This subproject is one of many research subprojects utilizing theresources provided by a Center grant funded by NIH/NCRR. The subproject andinvestigator (PI) may have received primary funding from another NIH source,and thus could be represented in other CRISP entries. The institution listed isfor the Center, which is not necessarily the institution for the investigator.This is a Phase II assessment of the activity and side effects of the combination of paclitaxel and gemcitabine for the treatment of advanced bladder cancer in patients aged 70 years and older. There is an accompanying study of the pharmacology of these agents, which requires overnight hospitalization for the first dose of chemotherapy. In previous studies these drugs had a relatively gentle profile of side effects, and this combination has anti-tumor activity against bladder cancer. The schedule of delivery has been developed to suit the preferences of elderly patients for whom regular travel to the physician's office for treatment often constitutes one of the major impediments to acceptable quality of life.'
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