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Published on: October 30, 2013
Emerging therapies for urothelial cancer
César Serrano1, Rafael Morales, Cristina Suárez
1Genitourinary, Sarcoma and Central Nervous System Tumors Program, Medical Oncology Department, Vall d'Hebron University Hospital, Universitat Autonoma Barcelona, Spain. ceserran@vhebron.net
Abstract:
Urothelial carcinoma is one of the leading causes of death in Europe and the United States. Despite its chemosensitivity, median overall survival for advanced disease is still nearly 1 year. Most second-line chemotherapeutic agents tested have been disappointing. Thus, new treatment strategies are clearly needed. This review focuses on emerging therapies in urothelial carcinoma. Results from recent clinical trials, investigating the activity of new generation cytostatic agents, as well as results from studies assessing the toxicity and efficacy of novel targeted therapies, are discussed. In this setting, anti-epidermal growth factor receptor, angiogenesis, and phosphatidylinositol 3-kinase/mammalian target of rapamycin inhibitors account for the majority of phase I and II trials.
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