Free Access
Chemotherapy 2009;55:321–326
(DOI:10.1159/000230695)

A Phase II Study of Docetaxel and Oxaliplatin for Second-Line Treatment of Urothelial Carcinoma

Srinivas S. · Harshman L.C.
Division of Oncology, Stanford University School of Medicine, Stanford, Calif., USA
email Corresponding Author


 goto top of outline Key Words

  • Metastatic urothelial cancer
  • Oxaliplatin
  • Docetaxel
  • Second-line chemotherapy
  • Transitional cell carcinoma

 goto top of outline Abstract

Background: Despite high response rates with front-line platinum-based therapies, 80% of patients with metastatic urothelial cancer progress. Multiple agents and couplets have been investigated, but no standard second-line regimen exists. We conducted a phase II study to evaluate the efficacy and safety of docetaxel and oxaliplatin in metastatic urothelial cancer patients who had received prior platinum therapy. Patients and Methods: Patients with metastatic urothelial cancer, who had disease progression after platinum therapy, were treated with docetaxel 75 mg/m2 and oxaliplatin 85 mg/m2 every 3 weeks until disease progression or intolerable toxicity. Results: Between November 2004 and September 2005, 11 patients were enrolled. All patients had low or intermediate Bajorin risk. The median number of cycles administered was 2 (range 2–8). One patient achieved near complete response. Three patients experienced disease stabilization, resulting in a disease-control rate of 36%. Median overall survival was 7 months. The most common toxicities were fatigue and anemia (50%). Conclusion: Second-line docetaxel and oxaliplatin in metastatic urothelial cancer is safe and tolerable but did not achieve an appreciable response rate.

Copyright © 2009 S. Karger AG, Basel


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 goto top of outline Author Contacts

Sandy Srinivas, MD
Department of Medical Oncology, Stanford Advanced Medicine Center
875 Blake Wilbur Drive
Stanford, CA 94305-1205 (USA)
Tel. +1 650 725 2078, Fax +1 650 736 1640, E-Mail sandysri@stanford.edu


 goto top of outline Article Information

Received: January 27, 2009
Accepted after revision: April 20, 2009
Published online: July 27, 2009
Number of Print Pages : 6
Number of Figures : 1, Number of Tables : 2, Number of References : 29


 goto top of outline Publication Details

Chemotherapy (International Journal of Experimental and Clinical Chemotherapy)

Vol. 55, No. 5, Year 2009 (Cover Date: September 2009)

Journal Editor: Sörgel F. (Nürnberg-Heroldsberg)
ISSN: 0009-3157 (Print), eISSN: 1421-9794 (Online)

For additional information: http://www.karger.com/CHE


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