VESPER Trial: BaSq Subtype Linked to Poorer Outcomes in Bladder Cancer
- The VESPER trial's molecular subtyping analysis reveals the BaSq subtype (pure or mixed) is associated with decreased progression-free survival and overall survival in bladder cancer patients.
- Patients in the neoadjuvant setting who received dose-dense MVAC chemotherapy showed significantly higher three-year progression-free survival compared to those receiving gemcitabine and cisplatin.
- Extended follow-up of the VESPER trial demonstrated improved overall survival at 5 years in the dose-dense MVAC group versus the gemcitabine + cisplatin group within the neoadjuvant subgroup.
- Further research is needed to understand the biological bases for mixed tumors and to improve prognosis for BaSq subtype tumors.