- |||||||||| Review, Journal: New Treatment Options for Non-Muscle-Invasive Bladder Cancer. (Pubmed Central) - Feb 11, 2025
Additionally, immune checkpoint inhibitors such as pembrolizumab and durvalumab have demonstrated potential for systemic treatments in BCG-unresponsive NMIBC and may show even more promise in combinations...For low-grade NMIBC, efforts are underway to de-escalate care through active surveillance and novel adjuvant therapies, reducing the need for repeated TURBT procedures. Together, these advancements highlight a promising shift toward personalized, bladder-preserving strategies that prioritize patient quality of life while addressing unmet needs in NMIBC management.
- |||||||||| VesiGel (mitomycin intravesicular) / UroGen
P3 data, Journal, Monotherapy: Treatment of Low-Grade Intermediate-Risk Nonmuscle-Invasive Bladder Cancer with UGN-102 (Pubmed Central) - Sep 11, 2023 Active, not recruiting --> Completed | Phase classification: P3b --> P3 | Trial completion date: May 2023 --> Feb 2023 Primary, non-surgical chemoablation with UGN-102 for the management of LG IR NMIBC offers a potential therapeutic alternative to immediate TURBT monotherapy and warrants further investigation.
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Enrollment change, Trial completion date, Trial termination, Trial primary completion date: ATLAS: A Phase 3 Study of UGN-102 for Low-Grade Intermediate-Risk Non-Muscle Invasive Bladder Cancer (clinicaltrials.gov) - Apr 3, 2023 P3, N=282, Terminated, Primary, non-surgical chemoablation with UGN-102 for the management of LG IR NMIBC offers a potential therapeutic alternative to immediate TURBT monotherapy and warrants further investigation. N=632 --> 282 | Trial completion date: Dec 2023 --> Mar 2023 | Active, not recruiting --> Terminated | Trial primary completion date: Dec 2023 --> Mar 2023; Alternate approach pursued
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Retrospective data, Review, Journal: A Systematic Review and Meta-analysis of Chemoablation for Non-muscle-invasive Bladder Cancer. (Pubmed Central) - Dec 16, 2022 Despite the lack of long-term outcomes, chemoablation appears to be a promising treatment option for well-selected NMIBC patients and can potentially help avoid unnecessary TURBT, specifically in some elderly patients with intermediate-risk NMIBC. Further well-designed studies with larger cohorts are necessary to address the differential tolerability and long-term anticancer efficacy of this resurging approach.
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