New Reference: Neoadjuvant CISplatin and Gemcitabine for Urothelial Cancer
Study
Multicenter, single-arm, phase II trial
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Localized high-grade UTUC or radiographically visible invasive disease
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Four cycles of split-dose GC (n=57)
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Efficacy
Pathologic response rate: 63% (37 of 57 pts)
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Complete response rate: 19% (11 of 57 pts)
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2-year PFS: 89% [81-98], 5-year PFS: 72% [59-87]
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2-year OS: 93% [86-100], 5-year OS: 79% [67-94]
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Safety
Grade 3 AEs: Neutropenia (33%), febrile neutropenia (7.0%), thrombocytopenia (7.0%), creatinine increased (5.3%)
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Multicenter Phase II Clinical Trial of Gemcitabine and Cisplatin as Neoadjuvant Chemotherapy for Patients With High-Grade Upper Tract Urothelial Carcinoma
Reviewed by Elvin Chalabiyev, MD on Mar 15, 2023