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Challenges of BCG-Unresponsive NMIBC

Key Takeaways

  • BCG-unresponsive NMIBC is defined by persistent or recurrent high-grade tumors or carcinoma in situ after adequate BCG therapy.
  • This condition requires alternative therapeutic strategies or radical cystectomy due to the failure of BCG treatment.
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Katie S. Murray, DO, discusses why some patients do not respond to BCG therapy, exploring factors such as tumor biology and immune system dysfunction, and how this impacts their prognosis, while also addressing the challenges and unmet needs in treating these patients, including the current BCG shortages and how it is reshaping treatment approaches.

  1. Why do some patients not respond to BCG therapy and how may it impact their prognosis?
  2. What challenges or unmet needs do you face when treating these patients?
  3. Discuss your thoughts and opinions on the current BCG shortages. How is this changing how you are managing your patients?
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