Witjes - Figure 53

BCG vs TCTh

FIG. 53:   Another, randomized and controlled trial in almost 200 patients compared 1 year of BCG with 1 year of chemohyperthermia with mitomycin.[44]  After 24 months, recurrence-free survival was 82% with chemohyperthermia compared to 65% with BCG, and these were intermediate- and high-risk patients.  Again, progression rates were low. So this is an option to keep in mind, and it is at least as effective as BCG.

References

[44]

Arends TJ, Nativ O, Maffezzini M, et al. Results of a randomised controlled trial comparing intravesical chemohyperthermia with mitomycin c versus bacillus Calmette-Guérin for adjuvant treatment of patients with intermediate- and high-risk non-muscle-invasive bladder cancer. Eur Urol. 2016;69:1046−52  http://dx.doi.org/10.1016/j.eururo.2016.01.006