Comparative Analysis of Standard and Split-Dose Cisplatin in Neoadjuvant Chemotherapy for Bladder Cancer
- Authors: Berkut MV, Semenova A.I., Semenova A.I., Novik A.V., Latiphova D.K., Teletaeva G.M., Shishaeva E.A., Nosov A.K.
- Issue: Vol 71, No 6 (2025)
- Pages: 1301-1312
- Section: ORIGINAL ARTICLES Clinical research
- URL: https://ogarev-online.ru/0507-3758/article/view/380424
- ID: 380424
Cite item
Abstract
Cisplatin-based neoadjuvant chemotherapy (NACT) prior to radical cystectomy (RC) reduces mortality from tumor progression by 33% and achieves complete pathological response (pCR) in one-third of patients. However, the comparative efficacy of different cisplatin dosing regimens remains understudied.
About the authors
M V Berkut
Email: berkutv91@gmail.com
A. I. Semenova
Email: berkutv91@gmail.com
A. I. Semenova
Email: berkutv91@gmail.com
A. V. Novik
Email: berkutv91@gmail.com
D. Kh. Latiphova
Email: berkutv91@gmail.com
G. M. Teletaeva
Email: berkutv91@gmail.com
E. A. Shishaeva
Email: berkutv91@gmail.com
A. K. Nosov
Author for correspondence.
Email: berkutv91@gmail.com
References
- Patel V.G., Oh W.K., Galsky M.D. Treatment of muscle invasive and advanced bladder cancer in 2020. CA Cancer J Clin. 2020; 70(5): 404-423.-DOI: https://doi.org/10.3322/ caac.21631.
- Stein J.P., Lieskovsky G., Cote R., et al. Radical cystectomy in the treatment of invasive bladder cancer: long-term results in 1,054 patients. J Clin Oncol. 2001; 19(3): 666-675.-DOI: https://doi.org/10.1200/JCO.2001.19.3.666.
- Lee H.W., Kwon W.A., Nguyen L.N.T., et al. Approaches to clinical complete response after neoadjuvant chemotherapy in muscle-invasive bladder cancer: Possibilities and limitations. Cancers. 2023; 15(4): 1323.-DOI: https://doi.org/10.3390/ cancers15041323.
- Witjes J.A., Bruins H.M., Carrión A., et al. European Association of Urology guidelines on muscle-invasive and metastatic bladder cancer: Summary of the 2023 guidelines. Eur Urol. 2024; 85(1): 17-31.-DOI: https:// doi.org/10.1016/j.eururo.2023.08.016.
- Карякин О.Б., Попов А.М. Неоадъювантная химиотерапия рака мочевого пузыря: за и против. Онкоурология. 2006; 2(2): 31-34.-URL: https://oncourology.abvpress.ru/oncur/ article/view/1181/1066. [Karjakin O.B., Popov A.M. Neoadjuvant chemotherapy for bladder cancer: pros and cons. Oncourology. 2006; 2(2): 31-34.-URL: https://oncourology. abvpress.ru/oncur/article/view/1181/1066 (In Rus)].
- Gakis G. Management of muscle-invasive bladder cancer in the 2020s: Challenges and perspectives. Eur Urol Focus. 2020; 6(4): 632-638.-DOI: https://doi.org/10.1016/j. euf.2020.01.007.
- Grossman H.B., Natale R.B., Tangen C.M., et al. Neoadjuvant chemotherapy plus cystectomy compared with cystectomy alone for locally advanced bladder cancer. N Engl J Med. 2003; 349(9): 859-866.-DOI: https://doi.org/10.1056/ NEJMoa022148.
- Sherif A., Holmberg L., Rintala E., et al. Neoadjuvant cisplatinum based combination chemotherapy in patients with invasive bladder cancer: A combined analysis of two nordic studies. Eur Urol. 2004; 45(3): 297-303.-DOI: https://doi. org/10.1016/j.eururo.2003.09.019.
- Трякин А.А., Бесова Н.С., Волков Н.М., et al. Практи ческие рекомендации по общим принципам проведения противоопухолевой лекарственной терапии. Злокачествен ные опухоли. 2021; 10(3S2-1): 26-39.-DOI: https://doi. org/10.18027/2224-5057-2020-10-3s2-01. [Tryakin A.A., Besova N.S., Volkov N.M., et al. Practical recommendations on the general principles of antitumor drug therapy. Malignant Tumors. 2021; 10(3S2-1): 26-39.-DOI: https:// doi.org/10.18027/2224-5057-2020-10-3s2-01 (In Rus)].
- von der Maase H., Hansen S.W., Roberts J.T., et al. Gemcitabine and cisplatin versus methotrexate, vinblastine, doxorubicin, and cisplatin in advanced or metastatic bladder cancer: results of a large, randomized, multinational, multicenter, phase III study. J Clin Oncol. 2000; 18(17): 3068-3077.-DOI: https:// doi.org/10.1200/JCO.2000.18.17.3068.
- Dash A., Pettus J.A., Herr H.W., et al. A role for neoadjuvant gemcitabine plus cisplatin in muscle-invasive urothelial carcinoma of the bladder: a retrospective experience. Cancer. 2008; 113(9): 2471-2477.-DOI: https://doi.org/10.1002/ cncr.23848.
- Sternberg C.N., de Mulder P.H., Schornagel J.H., et al. Randomized phase III trial of high-dose-intensity methotrexate, vinblastine, doxorubicin, and cisplatin (MVAC) chemotherapy and recombinant human granulocyte colony-stimulating factor versus classic MVAC in advanced urothelial tract tumors: European Organization for Research and Treatment of Cancer Protocol no. 30924. J Clin Oncol. 2001; 19(10): 2638-2646.- DOI: https://doi.org/10.1200/JCO.2001.19.10.2638.
- Osterman C.K., Babu D.S., Geynisman D.M., et al. Efficacy of split schedule versus conventional schedule neoadjuvant cisplatin-based chemotherapy for muscle-invasive bladder cancer. Oncologist. 2019; 24(5): 688-690.-DOI: https:// doi.org/10.1634/theoncologist.2018-0561.
- Brierley J., Gospodarowicz M.K., Wittekind C.H. TNM classification of malignant tumours. 8th ed. New York: John Wiley & Sons, Inc.; 2017; 272. Union for International Cancer Control.-URL: https://www.uicc.org/resources/ tnm-classification-malignant-tumours-8th-edition.
- РОО «Ассоциация онкоурологов России». Клинические реко мендации по лечению рака мочевого пузыря. Российское об щество урологов. 2024.-URL: https://oncology-association. ru/wp-content/uploads/2023/11/rak-mochevogo puzyrya_23.pdf. [NGO Association of oncourologists of Russia. Clinical guidelines for the treatment of bladder cancer. Russian Society of Urologists. 2024.-URL: https:// oncology-association.ru/wp-content/uploads/2023/11/rak mochevogo-puzyrya_23.pdf (In Rus)].
- Hanna N., Trinh Q.D., Seisen T., et al. Effectiveness of neoadjuvant chemotherapy for muscle-invasive bladder 1312 ВОПРОСЫ ОНКОЛОГИИ. 2025;71(6) doi: 10.37469/0507-3758-2025-71-6-OF-2308 cancer in the current real world setting in the USA. Eur Urol Oncol. 2018; 1(1): 83-90.-DOI: https://doi.org/10.1016/j. euo.2018.03.001.
- Scher H.I., Yagoda A., Herr H.W., et al. Neoadjuvant M-VAC (methotrexate, vinblastine, doxorubicin and cisplatin) effect on the primary bladder lesion. J Urol. 1988; 139(3): 470-474.- DOI: https://doi.org/10.1016/s0022-5347(17)42495-5.
- 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. Eur Urol. 2005; 48(2): 202-205.-DOI: https://doi. org/10.1016/j.eururo.2005.04.006.
- Meeks J.J., Bellmunt J., Bochner B.H., et al. A systematic review of neoadjuvant and adjuvant chemotherapy for muscle invasive bladder cancer. Eur Urol. 2012; 62(3): 523-533. -DOI: https://doi.org/10.1016/j.eururo.2012.05.048.
- Harik L., Paner G., Al-Ahmadie H., et al. Protocol for the examination of cystectomy specimens from patients with carcinoma of the urinary bladder. College of American Pathologists; 2023.-URL: https://documents.cap.org/ protocols/Bladder_4.2.0.0.REL_CAPCP.pdf.
- Ковылина М.В., Прилепская Е.А., Пушкарь Д.Ю. Пато морфологическая диагностика рака предстательной же лезы, рака мочевого пузыря и рака почки: методические рекомендации № 55. Москва: АБВ-пресс. 2017; 52 .-URL: https://uroweb.ru/sites/default/files/patom.pdf. [Kovylina M.V., Prilepskaya E.A., Pushkar D.Yu. Pathomorphological diagnosis of prostate cancer, bladder cancer, and kidney cancer: Methodological recommendations No. 55. Moscow: ABV-Press. 2017; 52 .-URL: https://uroweb.ru/sites/ default/files/patom.pdf (In Rus)].
- Лушников Е.Ф., Абросимов А.Ю., Двинских Н.Ю. Пато морфоз опухолей человека. Москва: СИМК. 2021; 224. [Lushnikov E.F., Abrosimov A.Yu., Dvinskikh N.Yu. Tumor pathomorphosis in humans. Moscow: SIMK. 2021; 224 (In Rus)].
- Wang H.J., Solanki S., Traboulsi S., et al. Neoadjuvant chemotherapy-related histologic changes in radical cystectomy: assessment accuracy and prediction of response. Hum Pathol. 2016; 53: 35-40.-DOI: https://doi.org/10.1016/j. humpath.2016.02.011.
- Pfister C., Gravis G., Fléchon A., et al. Randomized phase III trial of dose-dense methotrexate, vinblastine, doxorubicin, and cisplatin, or gemcitabine and cisplatin as perioperative chemotherapy for patients with muscle-invasive bladder cancer. Analysis of the GETUG/AFU V05 VESPER trial secondary endpoints: chemotherapy toxicity and pathological responses. Eur Urol. 2021; 79(2): 214-221.-DOI: https:// doi.org/10.1016/j.eururo.2020.08.024.
- Карякин О.Б., Воробьев Н.В., Заборский И.Н., et al. Неоадъювантная химиотерапия и радикальная цистэкто мия у больных раком мочевого пузыря. Онкоурология. 2022; 18(3): 92-98.-DOI: https://doi.org/10.17650/1726- 9776-2022-18-3-92-98. [Karyakin O.B., Vorobyov N.V., Zaborsky I.N., et al. Neoadjuvant chemotherapy and radical cystectomy in patients with bladder cancer. Oncourology. 2022; 18(3): 92-98.-DOI: https://doi.org/10.17650/1726- 9776-2022-18-3-92-98 (In Rus)].
Supplementary files
