Table 170Multi-agent second-line trials in advanced bladder cancer

TrialRegimenNProgression-free survival (months)Median overall survival (months)Overall response rateComplete response rateToxicity Grade 3-4
NeutropeniaThrombocytopeniaAnaemiaLeucopeniaToxic deaths
Kaufman 2000Gemcitabine, paclitaxel6NR1/6 (17%)1/6 (17%)Not reported separately for 2nd line patients
Sternberg 2001 Gemcitabine, paclitaxel1584/15 (27%)13/41 (32%)0/410/411
Kanai 2008 Gemcitabine, paclitaxel2011.56/20 (30%)1/20 (5%)6/20 (30%)1/20 (5%)3/20 (15%)0
Suyama 2009 Gemcitabine, paclitaxel3311.310/30 (33%)1/30 (3%)15/33 (45%)2/33 (6%)2/33 (6%)0
Ikeda 2011 Gemcitabine, paclitaxel246.112.410/24 (42%)2/24 (8%)16/24 (67%)7/24 (29%)0
Takahashi 2006 Gemcitabine, paclitaxel1412.1 (all ps)2/14 (14%)0/14Not reported separately for 2nd line patients
Fechner 2006 Short-term Gem, paclitaxel3011137/14 (50%)7/14 (50%)0/14 (0%)3/14 (21%)5/14 (36%)
Prolonged Gem, paclitaxel695/13 (39%)1/13 (8%)2/13 (15%)3/13 (23%)3/13 (23%)
Albers 2011 Short-term Gem, paclitaxel484.07.815/40 (38%)5/40 (13%)3/40 (8%)0
Prolonged Gem, paclitaxel483.18.017/41 (42%)6/41 (15%)11/41 (27%)2
Kuono 2007Carboplatin, paclitaxel313.77.910/31 (32%)2/31 (6%)18/31 (58%)0/3111/31 (35%)1 (PS 3)
Vaishampayan 2005 Carboplatin, paclitaxel44467/44 (16%)1/44 (2%)23/44 (52%)4/44 (9%)7/44 (16%)16/44 (36%)0
Soga 2007 Carboplatin, paclitaxel184116/18 (33%)0/189/18 (50%)3/18 (22%)5/18 (28%)
Halim 2013 Methotrexate, paclitaxel, epirubicin, carboplatin381212.515/38 (39.5%)1/38 (3%)12 (30%)1 (2.5%)2 (5%)
Han 2008 MVAC305.310.99/30 (30%)2/30 (7%)19/30 (63%)9/30 (30%)5/30 (17%)0
Gondo 2011 Gemcitabine, Cisplatin3310.513/33 (39%)2/33 (6%)22/33 (67%)10/33 (30%)14/33 (42%)15/33 (45%)0
Tu 1995 Paclitaxel, methotrexate, cisplatin25NR10/25 (40%)0/259/25 (36%)8/25 (32%)
Uhm 2007 Paclitaxel, cisplatin286.210.310/28 (36%)3/28 (11%)5/110 (5%) cycles1/110 (1%)1/110 (1%)
Bellmunt 2002 Methotrexate, paclitaxel2056/20 (30%)3/20 (15%)0/201/20 (5%)0
Sweeny 1999Paclitaxel, ifosfamide1382/13 (15%)2/13 (15%)4/13 (34%)2/13 (15%)1/13 (8%)
Krege 2001 Docetaxel, ifosphamide2245/20 (25%)4/20 (20%)1/53 (2%)0/2011/53 (21%)
Srinivas 2009 Docetaxel, oxaliplatin1171/11 (9%)0/110
Pagliaro 2002 Cisplatin, gemcitabine, ifosfamide519.520/49 (41%)2/49 (4%)48/51 (94%) had a dose limiting hematologic toxicity1
Lin 2007 Gemcitabine, ifosfamide233.54.85/23 (22%)1/23 (4%)8/23 (35%)5/23 (22%)10/23 (43%)
Pectasides 2001 Gemcitabine, ifosfamide34497/34 (21%)1/34 (3%)9/34 (27%)4/34 (12%)6/34 (18%)0
Dreicer 2003 Gemcitabine, Docetaxel297.75/27 (17%)1/27 (4%)4/29 (14%)8/29 (28%)
Tsuruta 2011 Gemcitabine, Carboplatin, Docetaxel265.012.69/16 (56%)1/16 (6%)28/35 (80%)18/35 (51%)15/35 (43%)0

From: 5, Managing locally advanced or metastatic bladder cancer

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Bladder Cancer: Diagnosis and Management.
NICE Guideline, No. 2.
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