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Table 2 Randomized phase III trials investigating first-line chemotherapy regimens in metastatic bladder TCC

From: Chemotherapy in advanced bladder cancer: current status and future

Authors

Journal or meeting

Year

Treatments

No

Results

Toxicity

Logothetis [13]

JCO

1990

MVAC vs. CISCA

120

Sup: ORR = 65 vs. 46%, p < 0.05, and OS = 62.6 vs. 48.3 weeks

Sup

Loehrer [14]

JCO

1992

MVAC vs. Cisplatin

146

Sup: ORR = 39 vs. 12%, p < 0.0001; PFS = 10 vs. 4.3 months, and OS = 12.5 vs. 8.2 months

Sup

Von der Maase [18, 19]

JCO

2000

MVAC vs. GC

405

Equivalents

more neutropenic sepsis (12% vs. 1%; P < 0.001) and more grade 3-4 mucositis (22% vs. 1%; P = 0.001) on the MVAC arm

Sternberg [15, 16]

JCO

2001

HD-MVAC vs. MVAC

259

Equivalents

less neutropenic fever (10% vs. 26%; P < 0.001) and mucositis on the HD-MVAC arm

Bamias [26]

JCO

2004

MVAC vs. DC

120

Sup

 

Dreicer [31]

Cancer

2004

MVAC vs. PCa

85

Interrupted early

Sup

Bellmunt [48]

ASCO

2007

PCG vs. GC

627

Equivalents

Sup

De Santis [37]

ASCO

2010

GCa vs. MCAVI

238

Equivalents

Inf

Bamias [20]

ASCO

2011

DD-GC vs. HD-MVAC

175

Equivalents

Inf

  1. Abbreviations. JCO: Journal of Clinical Oncology; MVAC: methotrexate-vinblastine-doxorubicin-cisplatin; CISCA: cisplatin-cyclophosphamide-doxorubicin; DC: docetaxel plus cisplatin; PCG: paclitaxel-cisplatin-gemcitabin; PCa: paclitaxel plus carboplatin; MCAVI: methotrexate-carboplatin-vinblastine; HD: high dose; DD: dose dense; ORR: objective response rate; OS: overall survival; PFS: progression free survival. Sup = superior; Inf = inferior.