Muscle-Invasive Bladder Cancer: Difference between revisions

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*** Randomized to neoadjuvant CMV vs. cystectomy alone
*** Randomized to neoadjuvant CMV vs. cystectomy alone
*** [https://pubmed.ncbi.nlm.nih.gov/21502557/ International Collaboration of Trialists.] "International phase III trial assessing neoadjuvant cisplatin, methotrexate, and vinblastine chemotherapy for muscle-invasive bladder cancer: long-term results of the BA06 30894 trial." Journal of Clinical Oncology 29.16 (2011): 2171.
*** [https://pubmed.ncbi.nlm.nih.gov/21502557/ International Collaboration of Trialists.] "International phase III trial assessing neoadjuvant cisplatin, methotrexate, and vinblastine chemotherapy for muscle-invasive bladder cancer: long-term results of the BA06 30894 trial." Journal of Clinical Oncology 29.16 (2011): 2171.
* '''2005 meta-analysis''' combining individual patient data from 9 trials (these 2 trials with 9 phase II trials) involving 3005 patients comparing neoadjuvant chemotherapy plus local treatment with the same local treatment alone found that '''neoadjuvant chemotherapy was associated with improved:'''
* '''2005 meta-analysis''' combining individual patient data from 9 trials (these 2 trials with 9 phase II trials) involving 3005 patients comparing neoadjuvant chemotherapy plus local treatment with the same local treatment alone found that '''<span style="color:#ff0000">neoadjuvant chemotherapy was associated with improved:</span>'''
** '''5-year OS: absolute benefit 5%'''
** '''<span style="color:#ff0000">5-year OS: absolute benefit 5%</span>'''
** '''5-year DFS: absolute benefit 9%'''
** '''<span style="color:#ff0000">5-year DFS: absolute benefit 9%</span>'''
** '''Pathologic complete response (pT0) rate of 30-40% compared to 15% (SWOG trial results) without NAC'''
** '''Pathologic complete response (pT0) rate of 30-40% compared to 15% (SWOG trial results) without NAC'''
** Advanced Bladder Cancer (ABC) Meta-analysis Collaboration. “Neoadjuvant chemotherapy in invasive bladder cancer: update of a systematic review and meta-analysis of individual patient data advanced bladder cancer (ABC) meta-analysis collaboration.” Eur Urol. 2005 Aug;48(2):202-5; discussion 205-6. Epub 2005 Apr 21.
** Advanced Bladder Cancer (ABC) Meta-analysis Collaboration. “Neoadjuvant chemotherapy in invasive bladder cancer: update of a systematic review and meta-analysis of individual patient data advanced bladder cancer (ABC) meta-analysis collaboration.” Eur Urol. 2005 Aug;48(2):202-5; discussion 205-6. Epub 2005 Apr 21.