Treatment and disease management patterns for bacillus Calmette-Guérin unresponsive nonmuscle invasive bladder cancer in North America, Europe and Asia: A real-world data analysis.

Bacillus Calmette-Guérin Bladder cancer Cystectomy Treatment failure Urinary tract

Journal

Current urology
ISSN: 1661-7649
Titre abrégé: Curr Urol
Pays: United States
ID NLM: 101471188

Informations de publication

Date de publication:
Sep 2022
Historique:
received: 17 06 2021
accepted: 08 11 2021
entrez: 7 10 2022
pubmed: 8 10 2022
medline: 8 10 2022
Statut: ppublish

Résumé

This study examined real-world treatment and management of bacillus Calmette-Guérin (BCG)-unresponsive patients across 3 continents, including patients unable or unwilling to undergo cystectomy. Physicians actively involved in managing patients with nonmuscle invasive bladder cancer completed online case report forms for their 5 consecutive patients from the broad BCG-unresponsive population and a further 5 consecutive BCG-unresponsive patients who did not undergo cystectomy (in Japan, physicians provided a total of 5 patients across both cohorts). Most patients had received 1 (37%) or 2 (24%) maintenance courses of BCG. Five or more maintenance BCG courses were received by patients in Japan (59%) and China (31%), while in Germany 76% of patients received only 1 course. Most patients became BCG-unresponsive during their first (44%) or second (22%) treatment course; in Germany, 77% became BCG-unresponsive during their first treatment course. Most countries did not provide another course of BCG after a patient first became unresponsive, whereas unresponsive patients in Japan and China were most likely to be retreated with BCG. "Untreated - on watch and wait" was the main treatment/management approach received post-BCG treatment for 42% or more of patients in most countries except China (39%) and the United States (36%). "Following treatment guidelines" was consistently the top reason for post-BCG treatment selection across all treatment options. This study confirmed the global unmet need for patients with nonmuscle invasive bladder cancer, and found that many patients experienced periods of no treatment after not responding to BCG therapy.

Sections du résumé

Background UNASSIGNED
This study examined real-world treatment and management of bacillus Calmette-Guérin (BCG)-unresponsive patients across 3 continents, including patients unable or unwilling to undergo cystectomy.
Materials and methods UNASSIGNED
Physicians actively involved in managing patients with nonmuscle invasive bladder cancer completed online case report forms for their 5 consecutive patients from the broad BCG-unresponsive population and a further 5 consecutive BCG-unresponsive patients who did not undergo cystectomy (in Japan, physicians provided a total of 5 patients across both cohorts).
Results UNASSIGNED
Most patients had received 1 (37%) or 2 (24%) maintenance courses of BCG. Five or more maintenance BCG courses were received by patients in Japan (59%) and China (31%), while in Germany 76% of patients received only 1 course. Most patients became BCG-unresponsive during their first (44%) or second (22%) treatment course; in Germany, 77% became BCG-unresponsive during their first treatment course. Most countries did not provide another course of BCG after a patient first became unresponsive, whereas unresponsive patients in Japan and China were most likely to be retreated with BCG. "Untreated - on watch and wait" was the main treatment/management approach received post-BCG treatment for 42% or more of patients in most countries except China (39%) and the United States (36%). "Following treatment guidelines" was consistently the top reason for post-BCG treatment selection across all treatment options.
Conclusions UNASSIGNED
This study confirmed the global unmet need for patients with nonmuscle invasive bladder cancer, and found that many patients experienced periods of no treatment after not responding to BCG therapy.

Identifiants

pubmed: 36204362
doi: 10.1097/CU9.0000000000000072
pii: CURR-UROL_220056
pmc: PMC9527932
doi:

Types de publication

Journal Article

Langues

eng

Pagination

147-153

Informations de copyright

Copyright © 2022 The Authors. Published by Wolters Kluwer Health, Inc.

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Auteurs

Edward I Broughton (EI)

WW Health Economics and Outcomes Research, Bristol Myers Squibb, Princeton, NJ, USA.

Danielle S Chun (DS)

WW Health Economics and Outcomes Research, Bristol Myers Squibb, Princeton, NJ, USA.
The University of North Carolina, Chapel Hill, NC, USA.

Kyna M Gooden (KM)

WW Health Economics and Outcomes Research, Bristol Myers Squibb, Princeton, NJ, USA.

Katie L Mycock (KL)

Observational Research Department, Adelphi Real World, Bollington, UK.

Ivana Rajkovic (I)

Observational Research Department, Adelphi Real World, Bollington, UK.

Gavin Taylor-Stokes (G)

Observational Research Department, Adelphi Real World, Bollington, UK.

Classifications MeSH