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Comparison of Sequential Intravesical Gemcitabine and Docetaxel vs Bacillus Calmette-Guérin for the Treatment of Patients With High-Risk Non–Muscle-Invasive Bladder Cancer

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Key Points Question Is there a difference in outcomes associated with sequential intravesical gemcitabine and docetaxel therapy vs bacillus Calmette-Guérin (BCG) therapy, the standard of care for the treatment of… Click to show full abstract

Key Points Question Is there a difference in outcomes associated with sequential intravesical gemcitabine and docetaxel therapy vs bacillus Calmette-Guérin (BCG) therapy, the standard of care for the treatment of high-risk non–muscle-invasive bladder cancer (NMIBC)? Findings In this cohort study of 312 patients with high-risk NMIBC, those receiving gemcitabine and docetaxel had better recurrence-free survival and a lower rate of induction treatment discontinuation than those receiving BCG. Meaning These findings suggest that gemcitabine and docetaxel may serve as a reasonable alternative first-line therapy for patients with high-risk NMIBC during the ongoing BCG shortage.

Keywords: gemcitabine docetaxel; high risk; patients high

Journal Title: JAMA Network Open
Year Published: 2023

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