Product image of Oncotice (Bacillus Calmette-Guérin (Bcg), Tice) supplied by GNH India

Oncotice

Active Ingredient:
Bacillus Calmette-Guérin (Bcg), Tice
Origin:
EU

Oncotice (Bacillus Calmette-Guérin (Bcg), Tice)

Bacillus Calmette‑Guérin (BCG) Tice, the active ingredient in Oncotice, is a live bacterial vaccine presented as a sterile suspension for intravesical use. It is employed to treat non‑muscle invasive bladder cancer, including carcinoma in situ, in adult patients.

GNH India supplies Oncotice as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, oncology centres and pharmacies worldwide.

Manufacturer / TM Owner

Merck Sharp & Dohme Ges.M.B.H.

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Indications & Clinical Uses

Oncotice is used as an intravesical immunotherapy for bladder cancer, targeting the urothelial tumor environment.

  • Non‑muscle invasive bladder cancer: reduces recurrence and progression after transurethral resection.
  • Carcinoma in situ of bladder: induces tumor regression and disease control.
  • High‑risk bladder cancer: provides adjunctive immune-mediated tumor eradication.

How It Works

  • Oncotice delivers live Bacillus Calmette‑Guérin bacteria into the bladder, where they adhere to the urothelium and are internalized by antigen‑presenting cells. This triggers a robust local immune response, activating macrophages, dendritic cells, and T‑lymphocytes, and stimulating cytokine release (e.g., IFN‑γ, TNF‑α). The resulting inflammatory milieu leads to targeted destruction of malignant urothelial cells.

Side Effects

Oncotice may cause a range of adverse reactions, most of which are localized to the bladder or systemic inflammatory responses.

Common Side Effects

  • Cystitis‑like symptoms: urinary frequency, urgency, and dysuria.
  • Hematuria: visible blood in urine.
  • Low‑grade fever and chills.
  • Fatigue or malaise.
  • Mild abdominal discomfort.
  • Transient urinary retention.

Serious or Rare Side Effects

  • Systemic BCG infection or sepsis.
  • Disseminated mycobacterial disease.
  • Severe allergic reactions including anaphylaxis.
  • Bladder contracture or fibrosis.
  • Persistent high‑grade fever.
  • Renal impairment due to obstructive uropathy.

Precautions & Warnings

Prior to initiating therapy with Oncotice, several safety considerations should be observed.

  • Patient selection: ensure absence of active urinary tract infection.
  • Immunocompromised status: avoid in patients with severe immunosuppression.
  • Concurrent chemotherapy: discontinue systemic cytotoxic agents before BCG instillation.
  • Monitoring: watch for signs of systemic infection or severe local reaction.
  • Pregnancy and lactation: not recommended due to insufficient safety data.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Oncotice can interact with other therapies that affect immune function or bacterial viability.

Major Interactions (Avoid)

  • Systemic chemotherapy administered within two weeks of BCG.
  • High‑dose corticosteroids or other potent immunosuppressants.
  • Concurrent administration of other live vaccines.

Moderate Interactions (Monitor Closely)

  • Intravesical chemotherapy agents given shortly before or after BCG.
  • Antibiotics that may reduce BCG viability (e.g., fluoroquinolones).
  • Antifungal agents with activity against mycobacteria.
  • Immunomodulatory biologics used for other conditions.

Frequently Asked Questions

Oncotice is an intravesical immunotherapy indicated for the treatment of non‑muscle invasive bladder cancer, including carcinoma in situ. It is administered directly into the bladder to stimulate a local immune response that helps prevent tumor recurrence and progression after surgical resection.

The Bacillus Calmette‑Guérin (BCG) bacteria in Oncotice adhere to the bladder lining and are taken up by immune cells. This initiates a cascade of immune activation, recruiting macrophages, dendritic cells, and T‑lymphocytes, and releasing cytokines that create an inflammatory environment hostile to cancer cells, leading to their destruction.

The specific dose and treatment schedule of Oncotice are determined by the prescribing physician based on the patient’s clinical condition, disease stage, and response to therapy. Healthcare professionals follow established guidelines and adjust the regimen as needed.

Oncotice is not recommended for use during pregnancy or while breastfeeding because safety data are limited. Women of childbearing potential should use effective contraception during treatment, and the drug should be avoided in pregnant or nursing patients unless the potential benefit justifies the risk.

To order Oncotice, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India works with hospitals, pharmacies, and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details (including cold‑chain handling), and necessary import documentation.

Oncotice (BCG) is a live bacterial vaccine that provides immunologic control of bladder cancer, whereas intravesical chemotherapy agents act directly on tumor cells without stimulating immunity. BCG has a well‑established record for reducing recurrence in high‑risk non‑muscle invasive disease, but it may have a higher incidence of immune‑related side effects compared with chemotherapeutic options.

Oncotice must be stored at 2‑8 °C in a refrigerator, protected from light, and must not be frozen or shaken. The product should be kept in its original packaging to maintain stability and potency until it is prepared for intravesical administration.

Oncotice is administered intravesically, meaning the sterile suspension is directly instilled into the bladder through a catheter. The patient typically retains the solution for a prescribed dwell time, usually around two hours, under the supervision of a qualified healthcare professional.

The most serious risks include systemic BCG infection or sepsis, disseminated mycobacterial disease, severe allergic reactions such as anaphylaxis, and bladder contracture leading to reduced bladder capacity. Patients should be monitored closely for fever, chills, persistent urinary symptoms, or signs of systemic infection.

Oncotice should not be used in patients with active urinary tract infection, severe immunosuppression (e.g., HIV/AIDS with low CD4 counts, high‑dose steroids), those who have received systemic chemotherapy within two weeks of treatment, or individuals who are pregnant or breastfeeding. Contra‑indications are assessed by the prescribing clinician.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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