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2

nd

line Chemotherapy

2

nd

line chemotherapy agents

ORR

mPFS

mOS

Paclitaxel (phase II, n = 45)

9%

3.1 m

6.8 m

Docetaxel (phase II, n = 72)

11%

1.6 m

7.0 m

Pemetrexed (phase II, n=47)

28%

2.9 m

9.6 m

Vinflunine (phase III, n = 253)

9%

3.0 m

6.9 m

Joly F, et al. Clin Genitourin Cancer. 2009 Aug;7(2):E28-33. Choueiri TK, et al. J Clin Oncol. 2012 Feb 10;30(5):507-

12. Sweeney CJ et al. J Clin Oncol. 2006 Jul 20;24(21):3451-7.

FDA-approved treatments for 2

nd

line metastatic bladder

cancer: none!

(until 2017)