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Brief Title: Methotrexate, Vinblastine, Doxorubicin and Cisplatin (MVAC) Followed by Gemcitabine Plus Cisplatin (GEM+CDDP) in Locally Advanced or Metastatic Bladder Cancer
Official Title: Sequential High Dose MVAC (Methotrexate, Vinblastine, Doxorubicin and Cisplatin), Followed by Gemcitabine Plus Cisplatin in Treating Patients With Locally Advanced or Metastatic Bladder Cancer
Study ID: NCT00635726
Brief Summary: This phase II trial will study the effectiveness and toxicity of sequential high dose MVAC followed by gemcitabine and cisplatin, as first line treatment in patients with locally advanced or metastatic bladder cancer.
Detailed Description: High dose MVAC and Cisplatin/Gemcitabine combination regimens have shown comparable efficacy in the first line treatment of advanced or metastatic bladder cancer, whereas the latter regimen has better tolerability. The efficacy and tolerability of the sequential administration of these two regimens is not known.
Minimum Age: 18 Years
Eligible Ages: ADULT, OLDER_ADULT
Sex: ALL
Healthy Volunteers: No
University General Hospital of Alexandroupolis, Dept. of Medical Oncology, Alexandroupolis, , Greece
401 Military Hospital, Medical Oncology Unit, Athens, , Greece
Air Forces Military Hospital, Dept. of Medical Oncology, Athens, , Greece
IASO General Hospital of Athens, 1st Dept. of Medical Oncology, Athens, , Greece
Laikon General Hospital, Medical Oncology Unit, Propedeutic Dept. of Internal Medicine, Athens, , Greece
Metaxa's Anticancer Hospital of Piraeus, 1st Dept. of Medical Oncology, Piraeus, , Greece
Theagenion Anticancer Hospital of Thessaloniki, Thessaloniki, , Greece
Name: Nikos Androulakis, MD
Affiliation: University Hospital of Crete, Dept. of Medical Oncology
Role: PRINCIPAL_INVESTIGATOR