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Indirect comparison of gem/cis and gem/carbo in



       1    st    line metastatic UC (data from KN361)














                       Median OS for gem/cis or gem/carbo (all chemo)                                            Response rates for carboplatin and cisplatin based
                                             vs gem/carbo                                                                                   therapy
            16
                                                                                                        60
            14
                                                                                                        50
           Months   10                                                                                  40
            12
                                                                                                 %


             8

             6                                                                                          30
                                                                                                        20
             4

             2                                                                                          10

             0                                                                                           0
                          all chemo (N=352)                     carbo (N=196)                                                 CR                                    PR

                                                                                                                                 cisplatin (n=156)  carboplatin (n=196)




         Renal impairment and poor performance status were the commonest response for gem/carbo selection (Galsky criteria).
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