Below are the results of various studies.
1. BCG is superior to mitomycin alone in term of recurrence free and progression free survival rate.
2. Different BCGs give comparable efficacy and side effects.
3. Combination of chemotherapy generally gives better recurrence free period than single chemotherapy
4. Thermal chemotherapy generally gives better recurrence free period than non thermal chemotherapy.
So, below are some options if you live in Miami and you cannot access to MERCK Tice BCG and choose to seek other than mitomycin alone treatment.
1. Call other hospitals and clinics such as Moffitt if they have BCG available.
2. Participate in the clinical trial of Tokyo-172 strain BCG. Two locations in Florida are listed below.
Benefits of the clinical trial. No need to worry about the shortage during the treatment.
3. Higher efficacy intravesical chemotherapies. These may not be available near where you live.
Gemcitabine+Docetaxcel sequential (heated) - University of Arizona
Gemcitabine+Docetaxcel sequential - not heated - University of Iowa, Northewstern Medical
Ask the urologist if they offer anything other than mitomycin alone treatment.
4. Ask the urologist what is the strategy if there is a recurrence after the 6 weeks mitomycin treatment.
5. Ask the urologist what to do when BCG becomes during and after the treatment by mitomycin.
Clinical Trial of Tokyo-172 BCG
University of Florida Health Science Center - Gainesville
Phone: 352-273-8010
Email:
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Tampa
Moffitt Cancer Center
Status: Active
Contact: Site Public Contact
Phone: 800-679-0775
juniperpublishers.com/ctoij/pdf/CTOIJ.MS.ID.555798.pdf