Bacillus Calmette-Guerin (BCG)

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General information

Class/mechanism: Live mycobacteria which promote a local acute inflammatory and sub-acute granulomatous reaction with macrophage and leukocyte infiltration in the urothelium and lamina propria of the urinary bladder. This results in a likely T-lymphocyte dependent anti-tumor effect.[1][2]
Route: Intravesicular
Extravasation: n/a

For conciseness and simplicity, currently will focus on treatment regimens and not list information such as: renal/hepatic dose adjustments, metabolism (including CYP450), excretion, monitoring parameters (although this will be considered for checklists), or manufacturer. Instead, for the most current information, please refer to your preferred pharmacopeias such as Micromedex, Lexicomp, Medscape, UpToDate (courtesy of Lexicomp), or the prescribing information.[1]

Diseases for which it is used

Patient drug information

Also known as

  • Generic name: Bacille Calmette–Guérin
  • Brand names: TheraCys, TICE BCG


  1. 1.0 1.1 1.2 Bacillus Calmette-Guerin (BCG) package insert
  2. Bacillus Calmette-Guerin (BCG) package insert (locally hosted backup)
  3. Bacillus Calmette-Guerin (BCG) patient information (Chemocare)
  4. Patient information about bladder cancer treatment, including BCG (UpToDate)