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Cited by 962

The DOI matches its Crossref record; 15 of the 15 references it cites were found in a registry or an index.

Radiotherapy with or without Chemotherapy in Muscle-Invasive Bladder Cancer

Open access
James, Nicholas D., Hussain, Syed A., Hall, Emma, Jenkins, Peter, Tremlett, Jean, Rawlings, Christine, Crundwell, Malcolm, Sizer, Bruce, Sreenivasan, Thiagarajan, Hendron, Carey, Lewis, Rebecca, Waters, Rachel, Huddart, Robert A.·2012·New England Journal of Medicine

Abstract

BACKGROUND: Radiotherapy is an alternative to cystectomy in patients with muscle-invasive bladder cancer. In other disease sites, synchronous chemoradiotherapy has been associated with increased local control and improved survival, as compared with radiotherapy alone. METHODS: In this multicenter, phase 3 trial, we randomly assigned 360 patients with muscle-invasive bladder cancer to undergo radiotherapy with or without synchronous chemotherapy. The regimen consisted of fluorouracil (500 mg per square meter of body-surface area per day) during fractions 1 to 5 and 16 to 20 of radiotherapy and mitomycin C (12 mg per square meter) on day 1. Patients were also randomly assigned to undergo either whole-bladder radiotherapy or modified-volume radiotherapy (in which the volume of bladder receiving full-dose radiotherapy was reduced) in a partial 2-by-2 factorial design (results not reported here). The primary end point was survival free of locoregional disease. Secondary end points included overall survival and toxic effects. RESULTS: At 2 years, rates of locoregional disease-free survival were 67% (95% confidence interval [CI], 59 to 74) in the chemoradiotherapy group and 54% (95% CI, 46 to 62) in the radiotherapy group. With a median follow-up of 69.9 months, the hazard ratio in the chemoradiotherapy group was 0.68 (95% CI, 0.48 to 0.96; P=0.03). Five-year rates of overall survival were 48% (95% CI, 40 to 55) in the chemoradiotherapy group and 35% (95% CI, 28 to 43) in the radiotherapy group (hazard ratio, 0.82; 95% CI, 0.63 to 1.09; P=0.16). Grade 3 or 4 adverse events were slightly more common in the chemoradiotherapy group than in the radiotherapy group during treatment (36.0% vs. 27.5%, P=0.07) but not during follow-up (8.3% vs. 15.7%, P=0.07). CONCLUSIONS: Synchronous chemotherapy with fluorouracil and mitomycin C combined with radiotherapy significantly improved locoregional control of bladder cancer, as compared with radiotherapy alone, with no significant increase in adverse events. (Funded by Cancer Research U.K.; BC2001 Current Controlled Trials number, ISRCTN68324339.).

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Metadata

Authors
James, N. D., Hussain, S. A., Hall, E., Jenkins, P., Tremlett, J., Rawlings, C., Crundwell, M., Sizer, B., Sreenivasan, T., Hendron, C., Lewis, R., Waters, R., & Huddart, R. A.
Venue
New England Journal of Medicine
Published
2012-04-19
Volume
366
Issue
16
Pages
1477-1488
ISSN
  • 0028-4793 (ISSN-L)
  • 1533-4406
OpenAlex
W2164361265
Cited by
962
References
15
FWCI
59.83
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Radiotherapy with or without Chemotherapy in Muscle-Invasive Bladder Cancer. https://app.cochat.ai/papers/10.1056/nejmoa1106106
The paper
James, N. D., Hussain, S. A., Hall, E., Jenkins, P., Tremlett, J., Rawlings, C., Crundwell, M., Sizer, B., Sreenivasan, T., Hendron, C., Lewis, R., Waters, R., & Huddart, R. A. (2012). Radiotherapy with or without Chemotherapy in Muscle-Invasive Bladder Cancer. New England Journal of Medicine. https://doi.org/10.1056/nejmoa1106106

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

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