| Inclusion Criteria: | Histologic demonstration of metastatic or locally unresectable transitional cell carcinoma of the urothelium, variant histology ok if<50%.
Measurable or evaluable disease:3 dimensional mass or pelvic sidewall fixation, liver & lung lesions at least 1 cm, node-only disease pts with lesions >/= 1.5cm, bone pt with measurable lytic defect present or elevated serum marker>4xULN.
Life expectancy >/= 9 months (based on co-morbidity) & at least 8 wks based on natural history of their cancer.
Zubrod performance status </= 2.
No clinical history of ht disease, normal ECG or EF measured by ECHO, MUGA or ventriculography of at least 50%.
Transaminase & conjugated bilirubin less than 2 x ULN.
Serum creatinine</=2mg/dL or creatinine clearance of at least 50mL/min.
ANC>/=1,500; platelets>/=150.
Histologic demonstration of metastatic or locally unresectable transitional cell carcinoma of the urothelium
Measurable or evaluable disease:3 dimensional mass or pelvic sidewall fixation, liver & lung lesions at least 1 cm, node-only disease pts with lesions > /= 1.5cm, bone pt with measurable lytic defect present or elevated serum marker > 4xULN
Life expectancy > /= 9 months (based on co-morbidity) & at least 8 wks based on natural history of their cancer
Zubrod performance status < /= 2
No clinical history of ht disease & normal ECG or EF measured by ECHO, MUGA or ventriculography of at least 50%
Transaminase & conjugated bilirubin < 2 x ULN
Serum creatinine < /=2mg/dL or creatinine clearance of at least 50mL/min
ANC > /=1,500; platelets > /=150 |