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. Author manuscript; available in PMC: 2021 Sep 1.
Published in final edited form as: Eur Urol. 2020 Mar 4;78(3):387–399. doi: 10.1016/j.eururo.2020.02.012

Table 2 –

Treatment efficacy in BCG-unresponsive trials (top) and all patients following adequate BCG (bottom).

Authors Year Phase Agent n Age M (%)/F (%) CIS vs papillary Tumor stage
Tumor grade
Biopsy required Recurrence definition 3-mo CRR/RFR/DFR (%) 6-mo CRR/RFR/DFR (%) 12-mo CRR/RFR/DFR (%) 18-mo CRR/RFR/DFR (%) 24-mo CRR/RFR/DFR (%)
Ta (%) T1 (%) CIS (%) Low (%) Int (%) High (%)
Li et al [48] 2017 II MCNA 94 67.9 69/31 Both 42 4 72 0 0 100 Yes HG recurrences 48.9 34.8 28.3

Li et al [48] (CIS cohort) 68 100 HG recurrences 44.8 26.5 16.6

Navai et al [13] 2016 Ib Instiladrin 7 76.2 100/0 Both 57 14 71 0 0 100 No Positive biopsy or cytology 28.6 14.3 0.0 0.0

Shore et al [14] 2017 II Instiladrin 40 70.5 83/17 Both 20 28 75 0 0 100 Yes HG recurrences 57.5 42.5 35.0


Gacci et al [7] 2006 II/III Gemcitabine 9 75 78/22 Papillary 44 56 0 11 33 56 No Positive biopsy or cytology 100.0 66.7 44.4 11.1 0.0

Gacci et al [7] 2006 II/III BCG 10 75.5 80/20 Papillary 70 30 0 10 60 30 No Positive biopsy or cytology 80.0 60.0 10.0 10.0 10.0

Gunelli et al [22] 2007 II Gemcitabine 40 66 95/5 Papillary 10 90 0 0 53 43 No Positive biopsy or cytology 95.0 77.5 70.0 70.0

Perdona et al [23] 2010 II Gemcitabine 20 68.3 65/35 Both 20 80 35 25 0 75 No Positive biopsy 75.0 65.0 50.0 40.0 35.0

Skinner et al [24] 2013 II Gemcitabine 47 70 70/30 Both 36 4 60 11 0 89 Yes Positive biopsy or cytology 46.8 27.7 21.0

Dinney et al [12] 2013 I Instiladrin 17 72 94/6 Both 59 6 65 12 0 88 Yes Positive biopsy or cytology 41.2 41.2 29.4 29.4 23.5

BCG = bacillus Calmette-Guérin; CIS = carcinoma in situ; CRR = complete response rate; DFR = disease-free rate; HG = high grade; Int = intermediate; MCNA = M. phlei cell wall–nucleic acid complex; M/F = male/female; RFR = recurrence-free rate.