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Treatment Strategies for Patients with NMIBC: Importance of Risk Stratification

A panelist discusses how Non-muscle Invasive Bladder Cancer (NMIBC) treatment varies by risk stratification (low, intermediate, and high-risk), with BCG immunotherapy being standard for high-risk patients, while newer options like pembrolizumab and gene therapies are emerging for BCG-unresponsive cases, and treatment decisions between intravesical versus systemic therapy depend on risk level and previous treatment response.

  • Please share where the field of Non-muscle Invasive Bladder Cancer (NMIBC) is right now. Consider the following topics, which will be discussed in depth later on:
  • Patient risk stratification
  • Approved agents
  • Investigational agents
  • Please provide a brief overview of risk stratification for patients with NMIBC and treatment strategy for each group.
  • What are the FDA-approved agents for treating patients with NMIBC, and what treatment options are available for BCG-naïve and BCG-unresponsive patients?
  • How do intravesical therapies compare to intravenous therapies in this context?
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