Why some bladder cancers don't respond to BCG treatment

Multi-scale analysis of Bacillus Calmette-Guérin (BCG) resistant tumor micro-environment in non-muscle invasive bladder cancer to identify novel therapeutic axis

NIH-funded research Icahn School of Medicine at Mount Sinai · NIH-11322536

This project will use detailed tissue and genetic tests to look for what makes some non-muscle invasive bladder cancers resist BCG so better treatments can be found for people who don't respond.

Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionIcahn School of Medicine at Mount Sinai NIH-funded
Lab location1 site (New York, United States)
Project IDNIH-11322536 on NIH RePORTER

What this research studies

Researchers will collect tumor tissue from people with non-muscle invasive bladder cancer before and after BCG treatment from patients who respond and those who do not. They will apply single-cell and spatial sequencing methods, including ATAC-seq, to map cell types, gene activity, and where cells sit in the tumor microenvironment. By building a comprehensive molecular atlas and comparing pre- and post-BCG samples, the team aims to identify the cellular signals and pathways linked to BCG resistance. Those molecular findings will be used to suggest new therapeutic targets or tests to predict who may not benefit from BCG.

Who could benefit from this research

Good fit: Ideal candidates are people with non-muscle invasive bladder cancer who have received or will receive intravesical BCG and can provide tumor tissue samples before and after treatment.

Not a fit: Patients without available tumor tissue, those with muscle-invasive bladder cancer, or those who have never been treated with BCG are unlikely to directly benefit from participation.

Why it matters

Potential benefit: If successful, this work could reveal biomarkers or drug targets that help predict or overcome BCG resistance, leading to more effective options for NMIBC patients.

How similar studies have performed: Previous single-cell and spatial studies in bladder cancer have shown promise but were small and often focused on later-stage tumors, so a comprehensive pre/post-BCG atlas is relatively novel.

Where this research is happening

New York, United States

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Conditions Bladder Cancer
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.