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Table 2 Comparison of several factors for patients who were divided by the response to first-line GP chemotherapy

From: Predicting the response of patients with advanced urothelial cancer to methotrexate, vinblastine, Adriamycin, and cisplatin (MVAC) after the failure of gemcitabine and platinum (GP)

 

Good (n = 30)

Poor (n = 15)

P

Age, median (year, range)

64.0 (58.5–73.0)

66.0 (64.0–71.0)

0.289

Type of platinum compound used as the first-line

  

0.695

 Cisplatin

23 (76.7 %)

13 (86.7 %)

 

 Carboplatin

7 (23.3 %)

2 (13.3 %)

 

Response to the first-line GP chemotherapy

  

-

 CR

11 (36.7 %)

-

 

 PR

19 (63.3 %)

-

 

 SD

-

5 (33.3 %)

 

 PD

-

10 (66.6 %)

 

TTP of the first-line GP chemotherapy, median (months, range)

11.6 (7.8–14.2)

3.13 (2.2–5.0)

<0.001

Cycles of the first-line GP chemotherapy, median (range)

6.0 (6.0–7.3)

4.0 (3.0–4.0)

<0.001

TFI between GP and MVAC, median (months, range)

2.5 (0.7–9.9)

1.7 (0.6–3.4)

0.202

Primary tumor site

  

>0.999

 Bladder

20 (66.7 %)

10 (66.7 %)

 

 Ureter or renal pelvic

4 (13.3 %)

2 (13.3 %)

 

 Ureter or renal pelvic with bladder

6 (20.0 %)

3 (20.0 %)

 

Clinical N stage

  

0.453

 N0

4 (13.3 %)

2 (13.3 %)

 

 N1

5 (16.7 %)

3 (20.0 %)

 

 N2

11 (36.7 %)

8 (53.3 %)

 

 N3

10 (33.3 %)

2 (13.3 %)

 

Distant metastatic site at the time of MVAC administration

 Lung

15 (50.0 %)

6 (40.0 %)

0.752

 Bone

10 (33.3 %)

6 (40.0 %)

0.746

 Liver

8 (26.7 %)

1 (6.7 %)

0.234

 Others

4 (13.3 %)

- (0.0 %)

0.285

Hemoglobin (g/dL, range)

11.3 (10.5–11.9)

11.0 (9.8–11.3)

0.032

Absolute neutrophil count (/dL, range)

3751.5 (2733.0–5337.0)

3524.0 (2415.0–5252.0)

0.596

Platelet count, 103(/dL, range)

219.5 (184.8–291.5)

216.0 (169.0–311.0)

0.952

eGFR (ml/min, range)

62.6 (52.6–75.3)

71.5 (47.0–84.7)

0.739

Serum bilirubin (mg/dL, range)

0.4 (0.3–0.6)

0.3 (0.3–0.4)

0.047

Serum albumin (g/dL, range)

4.0 (3.8–4.4)

3.8 (3.5–4.2)

0.159

ECOG performance status (PS)

  

0.275

 PS 0

12 (40.0 %)

8 (53.3 %)

 

 PS 1

16 (53.3 %)

7 (46.7 %)

 

 PS 2

2 (6.7 %)

- (0.0 %)

 
  1. GP gemcitabine platinum, CR complete response, PR partial response, SD stable disease, PD progression disease, TTP time to progression, TFI treatment free interval, MVAC methotrexate vinblastine Adriamycin cisplatin, eGFR estimated glomerular filtration rate, ECOG Easton Cooperative Oncologic Group, Boldface significant 2-tailed