Eflornithine in Treating Patients With Bladder Cancer

NCT ID: NCT00003814

Last Updated: 2013-12-18

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

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

450 participants

Study Classification

INTERVENTIONAL

Study Start Date

1999-02-28

Study Completion Date

2007-05-31

Brief Summary

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RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. It is not yet known if eflornithine is more effective than no further therapy in treating bladder cancer.

PURPOSE: Randomized phase III trial to determine the effectiveness of eflornithine in treating patients who have newly diagnosed or recurrent bladder cancer.

Detailed Description

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OBJECTIVES: I. Determine whether treatment with eflornithine is effective in preventing recurrence of tumor after transurethral resection in patients with low grade, superficial transitional cell carcinoma of the bladder. II. Determine the incidence and severity of toxicities associated with the long-term use of this drug in this patient population.

OUTLINE: This is a randomized, double blind, multicenter study. Patients are stratified according to disease status (newly diagnosed vs recurrent), clinical stage (Ta vs T1), grade (G1 vs G2), and focus (multifocal vs unifocal). Patients receive either oral eflornithine or placebo once daily. Treatment continues for 1 year in the absence of disease progression or unacceptable toxicity. Patients are followed every 3 months during the first 2 years, every 6 months for the third year, and then annually for the fourth year.

PROJECTED ACCRUAL: A total of 450 patients (225 per arm) will be accrued to this study within 1.5 years.

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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eflornithine

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

DISEASE CHARACTERISTICS: Histologically confirmed low grade (grade 1 or 2), superficial (stage Ta or T1) transitional cell carcinoma (TCC) of the bladder Newly diagnosed or recurrent All visible tumor must have been resected within the past 12 weeks Standard clinical management determined to be expectant observation without further surgery, intravesical therapy, or systemic therapy No prior upper tract TCC No history of grade 3 TCC, carcinoma in situ including severe dysplasia, non-TCC histology, or TCC greater than or equal to T2 No involvement of upper urinary tract prior to or at the time of initial tumor resection Abdominal CT scan, IVP, or retrograde pyelogram within the past 3 months to rule out upper urinary tract tumor

PATIENT CHARACTERISTICS: Age: 18 and over Performance status: Not specified Life expectancy: Not specified Hematopoietic: Not specified Hepatic: Not specified Renal: Not specified Other: Not pregnant or nursing Negative pregnancy test Fertile patients must use effective contraception No prior malignancy within the past 5 years and no concurrent malignancy except nonmelanomatous skin cancer or carcinoma in situ of the cervix No clinically significant hearing loss (i.e., hearing loss effects everyday life and/or wears a hearing aide) No other significant medical or psychiatric condition

PRIOR CONCURRENT THERAPY: Biologic therapy: At least 4 weeks since prior growth factors No concurrent growth factors Chemotherapy: No prior systemic chemotherapy for bladder cancer No concurrent intravesical therapy At least 4 weeks since prior chemotherapy No concurrent chemotherapy Endocrine therapy: At least 4 weeks since prior high dose steroids or prednisone No concurrent high dose steroids No concurrent prednisone or its equivalent in excess of 10 mg/day Radiotherapy: No prior radiotherapy for bladder cancer At least 4 weeks since prior radiotherapy No concurrent radiotherapy Surgery: See Disease Characteristics Other: At least 4 weeks since prior carbamazepine or experimental drugs No concurrent carbamazepine or experimental drugs
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Cancer Institute (NCI)

NIH

Sponsor Role lead

Principal Investigators

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Mark Mayle

Role: STUDY_CHAIR

Genzyme, a Sanofi Company

Locations

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Urology Associates

Birmingham, Alabama, United States

Site Status

Intouch Research

Huntsville, Alabama, United States

Site Status

Advanced Urology Medical Center

Anaheim, California, United States

Site Status

Citrus Valley Urological Medical Group

Glendora, California, 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

South Coast Urological Medical Group

Laguna Hills, California, United States

Site Status

Foothill Urology Associates

Pasadena, California, United States

Site Status

San Bernadino Urological Associates

San Bernadino, California, United States

Site Status

DRC and Urological Physicians of San Diego

San Diego, California, United States

Site Status

UCSF Cancer Center and Cancer Research Institute

San Francisco, 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

Tampa Bay Meical Research

Clearwater, Florida, United States

Site Status

University of Florida - Gainesville

Gainesville, Florida, United States

Site Status

Urology Health Center

New Port Richey, Florida, United States

Site Status

Barzell, Whitmore, Treiman and Dunne - The Urology Treatment Center

Sarasota, Florida, United States

Site Status

H. Lee Moffitt Cancer Center and Research Institute

Tampa, Florida, United States

Site Status

Piedmont Urology PC

Atlanta, Georgia, United States

Site Status

Georgia Urology

Atlanta, Georgia, United States

Site Status

Urology Associates, Inc.

Marietta, Georgia, United States

Site Status

University of Chicago Cancer Research Center

Chicago, Illinois, United States

Site Status

Indiana University Cancer Center

Indianapolis, Indiana, United States

Site Status

University of Kansas Medical Center

Kansas City, Kansas, United States

Site Status

Wichita Clinic, P.A.

Wichita, Kansas, United States

Site Status

206 Research Associates

Greenbelt, Maryland, United States

Site Status

Mid Atlantic Clinical Research

Rockville, Maryland, United States

Site Status

Lahey Clinic - Burlington

Burlington, Massachusetts, United States

Site Status

Fallon Clinic, Inc.

Worcester, Massachusetts, United States

Site Status

Urology Surgical Associates

Springfield, Missouri, United States

Site Status

Washington University Barnard Cancer Center

St Louis, Missouri, United States

Site Status

Office of Sheldon Freedman

Las Vegas, Nevada, United States

Site Status

Robert Wood Johnson Medical School

New Brunswick, New Jersey, United States

Site Status

University Hospital of New Mexico

Albuquerque, New Mexico, United States

Site Status

St. Joseph West Mesa Center

Albuquerque, New Mexico, United States

Site Status

Cancer Center of Albany Medical Center

Albany, New York, United States

Site Status

Veterans Affairs Medical Center - Albany

Albany, New York, United States

Site Status

Medical & Clinical Research Associates, LLC

Bay Shore, New York, United States

Site Status

Mount Sinai Medical Center, NY

New York, New York, United States

Site Status

University of Rochester Cancer Center

Rochester, New York, United States

Site Status

Cleveland Clinic Taussig Cancer Center

Cleveland, Ohio, United States

Site Status

Arthur G. James Cancer Hospital - Ohio State University

Columbus, Ohio, United States

Site Status

University of Oklahoma College of Medicine

Oklahoma City, Oklahoma, United States

Site Status

Oregon Cancer Center

Portland, Oregon, United States

Site Status

Earle A. Chiles Research Institute at Providence Portland Medical Center

Portland, Oregon, United States

Site Status

Kimmel Cancer Center of Thomas Jefferson University - Philadelphia

Philadelphia, Pennsylvania, United States

Site Status

Allegheny University of the Health Sciences

Philadelphia, Pennsylvania, United States

Site Status

Albert Einstein Cancer Center

Philadelphia, Pennsylvania, United States

Site Status

Vanderbilt-Ingram Cancer Center

Nashville, Tennessee, United States

Site Status

Urology Clinics of North Texas

Dallas, Texas, United States

Site Status

Simmons Cancer Center - Dallas

Dallas, Texas, United States

Site Status

University of North Texas HSC

Fort Worth, Texas, United States

Site Status

Urology San Antonio Research

San Antonio, Texas, United States

Site Status

Huntsman Cancer Institute

Salt Lake City, Utah, United States

Site Status

Sentara Norfolk General Hospital

Norfolk, Virginia, United States

Site Status

Virginia Urology Center

Richmond, Virginia, United States

Site Status

Seattle Urological Associates

Seattle, Washington, United States

Site Status

Urology Northwest PS

Seattle, Washington, United States

Site Status

University of Washington Medical Center

Seattle, Washington, United States

Site Status

Madigan Army Medical Center

Tacoma, Washington, United States

Site Status

University of Wisconsin Comprehensive Cancer Center

Madison, Wisconsin, United States

Site Status

Countries

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United States

Other Identifiers

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ILEX-DFMO341

Identifier Type: -

Identifier Source: secondary_id

UCLA-9812049

Identifier Type: -

Identifier Source: secondary_id

UF-453-1998

Identifier Type: -

Identifier Source: secondary_id

WCCC-CO-98803

Identifier Type: -

Identifier Source: secondary_id

NCI-G99-1509

Identifier Type: -

Identifier Source: secondary_id

CDR0000066966

Identifier Type: -

Identifier Source: org_study_id