Single Dose Intravesical Apaziquone Postoperative in Patients Undergoing TURBT for Noninvasive Bladder Cancer (SPI-612)

NCT ID: NCT00598806

Last Updated: 2017-11-13

Study Results

Results available

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

View full results

Basic Information

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

812 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-08-31

Study Completion Date

2012-01-31

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

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

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

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

See the medical conditions and disease areas that this research is targeting or investigating.

Bladder Cancer

Keywords

Explore important study keywords that can help with search, categorization, and topic discovery.

Noninvasive Bladder Cancer

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

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

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

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

Discover alternative or legacy names that may be used to describe the listed interventions across different sources.

EOquin®, Qapzola

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

All of the following questions must be answered "Yes" in order for the patient to participate in the study.

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

Exclusion Criteria

All of the following questions must be answered "No" in order for the patient to participate in the study.

1. Does the patient have more than 5 bladder tumors?
2. Does any single bladder tumor exceed 3.5 cm in diameter?
3. Does the patient have a single, primary bladder tumor \<0.5 cm and has no previous diagnosis of bladder cancer?
4. Has the patient ever received EOquin(r)?
5. Does the patient have, or has the patient ever had, any bladder tumor known to be other than tumor Ta or grade G1 or G2 (low grade \[WHO/ISUP classification\])?
6. Does the patient have, or has the patient ever had any bladder tumor with histology other than transitional cell carcinoma?
7. Does the patient have, or has the patient ever had, carcinoma in situ (CIS)?
8. Does the patient have an active urinary tract infection?
9. Does the patient have a bleeding disorder or a screening platelet count \< 100 x 109/L?
10. Does the patient have any unstable medical condition that would make it unsafe for him/her to undergo TURBT under general or spinal anesthesia?
11. Does the patient have screening hemoglobin \< 10 mg/dL, a screening absolute neutrophil count \< 1.5 x 109/L?
12. Does the patient have a known immunodeficiency disorder?
13. Has the patient received any investigational treatment within the past 30 days?
14. Is the patient breast feeding?
15. Does the patient have a history of interstitial cystitis?
16. Does the patient have a history of allergy to red color food dye?
17. 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

Meet the organizations funding or collaborating on the study and learn about their roles.

Spectrum Pharmaceuticals, Inc

INDUSTRY

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

Responsibility Role SPONSOR

Principal Investigators

Learn about the lead researchers overseeing the trial and their institutional affiliations.

Shanta Chawla, MD

Role: STUDY_DIRECTOR

Spectrum Pharmaceuticals, Inc

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

Advanced Urology Medical Center Clinical Trials

Anaheim, California, United States

Site Status

Hal J. Bashein, D.O.

West Palm Beach, Florida, United States

Site Status

Urology Enterprises

Marietta, Georgia, United States

Site Status

North Fulton Urology

Roswell, Georgia, United States

Site Status

Hines VA Hospital

Hines, Illinois, United States

Site Status

The Urology Center

Slidell, Louisiana, United States

Site Status

Chesapeake Urology Research Associates

Baltimore, Maryland, United States

Site Status

Chesapeake Urology Research Associates

Towson, Maryland, United States

Site Status

William Beaumont Hospital

Royal Oak, Michigan, United States

Site Status

PharmaTrials, Inc. - Male & Female Urology

Hillsborough, New Jersey, United States

Site Status

PharmaTrials, Inc.

Hillsborough, New Jersey, United States

Site Status

Medical & Clinical Research Associates, LLC

Bay Shore, New York, United States

Site Status

Urology Associates, PC

Manhasset, New York, United States

Site Status

North Shore - LIJ Health System - The Arthur Smith Institute for Urology

New Hyde Park, New York, United States

Site Status

Alliance Urology Specialists

Greensboro, North Carolina, United States

Site Status

Piedmont Medical Research

Winston-Salem, North Carolina, United States

Site Status

Center for Urologic Care

Bryn Mawr, Pennsylvania, United States

Site Status

Medical University of South Carolina, Dept. of Urology

Charleston, South Carolina, United States

Site Status

Urology Associates of South Texas

McAllen, Texas, United States

Site Status

Salt Lake Research

Salt Lake City, Utah, United States

Site Status

Adult and Pediatric Urologists

Alexandria, Virginia, United States

Site Status

Prostate Cancer Institute

Calgary, Alberta, Canada

Site Status

Lintor Medical, Inc.

North Vancouver, British Columbia, Canada

Site Status

Andreou Research

Surrey, British Columbia, Canada

Site Status

Can-Med Clinical Research, Inc

Victoria, British Columbia, Canada

Site Status

G. Steinhoff Clinical Research

Victoria, British Columbia, Canada

Site Status

Queen Elizabeth II Health Sciences Centre

Halifax, Nova Scotia, Canada

Site Status

The Male/Female Health and Research Center - Royal Court Medical Centre

Barrie, Ontario, Canada

Site Status

Brantford Urology Research

Brantford, Ontario, Canada

Site Status

G. Kenneth Jansz Medicine Professional Corporation

Burlington, Ontario, Canada

Site Status

Urology Resource Centre

Burlington, Ontario, Canada

Site Status

Kingston General Hospital / Queen's University

Kingston, Ontario, Canada

Site Status

Urology Associates, Urologic Medical Research

Kitchener, Ontario, Canada

Site Status

London Health Sciences Centre

London, Ontario, Canada

Site Status

Mor Urology, Inc.

Newmarket, Ontario, Canada

Site Status

Dr. Bernard Goldfarb

North Bay, Ontario, Canada

Site Status

Stanley Flax Medical Professional Corporation

North York, Ontario, Canada

Site Status

The Fe/Male Health Centre

Oakville, Ontario, Canada

Site Status

Orillia Urology Associates

Orillia, Ontario, Canada

Site Status

Urotec

Oshawa, Ontario, Canada

Site Status

ADA Medical Ltd.

Peterborough, Ontario, Canada

Site Status

AGT Research

Scarborough Village, Ontario, Canada

Site Status

Urology & Male Infertility

Scarborough Village, Ontario, Canada

Site Status

Toronto East General Hospital

Toronto, Ontario, Canada

Site Status

Sunnybrook Health Sciences Centre

Toronto, Ontario, Canada

Site Status

University Health Network Princess Margaret Hospital

Toronto, Ontario, Canada

Site Status

The Male Health Centre

Toronto, Ontario, Canada

Site Status

Saint Joseph Health Center

Toronto, Ontario, Canada

Site Status

UroLaval

Laval, Quebec, Canada

Site Status

McGill Urology Associates

Montreal, Quebec, Canada

Site Status

Ultra-Med, Inc.

Pointe Clare, Quebec, Canada

Site Status

Centre Hospitalier Universitaire de Sherbrooke

Sherbrooke, Quebec, Canada

Site Status

Centre hospitalier universitaire de Quebec

Québec, , Canada

Site Status

Uniwersytecki Szpital Kliniczny

Bialystok, , Poland

Site Status

Szpital Wojewódzki w Bielsku-Białej

Bielsko-Biala, , Poland

Site Status

Akademickie Centrum Kliniczne - Szpital Akademii Medycznej w Gdańsku

Gdansk, , Poland

Site Status

Publiczny Specjalistyczny Zakład Opieki Zdrowotnej w Inowrocławiu

Inowrocław, , Poland

Site Status

Szpital Miejski im. Prof. E. Michałowskiego

Katowice, , Poland

Site Status

Świętokrzyskie Centrum Onkologii, Samodzielny Publiczny Zakład Opieki Zdrowotnej

Kielce, , Poland

Site Status

Szpital Specjalistyczny w Kościerzynie

Kościerzyna, , Poland

Site Status

Niepubliczny Zakład Opieki Zdrowotnej "Racławicka"

Krakow, , Poland

Site Status

Uniwersytecki Szpital Kliniczny nr 2 Wojskowej Akademii Medycznej Uniwersytetu Medycznego w Łodzi - Centralny Szpital Weteranów

Lodz, , Poland

Site Status

Samodzielny Publiczny Szpital Kliniczny nr 4 w Lublinie

Lublin, , Poland

Site Status

Samodzielny Publiczny Zakład Opieki Zdrowotnej w Pabianicach

Pabianice, , Poland

Site Status

Zakład Opieki Zdrowotnej Poznań - Stare Miasto

Poznan, , Poland

Site Status

Szpital Kolejowy im. Dr med.. Włodzimierza Roeflera w Pruszkowie

Pruszków, , Poland

Site Status

Samodzielny Publiczny Zakład Opieki Zdrowotnej, Wojewódzki Szpital Specjalistyczny nr 3

Rybnik, , Poland

Site Status

Wojewódzki Szpital Specjalistyczny W Siedlcach

Siedlce, , Poland

Site Status

Pomorska Akademia Medyczna

Szczecin, , Poland

Site Status

Wojewódzki Szpital Specjalistyczny im Janusza Korczaka

Słupsk, , Poland

Site Status

Centrum Medycznego Kształcenia Podyplomowego, Samodzielny Publiczny Szpital Kliniczny im. Prof. W. Orłowskiego

Warsaw, , Poland

Site Status

Wojskowy Instytut Medyczny, Centralny Szpital Kliniczny MON

Warsaw, , Poland

Site Status

Szpital Kliniczny Dzieciątka Jezus - Centrum Leczenia Obrażeń

Warsaw, , Poland

Site Status

Centrum Onkologii im. Marii Skodowskiej-Curie

Warsaw, , Poland

Site Status

Fundacja "Urologia", Międzyleski Szpital Specjalistyczny w Warszawie

Warsaw, , Poland

Site Status

Akademicki Szpital Kliniczny im Jana Mikulicza-Radeckiego we Wrocławiu

Wroclaw, , Poland

Site Status

Wojewódzki Szpital Specjalistyczny we Wrocławiu, Ośrodek Badawczo Rozwojowy

Wroclaw, , Poland

Site Status

Countries

Review the countries where the study has at least one active or historical site.

United States Canada Poland

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

SPI-612

Identifier Type: -

Identifier Source: org_study_id