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Table 5 Phases I/II trials evaluated the triplets and sequential regimens

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

Authors

Treatments

Trial phase

No

Efficacy

Toxicity

Bellmunt et al [47]

CPG

I/II

58

ORR = 77.6%; CR = 27.6%; PR = 50%; OS = 24 months.

Hematological+++ (Grade 3/4 neutropenia and thrombocytopenia in 55% and 22%, respectively)

Bajorin et al [49]

ITP

II

44

CR = 23%.; PR = 45%.; OS = 20 months.

Well tolerated

Hussain et al [50]

CaPG

II

49

CR = 32%; PR = 36%; OS = 14.7 months; 1 years survival = 59%

Hematological+++

Hainsworth et al [51]

CaPG

II

60 (7% in 2nd line)

ORR = 43%; CR = 12%; OS = 11 months;

Hematological+++ (10% of febril neutropenia)

One toxic death

Edelman et al [52]

M-CaP (GCSF)

I/II

33

ORR = 56%; OS = 15.5 months.

Hematological and neuropathy

Tu et al [53]

M-CP

II

25 (2nd line)

PR = 40%; CR = 0%

Acceptable

Law et al [54]

M-GP

II

20

ORR = 45% (CR = 6; PR = 3); OS = 18 months; PFS = 6.3 months

Neutropenia+++ (1 toxic death)

Pectasides et al [55]

EDC

II

30

ORR = 66.7% (CR = 30%; PR = 36.7%); OS = 14.5 months.

Hematological (4 episodes of febril neutropenia)

Milowsky MI et al [56]

AG → ITP with GCSF

II

60

ORR = 73% (CR = 35% and PR = 38%); PFS = 12.1 months; OS = 16.4 months

Myelosupression (grade 3-4): 68%

Febril neutropenia (25%)

Galsky MD et al [57]

AG → ITCa with GCSF

I/II

21

ORR = 56% (CR = 5; RP = 9)

Myelosupression (grade 3-4): 28%

Febril neutropenia: 8%

  1. Abbreviations. ITP: ifosfamide-paclitaxel-cisplatin; CPG: cisplatin-paclitaxel-gemcitabine; CaPG: carboplatin-paclitaxel-gemcitabine; M-CaP: methotrexate-carboplatin-paclitaxel; M-CP: methotexate-cisplatin-paclitaxel; M-GP: methotrexate-gemcitabine-paclitaxel; EDC: epirubicin-docetaxel-cisplatin; AG: doxorubicin-cisplatin; ITCa: ifosfamide-paclitaxel-carboplatin; CR: complete response; PR: partial response; ORR: objective response rate; OS: overall survival; PFS: progression free survival.