PERI-OPERATIVE CHEMOTHERAPY IN MUSCLE INVASIVE BLADDER CANCER: OVERVIEW AND A RATIONALE FOR THE NEED TO SEEK ALTERNATIVE TREATMENT: MAGNOLIA CLINICAL TRIAL

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Abstract

The paper gives an overview of peri-operative chemotherapy in patients with muscle-invasive bladder cancer (MIBC) as insufficient option, demonstrates a clinical need for the development of more efficacious and safe treatment and introduces a MAGNOLIA study proposed by the European Association of Urology Research Fund in a concept of MIBC immunotherapy. The MAGNOLIA trial conducted in 56 research centers of 10 countries assesses whether adjuvant immunotherapy with recMAGE-A3+AS15 vaccine is safe and effective and improves outcome of patients with MAGE-A3 positive MIBC after cystectomy. 60 of 273 patients have been enrolled. The trial has to be continued to elaborate a general peri-operative treatment strategy for MIBC.

About the authors

I. A. Korneyev

Acad. I.P. Pavlov First Saint Petersburg State Medical University, Ministry of Health of the Russian Federation

Author for correspondence.
Email: iakorneyev@yandex.ru
Russian Federation

I. A. Aboyan

Zdorovye (Health) Clinical Diagnostic Center, Nizhny Novgorod

Email: iakorneyev@yandex.ru
Russian Federation

B. Ya. Alekseev

P.A. Herzen Moscow Oncology Research Institute, Moscow

Email: iakorneyev@yandex.ru
Russian Federation

O. I. Apolikhin

Research Institute of Urology, Ministry of Health of the Russian Federation, Moscow

Email: iakorneyev@yandex.ru
Russian Federation

B. K. Komyakov

I.I. Mechnikov North-Western State Medical University, Ministry of Health of the Russian Federation, Saint Petersburg

Email: iakorneyev@yandex.ru
Russian Federation

V. B. Matveev

N.N. Blokhin Russian Cancer Research Center, Russian Academy of Medical Sciences, Moscow

Email: iakorneyev@yandex.ru
Russian Federation

M. Colombel

Hôpital Edouard Herriot, Lyon

Email: iakorneyev@yandex.ru
France

A. Heidenreich

Universitätsklinikum der RWTH Aachen, Aachen

Email: iakorneyev@yandex.ru
Germany

L. Martínez-Piñeiro

Hospital Infanta Sofia, Madrid

Email: iakorneyev@yandex.ru
Spain

M. Babjuk

Urologická klinika FN Motol, Prague

Email: iakorneyev@yandex.ru
Czech Republic

C. Surcel

Fundeni Clinical Institute, Bucharest

Email: iakorneyev@yandex.ru
Romania

P. Yakovlev

Kiev Municipal Oncology Hospital, Kiev

Email: iakorneyev@yandex.ru
Ukraine

R. Colombo

University Vita Salute San Raffaele Hospital, Milan

Email: iakorneyev@yandex.ru
Italy

P. Radziszewski

Medical University Warsaw, Warsaw

Email: iakorneyev@yandex.ru
Poland

F. Witjes

UMC St. Radboud, Nijmegen

Email: iakorneyev@yandex.ru
Netherlands

P. Mulders

EAU Research Foundation, Arnhem

Email: iakorneyev@yandex.ru
Netherlands

R. Schipper

EAU Research Foundation, Arnhem

Email: iakorneyev@yandex.ru
Netherlands

W. Witjes

EAU Research Foundation, Arnhem

Email: iakorneyev@yandex.ru
Netherlands

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