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Suggestions for first-line treatment alternatives for patients with metastatic urothelial cancer. PD-L1, programmed death ligand 1; GP, gemcitabine plus cisplatin; MVAC, methotrexate, vinblastine, adriamycin, and cisplatin; ddMVAC, dose-dense MVAC; G-CSF, granulocyte colony-stimulating factor; GCb, gemcitabine plus carboplatin; BSC, best supportive care.
