Sequential gemcitabine–docetaxel in BCG-naïve and BCG-failure non–muscle-invasive bladder cancer: a systematic review and meta-analysis - Takeaways - MDSpire

Sequential gemcitabine–docetaxel in BCG-naïve and BCG-failure non–muscle-invasive bladder cancer: a systematic review and meta-analysis

  • By

  • Bandar Alhubaishy

  • Ibrahim Beshawri

  • Inam Abulreish

  • Omar Alnajar

  • Hamad Radhi

  • Abduljawad Saleh

  • Saher Alwafi

  • Abdulghafour Halawani

  • July 9, 2026

  • 0 min

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  • 1

    Intravesical gemcitabine and docetaxel (GEM/DOCE) is evaluated for efficacy and safety in treating high-risk non-muscle-invasive bladder cancer (NMIBC).

  • 2

    The systematic review included nine studies with 883 patients, showing a 12-month pooled recurrence-free survival of 73.75%.

  • 3

    BCG-naïve patients had significantly better 12-month recurrence-free survival rates compared to BCG-failure patients (82.50% vs. 60.00%).

  • 4

    GEM/DOCE demonstrated high progression-free survival (95.57%) and overall survival (97.32%) at 12 months, with manageable adverse events.

  • 5

    The study highlights the need for further prospective research to optimize treatment protocols for GEM/DOCE in NMIBC.

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