Methotrexate, Vinblastine, Doxorubicin and Cisplatin (MVAC) Followed by Gemcitabine Plus Cisplatin (GEM+CDDP) in Locally Advanced or Metastatic Bladder Cancer

NCT ID: NCT00635726

Last Updated: 2015-10-08

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

TERMINATED

Clinical Phase

PHASE2

Total Enrollment

41 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-02-29

Study Completion Date

2013-02-28

Brief Summary

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This phase II trial will study the effectiveness and toxicity of sequential high dose MVAC followed by gemcitabine and cisplatin, as first line treatment in patients with locally advanced or metastatic bladder cancer.

Detailed Description

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High dose MVAC and Cisplatin/Gemcitabine combination regimens have shown comparable efficacy in the first line treatment of advanced or metastatic bladder cancer, whereas the latter regimen has better tolerability. The efficacy and tolerability of the sequential administration of these two regimens is not known.

Conditions

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Bladder Cancer

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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1

MVAC -\> GEM+CDDP

Group Type EXPERIMENTAL

Methotrexate

Intervention Type DRUG

Methotrexate intravenous (IV) 30 mgr/m2 on day 1 every 2 weeks for 6 courses

Vinblastine

Intervention Type DRUG

Vinblastine IV 3 mgr/m2 on day 1 every 2 weeks for 6 courses

Doxorubicin

Intervention Type DRUG

Doxorubicin IV 30 mgr/m2 on day 2 every 2 weeks for 6 courses

Cisplatin

Intervention Type DRUG

Cisplatin IV 70 mgr/m2 on day 2 every 2 weeks for 6 courses

Cisplatin

Intervention Type DRUG

Cisplatin IV 70 mgr/m2 on day 1 every 3 weeks for 4 courses

Gemcitabine

Intervention Type DRUG

Gemcitabine 1000 mgr/m2 on days 1 and 8 every 3 weeks for 4 courses

Interventions

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Methotrexate

Methotrexate intravenous (IV) 30 mgr/m2 on day 1 every 2 weeks for 6 courses

Intervention Type DRUG

Vinblastine

Vinblastine IV 3 mgr/m2 on day 1 every 2 weeks for 6 courses

Intervention Type DRUG

Doxorubicin

Doxorubicin IV 30 mgr/m2 on day 2 every 2 weeks for 6 courses

Intervention Type DRUG

Cisplatin

Cisplatin IV 70 mgr/m2 on day 2 every 2 weeks for 6 courses

Intervention Type DRUG

Cisplatin

Cisplatin IV 70 mgr/m2 on day 1 every 3 weeks for 4 courses

Intervention Type DRUG

Gemcitabine

Gemcitabine 1000 mgr/m2 on days 1 and 8 every 3 weeks for 4 courses

Intervention Type DRUG

Other Intervention Names

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CDDP CDDP Gemzar

Eligibility Criteria

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Inclusion Criteria

* Histologically or cytologically confirmed transitional cell carcinoma of the urinary bladder.
* Metastatic or locally advanced disease.
* No prior chemotherapy.
* Performance status (World Health Organization) 0-2.
* Measurable or evaluable disease.
* Measurable disease is defined as at least 1 unidimensional measurable lesion

≥20 mm by conventional techniques or 1 bidimensionally measurable lesion ≥ 20 X 10 mm. Lesions that are smaller or uni- or bidimensionally unmeasurable are considered as evaluable disease.
* Adequate liver (bilirubin ≤ 1.5 Upper Normal Limit, serum glutamate-pyruvate aminotransferase/serum glutamic pyruvic transaminase ≤ 2 Upper Normal Limit, ALP ≤ 2.5 Upper Normal Limit), renal (creatinine ≤ 1.5 Upper Normal Limit) and bone marrow (absolute neutrophil count ≥ 1,500/mm3, platelet count ≥ 100,000/mm3) function.
* Life expectancy \> 3 months.
* Patients must be able to understand the nature of this study and give written informed consent.

Exclusion Criteria

* History of serious cardiac disease (unstable angina, severe congestive heart failure, myocardial infarction within the previous 6 months, ventricular arrhythmias).
* Second primary malignancy, except for non-melanoma skin cancer and in situ cervical cancer.
* Active infection.
* Uncontrolled inflammation.
* Pregnant or lactating women.
* Psychiatric illness or social situation that would preclude study compliance.
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University Hospital of Crete

OTHER

Sponsor Role collaborator

Hellenic Oncology Research Group

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Nikos Androulakis, MD

Role: PRINCIPAL_INVESTIGATOR

University Hospital of Crete, Dept. of Medical Oncology

Locations

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University General Hospital of Alexandroupolis, Dept. of Medical Oncology

Alexandroupoli, , Greece

Site Status

401 Military Hospital, Medical Oncology Unit

Athens, , Greece

Site Status

Air Forces Military Hospital, Dept. of Medical Oncology

Athens, , Greece

Site Status

IASO General Hospital of Athens, 1st Dept. of Medical Oncology

Athens, , Greece

Site Status

Laikon General Hospital, Medical Oncology Unit, Propedeutic Dept. of Internal Medicine

Athens, , Greece

Site Status

Metaxa's Anticancer Hospital of Piraeus, 1st Dept. of Medical Oncology

Piraeus, , Greece

Site Status

Theagenion Anticancer Hospital of Thessaloniki

Thessaloniki, , Greece

Site Status

Countries

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Greece

Other Identifiers

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CT/07.16

Identifier Type: -

Identifier Source: org_study_id

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