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Adjuvant chemotherapy in upper tract urothelial carcinoma (the POUT trial): a phase 3, open-label, randomised controlled trial

Alison Birtle, Mark Johnson, John Chester, Robert Jones, David Dolling, Richard T Bryan, Christopher Harris, Andrew Winterbottom, Anthony Blacker, James W F Catto, Prabir Chakraborti, Jenny L Donovan, Paul Anthony Elliott, Ann French, Satinder Jagdev, Benjamin Jenkins, Francis Xavier Keeley, Roger Kockelbergh, Thomas Powles, John Wagstaff, Caroline Wilson, Rachel Todd, Rebecca Lewis, Emma Hall

The Lancet, Volume: 395, Issue: 10232, Pages: 1268 - 1277

Swansea University Author: John Wagstaff

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Abstract

This paper reports the results of an open label phase III trial of Chemotherapy with platinum based chemotherapy versus observation in patients who had undergone nephrectomy for a transitional carcinoma of the upper urinary tract. Patients received four cycles of cisplatin/carboplatin at three weekl...

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Published in: The Lancet
ISSN: 0140-6736
Published: Elsevier BV 2020
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URI: https://cronfa.swan.ac.uk/Record/cronfa53807
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spelling 2020-09-05T15:12:05.2974756 v2 53807 2020-03-10 Adjuvant chemotherapy in upper tract urothelial carcinoma (the POUT trial): a phase 3, open-label, randomised controlled trial fdab5e9e2fe06c93d3ffa19c816bdcf6 John Wagstaff John Wagstaff true false 2020-03-10 SGMED This paper reports the results of an open label phase III trial of Chemotherapy with platinum based chemotherapy versus observation in patients who had undergone nephrectomy for a transitional carcinoma of the upper urinary tract. Patients received four cycles of cisplatin/carboplatin at three weekly intervals. 261 patients were randomised from 71 centres across the United Kingdom. At a median follow-up of 30.3 months chemotherapy significantly improved disease-free survival (hazard ratio 0·45, 95% CI 0·30–0·68; p=0·0001). Three year event free estimates were 71 and 46% for chemotherapy and observation respectively. 55 (43%) of patients given chemotherapy had grade 3 adverse events whilst 5 of 129 (4%) subjected to observation had grade 3 adverse events. Platinum based chemotherapy given within 90 days of nephrouretectomy significantly improved disease-free survival and should be offered to patients as a standard of care. Journal Article The Lancet 395 10232 1268 1277 Elsevier BV 0140-6736 1 4 2020 2020-04-01 10.1016/s0140-6736(20)30415-3 COLLEGE NANME Medical School - School COLLEGE CODE SGMED Swansea University 2020-09-05T15:12:05.2974756 2020-03-10T17:08:30.3374077 Alison Birtle 1 Mark Johnson 2 John Chester 3 Robert Jones 4 David Dolling 5 Richard T Bryan 6 Christopher Harris 7 Andrew Winterbottom 8 Anthony Blacker 9 James W F Catto 10 Prabir Chakraborti 11 Jenny L Donovan 12 Paul Anthony Elliott 13 Ann French 14 Satinder Jagdev 15 Benjamin Jenkins 16 Francis Xavier Keeley 17 Roger Kockelbergh 18 Thomas Powles 19 John Wagstaff 20 Caroline Wilson 21 Rachel Todd 22 Rebecca Lewis 23 Emma Hall 24 53807__16887__ffd8161242bd482e9fc27bbb7dd69583.pdf 53807.pdf 2020-03-23T10:21:18.6082428 Output 608607 application/pdf Version of Record true Released under the terms of a Creative Commons Attribution NonCommercial NoDerivs License (CC-BY-NC-ND). true eng http://creativecommons.org/licenses/by-nc-nd/4.0/
title Adjuvant chemotherapy in upper tract urothelial carcinoma (the POUT trial): a phase 3, open-label, randomised controlled trial
spellingShingle Adjuvant chemotherapy in upper tract urothelial carcinoma (the POUT trial): a phase 3, open-label, randomised controlled trial
John Wagstaff
title_short Adjuvant chemotherapy in upper tract urothelial carcinoma (the POUT trial): a phase 3, open-label, randomised controlled trial
title_full Adjuvant chemotherapy in upper tract urothelial carcinoma (the POUT trial): a phase 3, open-label, randomised controlled trial
title_fullStr Adjuvant chemotherapy in upper tract urothelial carcinoma (the POUT trial): a phase 3, open-label, randomised controlled trial
title_full_unstemmed Adjuvant chemotherapy in upper tract urothelial carcinoma (the POUT trial): a phase 3, open-label, randomised controlled trial
title_sort Adjuvant chemotherapy in upper tract urothelial carcinoma (the POUT trial): a phase 3, open-label, randomised controlled trial
author_id_str_mv fdab5e9e2fe06c93d3ffa19c816bdcf6
author_id_fullname_str_mv fdab5e9e2fe06c93d3ffa19c816bdcf6_***_John Wagstaff
author John Wagstaff
author2 Alison Birtle
Mark Johnson
John Chester
Robert Jones
David Dolling
Richard T Bryan
Christopher Harris
Andrew Winterbottom
Anthony Blacker
James W F Catto
Prabir Chakraborti
Jenny L Donovan
Paul Anthony Elliott
Ann French
Satinder Jagdev
Benjamin Jenkins
Francis Xavier Keeley
Roger Kockelbergh
Thomas Powles
John Wagstaff
Caroline Wilson
Rachel Todd
Rebecca Lewis
Emma Hall
format Journal article
container_title The Lancet
container_volume 395
container_issue 10232
container_start_page 1268
publishDate 2020
institution Swansea University
issn 0140-6736
doi_str_mv 10.1016/s0140-6736(20)30415-3
publisher Elsevier BV
document_store_str 1
active_str 0
description This paper reports the results of an open label phase III trial of Chemotherapy with platinum based chemotherapy versus observation in patients who had undergone nephrectomy for a transitional carcinoma of the upper urinary tract. Patients received four cycles of cisplatin/carboplatin at three weekly intervals. 261 patients were randomised from 71 centres across the United Kingdom. At a median follow-up of 30.3 months chemotherapy significantly improved disease-free survival (hazard ratio 0·45, 95% CI 0·30–0·68; p=0·0001). Three year event free estimates were 71 and 46% for chemotherapy and observation respectively. 55 (43%) of patients given chemotherapy had grade 3 adverse events whilst 5 of 129 (4%) subjected to observation had grade 3 adverse events. Platinum based chemotherapy given within 90 days of nephrouretectomy significantly improved disease-free survival and should be offered to patients as a standard of care.
published_date 2020-04-01T04:06:57Z
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