S., Arai T., Hara Y., Matsui K., Koido H., Hashimoto Y., Shinoda M., Komiyama H., Fujimoto H., Terakado Supplementary Material for: Tolerability and Efficacy of Neoadjuvant Chemotherapy with a Tri-Weekly Interval Methotrexate, Doxorubicin, Vinblastine, and Cisplatin Regimen for Patients with Locally Advanced Bladder Cancer <b><i>Objective:</i></b> Compared with standard treatment, a modified tri-weekly MVAC (methotrexate, doxorubicin, vinblastine, and cisplatin) treatment regimen with a high cisplatin dose intensity shows good efficacy and lower toxicity. Thus, we retrospectively investigated the tolerability and efficacy of a modified tri-weekly MVAC neoadjuvant regimen. <b><i>Methods:</i></b> We analyzed 25 patients with locally advanced bladder cancer medicated by a modified tri-weekly MVAC neoadjuvant regimen that omits treatment on days 15 and 22. The efficacy and tolerability were assessed retrospectively. <b><i>Results:</i></b> The numbers of patients in clinical stages 2, 3, and 4 were 13 (52.0%), 1 (4.0%), and 11 (44.0%), respectively. Surgery could be performed on all patients. Five patients (20.0%) had no cancer remaining in their surgical specimens. Remaining non-muscle-invasive cancer without metastasis was observed in 7 patients (28.0%), and the total downstaging rate was 44.0%. The 5-year overall and relapse-free survival rates were 79.0 and 75.0%, respectively. The overall relative dose intensity was 0.90. Serious hematologic toxicities rated grade 3 or greater were leukopenia in 6 patients (24.0%) and anemia in 1 patient (4.0%). <b><i>Conclusions:</i></b> Sufficient efficacy and tolerability of a modified tri-weekly MVAC neoadjuvant regimen were suggested. Thus, tri-weekly modified MVAC may be an option for neoadjuvant chemotherapy of advanced bladder cancer. Neoadjuvant chemotherapy;Modified MVAC;Muscle-invasive bladder cancer 2018-07-05
    https://karger.figshare.com/articles/dataset/Supplementary_Material_for_Tolerability_and_Efficacy_of_Neoadjuvant_Chemotherapy_with_a_Tri-Weekly_Interval_Methotrexate_Doxorubicin_Vinblastine_and_Cisplatin_Regimen_for_Patients_with_Locally_Advanced_Bladder_Cancer/6743267
10.6084/m9.figshare.6743267.v1