Evidence map›Paper›PMID 40486869›Full record

Trial reportOncology research2025

Intradermal priming to intravesical Bacillus Calmette-Guérin in non-muscle invasive bladder cancer: A translational research and phase I clinical trial.

Luciana Saboya, Keini Buosi, Tiago Silva, Elaine Candido, Josiane Morari, Licio A Velloso, Shahrokh F Shariat, Marcus V Sadi, Leonardo O Reis

Registry-linked trialAbstract readClinical Trial, Phase IRandomized Controlled Trial
In one paragraph

Trial report in Oncology research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04806178 (Systemic Immunological Response of Bladder Cancer Patients Under Bacillus Calmette Guérin Treatment), which is not on this 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.

NCT04806178 phase3completednot on this map

Systemic Immunological Response of Bladder Cancer Patients Under Bacillus Calmette Guérin Treatment

TypeinterventionalSponsorUniversity of Campinas, BrazilRan2021 to 2024Enrolled30ConditionsBladder Cancer, Bacillus Calmette-GuerinArmsBacillus Calmette Guerin, PLACEBO
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. 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.

Luciana SaboyaUroScience, School of Medical Sciences, University of Campinas, Campinas, 13083-887, Brazil.
Keini BuosiUroScience, School of Medical Sciences, University of Campinas, Campinas, 13083-887, Brazil.
Tiago SilvaDepartment of Urology, Federal University of São Paulo, EPM, São Paulo, 04023-062, Brazil.
Elaine CandidoUroScience, School of Medical Sciences, University of Campinas, Campinas, 13083-887, Brazil.
Josiane MorariObesity and Comorbidities Research Center, University of Campinas, Campinas, 13083-887, Brazil.
Licio A VellosoObesity and Comorbidities Research Center, University of Campinas, Campinas, 13083-887, Brazil.
Shahrokh F ShariatDepartment of Urology, Comprehensive Cancer Center, Medical University of Vienna, Vienna, 1090, Austria.
Marcus V SadiDepartment of Urology, Federal University of São Paulo, EPM, São Paulo, 04023-062, Brazil.
Leonardo O ReisUroScience, School of Medical Sciences, University of Campinas, Campinas, 13083-887, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To determine the safety and the role of modulating cytokines and proteases in the immune response to intravesical Bacillus Calmette-Guérin (BCG) when primed with systemic intradermal BCG. Methods: Phase 1 and mechanistic longitudinal, prospective, single-blind randomized study (NCT04806178). Twenty-one non-muscle invasive urothelial bladder cancer patients undergoing intravesical adjuvant BCG after transurethral resection of bladder tumor (TURBT) in a teaching hospital between September 2021 and April 2023 were randomized to 0.1 mL of intradermal BCG vaccine or placebo (0.9% saline) administered 15 days before the start of intravesical BCG therapy. Blood samples were evaluated mechanistically regarding eight cytokines serum levels interferon-induced transmembrane protein 3 Gene (IFITM3), Interleukin 1 beta (IL1-BETA), interleukin-2 receptor alpha chain (IL2 RA), Interleukin 6 (IL 6), Interleukin 10 (IL 10), Tumor necrosis factor alpha (TNF-α), Interferon-β, AXL, and one protease CASPASE 8. Results: After 1 exclusion, twenty patients were randomized to intradermal BCG (n = 11) and intradermal placebo (n = 9). There was no difference in adverse effects emerging from the intravesical Onco-BCG therapy, and no difference in the expression of the cytokines and proteases analyzed between control and intervention, and over time. Conclusions: Intradermal BCG administration before intravesical application was safe, with no increase in adverse effects. It also does not seem to change the analyzed targets during the intravesical induction-phase BCG. Other immune targets should be explored in the future. The Brazilian tuberculosis-endemic status, where BCG vaccination is mandatory, might have affected the results.

Indexed as

BCG VaccineUrinary Bladder NeoplasmsAdjuvants, ImmunologicAdministration, IntravesicalAgedCytokinesFemaleHumansInjections, IntradermalMaleMiddle AgedNon-Muscle Invasive Bladder NeoplasmsProspective StudiesSingle-Blind MethodTranslational Research, BiomedicalAdjuvants, ImmunologicBCG VaccineCytokinesBacillus Calmette-Guérin (BCG)Bladder cancerImmune responseIntradermalSafety

Identifiers

PMID40486869
PMCPMC12144654

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.