA180863NCI NIH HHS U10 CA180888
6 · The paper itself

Abstract

As new treatments for bacillus Calmette-Guérin (BCG)-unresponsive non-muscle-invasive bladder cancer (NMIBC) emerge, better methods are needed to guide therapeutic decisions. This study analyzed urine tumor DNA (utDNA) from patients treated with atezolizumab in the SWOG S1605 trial to determine whether utDNA profiling can stratify the risk of treatment failure. Urine samples were analyzed using the UroAmp assay at baseline and 3 mo from 89 and 77 patients, respectively. Only 13% of UroAmp-positive patients at baseline achieved a complete response at 6 mo compared with 71% of UroAmp-negative patients (p < 0.001). The 18-mo event-free survival (EFS) was significantly lower for UroAmp-positive patients at baseline (23%) than for UroAmp-negative patients (51%; hazard ratio [HR] 2.8, p < 0.001). Among patients with no clinical evidence of disease at 3 mo (n = 51), the 18-mo EFS was 38% for UroAmp-positive and 86% for UroAmp-negative (HR 3.5, p = 0.01) patients. These findings suggest that utDNA profiling at baseline and after 3 mo of treatment can help identify patients with BCG-unresponsive NMIBC who are less likely to benefit from systemic immunotherapy.

Indexed as

Antibodies, Monoclonal, HumanizedAntineoplastic AgentsDNA, NeoplasmNeoplasm Recurrence, LocalUrinary Bladder NeoplasmsAdjuvants, ImmunologicAgedBCG VaccineFemaleHumansMaleMiddle AgedNeoplasm InvasivenessNon-Muscle Invasive Bladder NeoplasmsRisk AssessmentAdjuvants, ImmunologicAntibodies, Monoclonal, HumanizedAntineoplastic AgentsatezolizumabBCG VaccineDNA, NeoplasmBacillus Calmette-Guérin unresponsiveBladder cancerCell-free DNAImmune checkpoint inhibitorUrine biomarker

Identifiers

PMID40404526
PMCPMC13237821

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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.