Chemotherapy With or Without Surgery in Treating Patients With Bladder Cancer

NCT ID: NCT00042887

Last Updated: 2012-09-24

Basic Information

• Recruitment Status: TERMINATED
• Clinical Phase: PHASE3
• Total Enrollment: 58 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2002-05-31

Brief Summary

RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Infusing chemotherapy drugs directly into the bladder may kill more cancer cells. It is not yet known if surgery followed by chemotherapy is more effective than chemotherapy alone in treating bladder cancer.

PURPOSE: Randomized phase III trial to compare the effectiveness of chemotherapy alone with that of transurethral resection followed by chemotherapy in treating patients who have bladder cancer.

Detailed Description

OBJECTIVES:

• Compare the efficacy of chemoresection with 4 weekly intravesical instillations of mitomycin vs transurethral resection followed by 1 instillation of mitomycin in patients with low-risk superficial transitional cell carcinoma of the bladder.
• Compare the disease-free survival of patients treated with these regimens.
• Determine the response rate at 6 weeks in patients treated with chemoresection.
• Determine the percent of patients with tumor at 6 weeks treated with transurethral resection.
• Compare the quality of life of patients treated with these regimens.
• Compare the side effects of these regimens in these patients.

OUTLINE: This is a randomized, multicenter study. Patients are stratified according to disease status (primary vs recurrent) and participating center. Patients are randomized to 1 of 2 treatment arms.

• Arm I: Patients undergo chemoresection with intravesical instillation of mitomycin once weekly for 4 weeks.
• Arm II: Patients undergo transurethral resection followed within 1-6 hours by intravesical instillation of mitomycin.

Quality of life is assessed at baseline, at week 1 (arm II only), at week 5 (arm I only), and then at week 6.

Patients are followed at weeks 6 and 19, every 6 months for 3 years, and then annually for 2 years.

PROJECTED ACCRUAL: A total of 1,000 patients (500 per treatment arm) will be accrued for this study within 5 years.

Conditions

Bladder Cancer

Keywords

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

Study Design

• Allocation Method: RANDOMIZED
• Primary Study Purpose: TREATMENT

Interventions

mitomycin C

Intervention Type: DRUG

conventional surgery

Intervention Type: PROCEDURE

Eligibility Criteria

Inclusion Criteria

DISEASE CHARACTERISTICS:

• Cytologically confirmed solitary primary or recurrent papillary transitional cell carcinoma of the bladder

• Ta or T1
• Tumor no greater than 2 cm in diameter
• Negative urine cytology
• No suspicious lesions in bladder requiring biopsy
• No tumors in the prostatic urethra or upper urinary tract
• No prior history of T1 G3 tumors, muscle invasive tumors (T2 or greater), or carcinoma in situ

PATIENT CHARACTERISTICS:

Age

• 80 and under

Performance status

• WHO 0-1

Life expectancy

• Not specified

Hematopoietic

• Not specified

Hepatic

• Not specified

Renal

• Not specified

Other

• HIV negative
• No active intractable or uncontrollable bladder infection
• No urethral strictures that would preclude endoscopic procedures or repeated catheterization
• No prior or concurrent congenital or acquired immune deficiency syndrome
• No other prior or concurrent malignancy except cured basal cell skin cancer or intraepithelial cancer of the cervix
• No prior or concurrent leukemia or Hodgkin's disease
• No concurrent disease for which general anesthesia is contraindicated
• No psychological, familial, sociological, or geographical condition that would preclude study compliance
• Not pregnant or nursing

PRIOR CONCURRENT THERAPY:

Biologic therapy

• More than 12 months since prior BCG vaccine

Chemotherapy

• At least 1 year since prior mitomycin

Endocrine therapy

• Not specified

Radiotherapy

• No prior pelvic radiotherapy

Surgery

• No prior organ transplant

Other

• At least 3 months since prior intravesical treatment

• Maximum Eligible Age: 80 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

European Organisation for Research and Treatment of Cancer - EORTC

NETWORK

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Willem Oosterlinck, MD, PhD

Role: STUDY_CHAIR

University Ghent

Locations

Academisch Ziekenhuis der Vrije Universiteit Brussel

Brussels, , Belgium

Universitair Ziekenhuis Gent

Ghent, , Belgium

Virga Jesse Hospital

Hasselt, , Belgium

U.Z. Gasthuisberg

Leuven, , Belgium

Universita Di Palermo

Palermo, , Italy

Ospedale S.S. Annunziata

Savigliano, , Italy

Onze Lieve Vrouwe Gasthuis

Amsterdam, , Netherlands

Academisch Medisch Centrum

Amsterdam, , Netherlands

Jeroen Bosch Ziekenhuis

NL'S Hertogenbosch, , Netherlands

Daniel Den Hoed Cancer Center at Erasmus Medical Center

Rotterdam, , Netherlands

Comenius University School of Medicine

Martin, , Slovakia

Dokuz Eylul University School of Medicine

Izmir, , Turkey (Türkiye)

Countries

Belgium; Italy; Netherlands; Slovakia; Turkey (Türkiye)

Other Identifiers

EORTC-30004

Identifier Type: -

Identifier Source: secondary_id

EORTC-30004

Identifier Type: -

Identifier Source: org_study_id