PMID- 37624316 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230828 IS - 2306-7381 (Electronic) IS - 2306-7381 (Linking) VI - 10 IP - 8 DP - 2023 Aug 21 TI - Meloxicam in Combination with Mitoxantrone or Vinblastine as First-Line Treatment for Non-Resectable Urothelial Cell Carcinoma in Dogs. LID - 10.3390/vetsci10080529 [doi] LID - 529 AB - Cyclooxygenase (COX) inhibitors have been demonstrated to have antitumour activity in canine urothelial cell carcinoma (UCC), given as a sole treatment or in combination with chemotherapy. The purpose of this retrospective multi-institutional study was to assess the efficacy of meloxicam in combination with mitoxantrone or vinblastine as a first-line treatment for non-resectable canine UCC. Gastrointestinal adverse effects (AEs) of these treatment combinations were also assessed. A total of 28 dogs met the inclusion criteria, 21/28 dogs received mitoxantrone and meloxicam, and 7/28 received vinblastine and meloxicam. Tumour response (TR) and AE were evaluated according to Veterinary Co-Operative Oncology Group (VCOG) criteria. The endpoint of the study was the time to tumour progression (TTP). The mitoxantrone-group induced 24% partial response and 62% stable disease, while the vinblastine-group induced 14% and 86%, respectively. Median TTP was 84 days (mitoxantrone and meloxicam, 70 days; and vinblastine and meloxicam, 178 days). The presence of metastatic disease significantly decreased TTP (p = 0.007). Gastrointestinal AEs were reported in 21.4% of the patients, with the most common being VCOG grade 1-2 diarrhoea. Meloxicam is a well-tolerated NSAID when combined with mitoxantrone or vinblastine as first-line treatment for non-resectable canine UCC. FAU - Ciriano Cerda, Estel la AU - Ciriano Cerda E AUID- ORCID: 0000-0001-8985-1642 AD - Northwest Veterinary Specialists, Part of Linnaeus Veterinary Limited, Ashville Point, Beechwood, Sutton Weaver, Runcorn WA7 3FW, UK. FAU - Zajc, Alenka Lavra AU - Zajc AL AD - Northwest Veterinary Specialists, Part of Linnaeus Veterinary Limited, Ashville Point, Beechwood, Sutton Weaver, Runcorn WA7 3FW, UK. FAU - Finotello, Riccardo AU - Finotello R AUID- ORCID: 0000-0002-1932-211X AD - Department of Small Animal Clinical Sciences, Department of Veterinary Anatomy Physiology and Pathology, Institute of Infection Veterinary and Ecological Sciences, University of Liverpool, Chester High Rd, Neston CH64 7TE, UK. FAU - Macdonald, Kirsty AU - Macdonald K AD - Department of Small Animal Clinical Sciences, Department of Veterinary Anatomy Physiology and Pathology, Institute of Infection Veterinary and Ecological Sciences, University of Liverpool, Chester High Rd, Neston CH64 7TE, UK. FAU - Lyseight, Filipa AU - Lyseight F AD - Dick White Referrals, Station Farm, London Road, Six Mile Bottom, Cambridgeshire CB8 0UH, UK. FAU - Van Den Steen, Nele AU - Van Den Steen N AD - Cave Veterinary Specialists, George's Farm, West Buckland, Nr. Wellington TA21 9LE, UK. FAU - Sanchez Gonzalez, Katia AU - Sanchez Gonzalez K AD - Southern Counties Veterinary Specialists, Forest Corner Farm, Hangersley, Ringwood BH24 3JW, UK. FAU - Marrington, Mary AU - Marrington M AD - Northwest Veterinary Specialists, Part of Linnaeus Veterinary Limited, Ashville Point, Beechwood, Sutton Weaver, Runcorn WA7 3FW, UK. FAU - Grant, Jessica AU - Grant J AD - Northwest Veterinary Specialists, Part of Linnaeus Veterinary Limited, Ashville Point, Beechwood, Sutton Weaver, Runcorn WA7 3FW, UK. LA - eng PT - Journal Article DEP - 20230821 PL - Switzerland TA - Vet Sci JT - Veterinary sciences JID - 101680127 PMC - PMC10458788 OTO - NOTNLM OT - COX inhibitor OT - bladder cancer OT - canine OT - chemotherapy OT - oncology COIS- The authors declare no conflict of interest. The funders had no role in the design of the study; in the collection, analyses, or interpretation of data; in the writing of the manuscript; or in the decision to publish the results. EDAT- 2023/08/25 12:43 MHDA- 2023/08/25 12:44 PMCR- 2023/08/21 CRDT- 2023/08/25 10:44 PHST- 2023/06/08 00:00 [received] PHST- 2023/08/14 00:00 [revised] PHST- 2023/08/16 00:00 [accepted] PHST- 2023/08/25 12:44 [medline] PHST- 2023/08/25 12:43 [pubmed] PHST- 2023/08/25 10:44 [entrez] PHST- 2023/08/21 00:00 [pmc-release] AID - vetsci10080529 [pii] AID - vetsci-10-00529 [pii] AID - 10.3390/vetsci10080529 [doi] PST - epublish SO - Vet Sci. 2023 Aug 21;10(8):529. doi: 10.3390/vetsci10080529.