Surgery With or Without Chemotherapy in Treating Patients With Newly Diagnosed or Recurrent Bladder Cancer

NCT ID: NCT00003725

Last Updated: 2013-11-06

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

PHASE3

Total Enrollment

300 participants

Study Classification

INTERVENTIONAL

Study Start Date

1996-12-31

Brief Summary

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RATIONALE: Transurethral resection is a less invasive type of surgery for bladder cancer and may have fewer side effects and improve recovery. Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. It is not yet known whether transurethral resection plus AD 32 is more effective than transurethral resection alone for bladder cancer.

PURPOSE: Randomized phase III trial to compare the effectiveness of transurethral resection surgery followed by AD 32 with that of transurethral resection alone in treating patients who have newly diagnosed or recurrent bladder cancer.

Detailed Description

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OBJECTIVES: I. Assess the efficacy of adjuvant AD 32 following complete transurethral resection versus transurethral resection alone in patients with newly diagnosed or recurrent superficial transitional cell carcinoma of the bladder. II. Assess the toxicity of AD 32 in these patients.

OUTLINE: This is an open label, randomized, multicenter study. Patients are randomized to receive surgery with AD 32 or surgery alone. Arm I: Patients undergo surgery to remove bladder tumors. AD 32 is administered by catheter into the bladder within 2-24 hours after surgery. Patients must hold the AD 32 liquid in the bladder for 90 minutes. Arm II: Patients undergo only surgery to remove bladder tumors. Patients with T1 or Tis disease may receive BCG therapy once weekly for 6 weeks, followed by 6 weeks of rest. Patients are followed every 3 months for 2 years.

PROJECTED ACCRUAL: This study will accrue approximately 300 patients.

Conditions

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Bladder Cancer

Keywords

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stage 0 bladder cancer stage I bladder cancer recurrent bladder cancer transitional cell carcinoma of the bladder

Study Design

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Allocation Method

RANDOMIZED

Primary Study Purpose

TREATMENT

Interventions

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valrubicin

Intervention Type DRUG

conventional surgery

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

DISEASE CHARACTERISTICS: Histologically diagnosed stage 0 (Ta), stage I, or recurrent superficial transitional cell carcinoma of the bladder Must have at least 2 papillary appearing bladder tumors by cystoscopic examination Patients with recurrent disease must have no history of Tis tumor

PATIENT CHARACTERISTICS: Age: 18 and over Performance status: SWOG 0-2 Life expectancy: Not specified Hematopoietic: WBC greater than 4000/mm3 Platelet count at least 100,000/mm3 Hepatic: Bilirubin no greater than 2 times upper limit of normal (ULN) SGOT no greater than 2 times ULN Renal: Creatinine no greater than 2 times ULN Other: Not pregnant or nursing Fertile patients must use effective contraception

PRIOR CONCURRENT THERAPY: Biologic therapy: No concurrent biological response modifiers for bladder cancer Chemotherapy: No prior or concurrent chemotherapy for bladder cancer No prior AD 32 therapy for bladder cancer Endocrine therapy: Not specified Radiotherapy: No prior or concurrent radiotherapy Surgery: At least 9 months since any complete transurethral resection of the bladder
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Anthra Pharmaceuticals

INDUSTRY

Sponsor Role lead

Principal Investigators

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Peter R. Carroll, MD

Role: STUDY_CHAIR

University of California, San Francisco

Locations

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Urology Associates

Birmingham, Alabama, United States

Site Status

Urology Associates, Ltd.

Phoenix, Arizona, United States

Site Status

University of California San Diego Cancer Center

La Jolla, California, United States

Site Status

San Diego Urology Center

La Mesa, California, United States

Site Status

Hillcrest Urological Medical Group

San Diego, California, United States

Site Status

San Diego Urology Center

San Diego, California, United States

Site Status

UCSF Cancer Center and Cancer Research Institute

San Francisco, California, United States

Site Status

Santa Monica Urologic Medical Group

Santa Monica, California, United States

Site Status

Western Urological Associates

Van Nuys, California, United States

Site Status

Urology Specialists, P.C.

Waterbury, Connecticut, United States

Site Status

George Washington University Hospital

Washington D.C., District of Columbia, United States

Site Status

Atlantic Urological Associates

Daytona Beach, Florida, United States

Site Status

University of Florida - Gainesville

Gainesville, Florida, United States

Site Status

Sylvester Cancer Center, University of Miami

Miami, Florida, United States

Site Status

Urology Care - South

Miami, Florida, United States

Site Status

Urology Health Center

New Port Richey, Florida, United States

Site Status

Office of Ira W. Klimberg

Ocala, Florida, United States

Site Status

Urology Treatment Center

Sarasota, Florida, United States

Site Status

Georgia Urology

Atlanta, Georgia, United States

Site Status

Affliated Urology

Chicago, Illinois, United States

Site Status

University of Chicago Cancer Research Center

Chicago, Illinois, United States

Site Status

Evanston Northwestern Healthcare

Evanston, Illinois, United States

Site Status

Clinic of Urologic Wellness

Lexington, Kentucky, United States

Site Status

Louisiana State University Health Sciences Center - Shreveport

Shreveport, Louisiana, United States

Site Status

Cambridge Urological Associates, Inc.

Cambridge, Massachusetts, United States

Site Status

Michigan Institute of Urology

Detroit, Michigan, United States

Site Status

Mississippi Urology Clinic, P.A.

Jackson, Mississippi, United States

Site Status

Urology Center

Omaha, Nebraska, United States

Site Status

Sheldon Freedman Ltd.

Las Vegas, Nevada, United States

Site Status

Desert Urology

North Las Vegas, Nevada, United States

Site Status

Norris Cotton Cancer Center

Lebanon, New Hampshire, United States

Site Status

Veterans Affairs Medical Center - East Orange

East Orange, New Jersey, United States

Site Status

Office of John Byrne

New Rochelle, New York, United States

Site Status

Mount Sinai Medical Center, NY

New York, New York, United States

Site Status

Herbert Irving Comprehensive Cancer Center

New York, New York, United States

Site Status

Wake Urological Associates

Raleigh, North Carolina, United States

Site Status

Department of Urology and Urologic Oncology

Columbus, Ohio, United States

Site Status

Oregon Cancer Center at Oregon Health Sciences University

Portland, Oregon, United States

Site Status

Urology Clinic, P.C.

Portland, Oregon, United States

Site Status

Office of Jeffrey K. Cohen

Pittsburgh, Pennsylvania, United States

Site Status

Veterans Affairs Medical Center - Memphis

Memphis, Tennessee, United States

Site Status

Vanderbilt Cancer Center

Nashville, Tennessee, United States

Site Status

Urology Associates of North Texas

Arlington, Texas, United States

Site Status

Baylor College of Medicine

Houston, Texas, United States

Site Status

Wilford Hall - 59th Medical Wing

Lackland Air Force Base, Texas, United States

Site Status

Veterans Affairs Medical Center - Temple

Temple, Texas, United States

Site Status

Huntsman Cancer Institute

Salt Lake City, Utah, United States

Site Status

Sentara Cancer Center

Norfolk, Virginia, United States

Site Status

Virginia Urology Center

Richmond, Virginia, United States

Site Status

Office of Ronald G. Anderson

Tacoma, Washington, United States

Site Status

West Virginia University Hospitals

Morgantown, West Virginia, United States

Site Status

Ottawa General Hospital

Ottawa, Ontario, Canada

Site Status

Toronto General Hospital

Toronto, Ontario, Canada

Site Status

Countries

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United States Canada

Other Identifiers

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ANTHRA-A9601

Identifier Type: -

Identifier Source: secondary_id

CDR0000066837

Identifier Type: -

Identifier Source: org_study_id