Evidence map›Paper›PMID 41749876›Full record

ReviewCancers2026

Recent Advances in Immunotherapy for Non-Muscle-Invasive Bladder Cancer.

Abby L Grier, Jeffrey Y Zhong, Spyridon Basourakos, Adam Calaway, Parminder Singh, Yousef Zakharia, Fabrice Lucien, R Jeffrey Karnes, Vidit Sharma, Paras Shah and 5 more

Abstract readReview
In one paragraph

Review in Cancers, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

15 authors.

Abby L GrierSchool of Medicine, Case Western Reserve University School of Medicine, Cleveland, OH 44106, USA.ORCID 0000-0002-5199-8670
Jeffrey Y ZhongDepartment of Medicine, University Hospitals Cleveland Medical Center, Case Western Reserve University School of Medicine, Cleveland, OH 44106, USA.
Spyridon BasourakosDepartment of Urology, University Hospitals Cleveland Medical Center, Case Western Reserve University School of Medicine, Cleveland, OH 44106, USA.ORCID 0000-0002-7458-4593
Adam CalawayDepartment of Urology, University Hospitals Cleveland Medical Center, Case Western Reserve University School of Medicine, Cleveland, OH 44106, USA.
Parminder SinghDivision of Hematology and Oncology, Department of Internal Medicine, Mayo Clinic, Phoenix, AZ 85054, USA.ORCID 0000-0002-8548-6948
Yousef ZakhariaDivision of Hematology and Oncology, Department of Internal Medicine, Mayo Clinic, Phoenix, AZ 85054, USA.ORCID 0000-0001-9480-2626
Fabrice LucienDepartment of Urology, Mayo Clinic, Rochester, MN 55905, USA.ORCID 0000-0001-6149-345X
R Jeffrey KarnesDepartment of Urology, Mayo Clinic, Rochester, MN 55905, USA.
Vidit SharmaDepartment of Urology, Mayo Clinic, Rochester, MN 55905, USA.
Paras ShahDepartment of Urology, Mayo Clinic, Rochester, MN 55905, USA.
Brian A CostelloDivision of Medical Oncology, Department of Oncology, Mayo Clinic, Rochester, MN 55905, USA.
Lance C PagliaroDivision of Medical Oncology, Department of Oncology, Mayo Clinic, Rochester, MN 55905, USA.
Jacob J OrmeDivision of Medical Oncology, Department of Oncology, Mayo Clinic, Rochester, MN 55905, USA.ORCID 0000-0002-0319-0239
Jason R BrownDivision of Solid Tumor Oncology, Department of Medicine, University Hospitals Cleveland Medical Center, Case Western Reserve University School of Medicine, Cleveland, OH 44106, USA.ORCID 0000-0001-6225-7555
Albert JangDivision of Medical Oncology, Department of Oncology, Mayo Clinic, Rochester, MN 55905, USA.ORCID 0000-0002-0461-6174

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Non-muscle-invasive bladder cancer (NMIBC) comprises approximately 75% of new bladder cancer cases and generally carries a favorable prognosis, yet high rates of recurrence and progression necessitate close surveillance with frequent cystoscopies and repeated transurethral resections. Upfront treatment for high-risk disease is typically Bacillus Calmette-Guérin (BCG), although combinations with immune checkpoint inhibitors have reported results. Patients with BCG-unresponsive, intolerant, or refractory disease represent a subset of patients with high risk of progression, with early radical cystectomy being the standard approach for this setting. Global BCG shortages and the substantial impact of cystectomy on quality of life underscore the need for therapeutic alternatives. Over the past decade, investigational trials in immunotherapy have expanded treatment options for BCG-unresponsive NMIBC with CIS, leading to FDA approval of intravesical nadofaragene firadenovec, nogapendekin alfa-inbakicept, and systemic pembrolizumab. This narrative review summarizes developments in intravesical and systemic immunotherapies for NMIBC, highlights ongoing trials, and addresses controversies in trial design, treatment sequencing, comparative efficacy, and safety.

Indexed as

Bacillus Calmette-Guérinbladder cancerimmune checkpoint inhibitorimmunotherapyintravesical therapynon-muscle-invasive bladder cancertransurethral resection of bladder tumors

Identifiers

PMID41749876
PMCPMC12938786

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.