Anyone had treatment with mitomycin (Zusduri)?

Posted by fighting50 @fighting50, Mar 4, 2025

Has anyone had treatment using Mitomycin? Is it similar to BCG? I have non-invasive low grade bladder cancer that hasn't responded to BCG or GemDose.

Thank you,
Fighting50

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I completed my 6 week cycle of Zusduri. I had very few side effects except for slight pain when urinating week 5 and 6. I previously had 27 gemcitabine treatments and the Zusduri instillations were way easier than they were. I am sorry to hear that you are experiencing pain with treatment. Waiting for my cystoscopy on May 7th with fingers crossed that it did the job.

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Profile picture for cynthphelps @cynthphelps

I completed my 6 week cycle of Zusduri. I had very few side effects except for slight pain when urinating week 5 and 6. I previously had 27 gemcitabine treatments and the Zusduri instillations were way easier than they were. I am sorry to hear that you are experiencing pain with treatment. Waiting for my cystoscopy on May 7th with fingers crossed that it did the job.

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@cynthphelps I guess this just shows how different these treatments are far different folks. I had very little side effects with bcg and none with gemcitabine. Glad you had a good experience with Zusduri and wishing nothing but the best on your cystoscopy.

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Thank you! I hope you have a successful treatment too.

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Profile picture for cynthphelps @cynthphelps

I completed my 6 week cycle of Zusduri. I had very few side effects except for slight pain when urinating week 5 and 6. I previously had 27 gemcitabine treatments and the Zusduri instillations were way easier than they were. I am sorry to hear that you are experiencing pain with treatment. Waiting for my cystoscopy on May 7th with fingers crossed that it did the job.

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@cynthphelps How did your cysto go? My husband is to start on it July 31. Hes had BCG, Gem Doc, a trial drug and now this. I haven’t shown him the comments anout the pain folks are describing. Hop e the results are worth it and hope you had a good report.

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Profile picture for ljashton @ljashton

@cynthphelps How did your cysto go? My husband is to start on it July 31. Hes had BCG, Gem Doc, a trial drug and now this. I haven’t shown him the comments anout the pain folks are describing. Hop e the results are worth it and hope you had a good report.

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@ljashton My 3 month cysto was clear, have another end of September. So, side effects were not pleasant to say the least, but if it works, was worth it. Best to your husband.

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Profile picture for orthobone35 @orthobone35

@ljashton My 3 month cysto was clear, have another end of September. So, side effects were not pleasant to say the least, but if it works, was worth it. Best to your husband.

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@orthobone35
Thank you and happy for you. That is encouraging.

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Profile picture for Sue, Volunteer Mentor @sepdvm

Hello @fighting50 and welcome to Mayo Connect. No experience with Mitomycin here, as it was not yet approved for bladder cancer when my husband's urologist wanted to try it. The doctor was eager to use it and see positive results, but my husband's cancer was highly aggressive and initially muscle invasive, though the later recurrences were not. It looks like it has good percentages of success in intermediate to low grade BC. I understand that it is similar to BCG in side effects. Good luck with it and I hope you get some feedback here from others who have experience with it.

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@sepdvm
Are there any comments regarding Mitomycin for June or July? It’s such a new drug- would like to get more descriptions of side effects. Thank you.

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Profile picture for ljashton @ljashton

@sepdvm
Are there any comments regarding Mitomycin for June or July? It’s such a new drug- would like to get more descriptions of side effects. Thank you.

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@ljashton the most recent comment I see is by @cynthphelps above and it was April5. This new gel form does not seem to be widely commented on here on Connect.

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Profile picture for ljashton @ljashton

@cynthphelps How did your cysto go? My husband is to start on it July 31. Hes had BCG, Gem Doc, a trial drug and now this. I haven’t shown him the comments anout the pain folks are describing. Hop e the results are worth it and hope you had a good report.

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@ljashton My cystoscopy was clear! SO grateful and happy. I have another one next week and am hoping it is the same. Test anxiety is real, but I am feeling very positive.

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Amazing news. I hope you are celebrating. 🙌 Test anxiety is real and it’s so hard to stay positive.

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