Single Dose Intravesical Apaziquone Postoperative in Patients Undergoing TURBT for Noninvasive Bladder Cancer (SPI-611)

NCT ID: NCT00461591

Last Updated: 2021-03-30

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

802 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-04-30

Study Completion Date

2012-01-31

Brief Summary

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The purpose of this study was to evaluate the 2-Year Recurrence Rate of bladder cancer in randomized patients with tumor histology Ta, G1-G2 who received TransUrethral Resection of Bladder Tumor (TURBT) plus apaziquone versus those who received TURBT plus placebo.

Detailed Description

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This was a Phase 3, multicenter, randomized, double-blind, placebo-controlled study. Within 14 days of Screening, eligible patients underwent a TURBT during Visit 1 (Day 0) following which they were immediately randomized in a 1:1 ratio to receive either placebo or 4 mg apaziquone, instilled in a volume of 40 mL into the bladder within 6 hours from the end of the TURBT procedure. After a 60-minute retention period, study drug was drained from the bladder.

A postoperative follow-up examination and review of the local pathology report were performed at Visit 2, which occurred 21 days (±10 days) after the TURBT (Week 3).

* If the histology of the patient's tumor was confirmed as Ta, G1-G2 (ie, low grade according to World Health Organization \[WHO\]/International Society of Urologic Pathology \[ISUP\] classification), no further treatment was given and the patient was observed cystoscopically every 3 months through Year 2 for tumor recurrence (Visit 3 through Visit 10).
* If the histology of the patient's tumor was other than Ta, G1 or G2 (low grade \[WHO/ISUP classification\]), further treatment was given in accordance with current treatment guidelines, and the patient was followed up cystoscopically every 3 months through Year 2 for tumor recurrence (Visit 3 through Visit 10).

All patients were to be followed for 2 years.

Conditions

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Bladder Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Apaziquone

TURBT + a single intravesical dose of Apaziquone 4mg in 40ml instilled into the bladder post-TURBT

Group Type EXPERIMENTAL

Apaziquone

Intervention Type DRUG

A single intravesical dose of Apaziquone 4mg in 40ml instilled into the bladder post-TURBT

TURBT

Intervention Type PROCEDURE

TransUrethral Resection of the Bladder Tumor

Placebo

TURBT + a single intravesical dose of placebo instilled into the bladder post-TURBT

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

A single intravesical dose of placebo instilled into the bladder post-TURBT

TURBT

Intervention Type PROCEDURE

TransUrethral Resection of the Bladder Tumor

Interventions

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Apaziquone

A single intravesical dose of Apaziquone 4mg in 40ml instilled into the bladder post-TURBT

Intervention Type DRUG

Placebo

A single intravesical dose of placebo instilled into the bladder post-TURBT

Intervention Type DRUG

TURBT

TransUrethral Resection of the Bladder Tumor

Intervention Type PROCEDURE

Other Intervention Names

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EOquin®, Qapzola

Eligibility Criteria

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Inclusion Criteria

* Has the patient given written informed consent?
* Is the patient at least 18 years old?
* Does the patient have transitional cell carcinoma of the bladder with clinically apparent stage Ta, grade G1-G2?
* If the patient is a female of childbearing potential, is she using an acceptable/effective method of contraception?
* If the patient is a female of childbearing potential, has she had a negative serum pregnancy test within the past 14 days?
* Is the patient willing and able to abide by the protocol?

Exclusion Criteria

* Does the patient have more than 4 bladder tumors?
* Does any single bladder tumor exceed 3.5 cm in diameter?
* Does the patient have a single, primary (no previous diagnosis of TCC) bladder tumor \<0.5 cm?
* Has the patient ever received Apaziquone?
* Does the patient have, or has the patient ever had, any bladder tumor known to be other than stage Ta or grade G1 or G2 (low grade \[WHO/ISUP classification\])?
* Does the patient have, or has the patient ever had any bladder tumor with histology other than transitional cell carcinoma?
* Does the patient have, or has the patient ever had, carcinoma in situ (CIS)?
* Does the patient have an active urinary tract infection?
* Does the patient have a bleeding disorder or a screening platelet count \< 100 x 10\^9/L?
* Does the patient have any unstable medical condition that would make it unsafe for him/her to undergo TURBT under general or spinal anesthesia?
* Does the patient have a screening hemoglobin \< 10 mg/dL, a screening absolute neutrophil count \< 1.5 x 10\^9/L or a screening creatinine \> 2 mg/dL?
* Does the patient have a known immunodeficiency disorder?
* Has the patient received any investigational treatment within the past 30 days?
* Is the patient breast feeding?
* Does the patient have a history of interstitial cystitis?
* Does the patient have a history of allergy to red color food dye?
* Has the patient had transitional cell carcinoma of the bladder within the past 4 months?
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Spectrum Pharmaceuticals, Inc

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Shanta Chawla, MD

Role: STUDY_DIRECTOR

Spectrum Pharmaceuticals, Inc

Locations

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Alaska Clinical Research Center, LLC

Anchorage, Alaska, United States

Site Status

BCG Oncology

Phoenix, Arizona, United States

Site Status

Sun Health Research Institute

Sun City, Arizona, United States

Site Status

Urology Associates Medical Group

Burbank, California, United States

Site Status

Urology Associates of Central CA

Fresno, California, United States

Site Status

South Orange County Medical Research Center

Laguna Woods, California, United States

Site Status

Kaiser Permanente Los Angeles Medical Center

Los Angeles, California, United States

Site Status

Cancer Research Dept/St. Joseph Hospital

Orange, California, United States

Site Status

San Bernardino Urologic Association

San Bernardino, California, United States

Site Status

VA Medical Center

San Francisco, California, United States

Site Status

The Urology Center of Colorado

Denver, Colorado, United States

Site Status

Connecticut Clinical Research Center

Middlebury, Connecticut, United States

Site Status

Urologic Surgeons of Washington

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

Site Status

Lakeland Regional Cancer Center

Lakeland, Florida, United States

Site Status

Urology Consultants

Longwood, Florida, United States

Site Status

University of Miami

Miami, Florida, United States

Site Status

Advanced Research Institute

New Port Richey, Florida, United States

Site Status

Advanced Research Institute

New Port Richey, Florida, United States

Site Status

Florida Foundation for Healthcare Research

Ocala, Florida, United States

Site Status

Florida Urology Specialists

Sarasota, Florida, United States

Site Status

Southeastern Research Group, Inc.

Tallahassee, Florida, United States

Site Status

Gainesville Urology, PC

Gainesville, Georgia, United States

Site Status

Urological Professional Association

Macon, Georgia, United States

Site Status

North Idaho Urology

Coeur d'Alene, Idaho, United States

Site Status

Idaho Urologic Institute, P.A.

Meridian, Idaho, United States

Site Status

University of Chicago

Chicago, Illinois, United States

Site Status

Urology Associates, SC

Mattoon, Illinois, United States

Site Status

Speciality Care Research

Peoria, Illinois, United States

Site Status

Northeast Indiana Research, LLC

Fort Wayne, Indiana, United States

Site Status

Metropolitan Urology

Jeffersonville, Indiana, United States

Site Status

Kansas City Urology Care, P.A.

Overland Park, Kansas, United States

Site Status

Regional Urology, LLC

Shreveport, Louisiana, United States

Site Status

Anne Arundel Urology

Annapolis, Maryland, United States

Site Status

Myron Murdock, MD, LLC

Greenbelt, Maryland, United States

Site Status

MMPC Urology

Grand Rapids, Michigan, United States

Site Status

Lakeside Urology, PC

Saint Joseph, Michigan, United States

Site Status

Michigan Institute of Urology, PC

Troy, Michigan, United States

Site Status

Five Valleys Urology

Missoula, Montana, United States

Site Status

Coastal Urological Associates, PA

Brick, New Jersey, United States

Site Status

AdvanceMed Research

Lawrenceville, New Jersey, United States

Site Status

Delaware Valley Urology, LLC-Marlton

Marlton, New Jersey, United States

Site Status

Deleware Valley Urology, LLC-Washington Township

Sewell, New Jersey, United States

Site Status

Delaware Valley Urology, LLC - Voorhees

Voorhees Township, New Jersey, United States

Site Status

Delaware Valley Urology, LLC-Westampton

Woodlane, New Jersey, United States

Site Status

Urology Group of New Mexico

Albuquerque, New Mexico, United States

Site Status

Capital Region Urological Surgeons

Albany, New York, United States

Site Status

The Urological Institute of NE NY

Albany, New York, United States

Site Status

Adult and Pediatric Urology

Carmel, New York, United States

Site Status

Accumed Research Associates

Garden City, New York, United States

Site Status

Urological Surgeons of Long Island, P.C.

Garden City, New York, United States

Site Status

Hudson Valley Urology, PC

Kingston, New York, United States

Site Status

University Urology Associates

New York, New York, United States

Site Status

CNY Urology, PC

Oneida, New York, United States

Site Status

Hudson Valley Urology

Poughkeepsie, New York, United States

Site Status

Urology Associates of Rochester, LLC

Rochester, New York, United States

Site Status

Center for Urologic Research of WNY, LLC

Williamsville, New York, United States

Site Status

TriState Urologic Services PSC, Inc.

Cincinnati, Ohio, United States

Site Status

Columbus Urology Research, LLC

Columbus, Ohio, United States

Site Status

Oregon Urology Institute

Springfield, Oregon, United States

Site Status

Urologic Consultants of South Eastern Pennsylvania

Bala-Cynwyd, Pennsylvania, United States

Site Status

Urological Associates of Lancaster

Lancaster, Pennsylvania, United States

Site Status

Fox Chase Cancer Center

Philadelphia, Pennsylvania, United States

Site Status

Triangle Urology Group

Pittsburgh, Pennsylvania, United States

Site Status

Susquehenna Urology

Williamsport, Pennsylvania, United States

Site Status

Carolina Urologic Research Center

Myrtle Beach, South Carolina, United States

Site Status

The Conrad Pearson Clinic

Germantown, Tennessee, United States

Site Status

Corpus Christi Urology Group LLC

Corpus Christi, Texas, United States

Site Status

Urology Clinics of North Texas

Dallas, Texas, United States

Site Status

Urology San Antonio Research

San Antonio, Texas, United States

Site Status

Mary Washington Hospital and Urology Associates of Fredericksburg

Fredericksburg, Virginia, United States

Site Status

Urology of Virginia, PC

Norfolk, Virginia, United States

Site Status

Urology of Virginia, PC

Virginia Beach, Virginia, United States

Site Status

Integrity Medical Research, LLC

Mountlake Terrace, Washington, United States

Site Status

Seattle Urological Associates

Seattle, Washington, United States

Site Status

Countries

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United States

Other Identifiers

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SPI-611

Identifier Type: -

Identifier Source: org_study_id

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