Finally, the bladder preservation for patients with complete clinical response after NAC is not recommended currently, but the pathologic downstaging (pT1 N0M0) and the rate of pathologic complete response (pT0) may be significant prognostic factors in NAC response.
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Design of a randomized controlled phase III study of dose dense methotrexate, vinblastine, doxorubicin and cisplatin (dd-MVAC) or gemcitabine and cisplatin (GC) as peri-operative chemotherapy for patients with locally advanced transitional cell cancer of the bladder. The French GETUG/AFU V05 VESPER trial.
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