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3-D Cell Culture System for Studying Invasion and Evaluating Therapeutics in Bladder Cancer
Published on: September 13, 2018
[Recent Progress in Novel Therapies for Non-Muscle Invasive Bladder Cancer]
1Dept. of Urology, Faculty of Medicine, University of Tsukuba.
Abstract:
Non-muscle invasive bladder cancer(NMIBC)accounts for about 70% of bladder cancers, with most patients treated by TURBT followed by intravesical therapy according to recurrence risk.BCG is effective but BCG-unresponsive cases often require cystectomy.Recently, novel therapies including immune checkpoint inhibitors, drug-delivery devices, and gene therapy have emerged.This chapter reviews recent and ongoing phase Ⅲ trials in BCG-naïve NMIBC.
Insights
Non-muscle invasive bladder cancer (NMIBC) affects many patients, often treated with TURBT and intravesical therapy. This review focuses on new phase III trials for BCG-naïve NMIBC, exploring emerging treatments beyond traditional methods.
Area of Science:
- Urology
- Oncology
- Clinical Trials
Background:
- Non-muscle invasive bladder cancer (NMIBC) constitutes approximately 70% of all bladder cancer diagnoses.
- Standard treatment involves transurethral resection of bladder tumor (TURBT) followed by intravesical therapy, tailored to recurrence risk.
- Bacillus Calmette-Guérin (BCG) is a key intravesical therapy, but a significant portion of patients become BCG-unresponsive, often necessitating radical cystectomy.
Purpose of the Study:
- To review recent and ongoing phase III clinical trials for BCG-naïve NMIBC.
- To highlight novel therapeutic strategies emerging for NMIBC.
- To provide an overview of the current landscape and future directions in NMIBC treatment.
Main Methods:
- Literature review of recent and ongoing phase III clinical trials.
- Focus on trials involving patients with BCG-naïve NMIBC.
- Analysis of emerging therapeutic modalities, including immune checkpoint inhibitors, drug-delivery devices, and gene therapy.
Main Results:
- Emerging therapies show promise in clinical trials for NMIBC.
- Novel approaches aim to improve outcomes for BCG-naïve patients.
- Ongoing phase III trials are evaluating the efficacy and safety of new treatments.
Conclusions:
- The treatment paradigm for NMIBC is evolving with the advent of novel therapies.
- Phase III trials are crucial for validating new treatment options for BCG-naïve NMIBC.
- Future management of NMIBC may involve a broader range of therapeutic options beyond traditional intravesical instillations.
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