Metastatic bladder cancer: Advances in treatment

W. M. Stadler, T. M. Kuzel, D. Raghavan, E. Levine, N. J. Vogelzang, B. Roth, F. A. Dorr

Research output: Contribution to journalArticlepeer-review

23 Scopus citations


At present, a combination of cisplatin, methotrexate, vinblastine and doxorubicin is the most widely used chemotherapy for metastatic bladder cancer. However, long-term follow up shows that this combination may have little effect on survival. In addition, this regimen is toxic. New agents are needed which combine efficacy with good safety profiles. Agents which have been investigated include gallium nitrate, interferon-α and paclitaxel both as single agents and in combination with established cytotoxic drugs. A number of studies have been conducted in bladder cancer with the novel nucleoside analogue, gemcitabine. Response rates of up to 33% have been recorded in two phase II studies. Gemcitabine was well tolerated in both studies with few of the side-effects normally associated with cytotoxic drugs. A third study is ongoing.

Original languageEnglish
Pages (from-to)S23-S26
JournalEuropean Journal of Cancer Part A
Issue numberSUPPL. 1
StatePublished - Jan 1997


  • Bladder cancer
  • Chemotherapy
  • Clinical trials
  • Gemcitabine
  • Review


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