Gemcitabine Hydrochloride, Cisplatin, and Sunitinib Malate as First-Line Therapy in Treating Patients With Locally Advanced And/or Metastatic Transitional Cell Carcinoma of the Urothelium (SUCCINCT)

NCT ID: NCT01089088

Last Updated: 2018-10-26

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

PHASE2

Total Enrollment

63 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-04-30

Study Completion Date

2014-10-31

Brief Summary

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RATIONALE: Drugs used in chemotherapy, such as gemcitabine hydrochloride and cisplatin, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. Sunitinib malate may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth and by blocking blood flow to the tumor. Giving gemcitabine hydrochloride and cisplatin together with sunitinib malate may kill more tumor cells.

PURPOSE: This phase II trial is studying the side effects of giving gemcitabine hydrochloride and cisplatin together with sunitinib malate and to see how well it works as first-line therapy in treating patients with locally advanced and/or metastatic transitional cell carcinoma of the urothelium.

Detailed Description

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OBJECTIVES:

* To determine the activity, safety, and feasibility of gemcitabine hydrochloride and cisplatin in combination with sunitinib malate as first-line therapy in patients with locally advanced and/or metastatic transitional carcinoma of the urothelium.

OUTLINE: This is a multicenter study.

Patients receive gemcitabine hydrochloride IV over 30 minutes on days 1 and 8, cisplatin IV over 3-4 hours on day 1, and oral sunitinib malate once daily on days 2-15. Treatment repeats every 21 days for 6 courses in the absence of disease progression or unacceptable toxicity.

After completion of study treatment, patients are followed at 6 months and 1 year.

Peer Reviewed and Funded or Endorsed by Cancer Research UK

Conditions

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Bladder Cancer Transitional Cell Cancer of the Renal Pelvis and Ureter Urethral Cancer

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Interventions

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cisplatin

Up to six 21 day chemotherapy cycles:

Cisplatin 70mg/m2 (IV day 1) Gemcitabine 1000mg/m2 (IV days 1 \& 8) Sunitinib 37.5mg (po days 2 to 15)

Intervention Type DRUG

gemcitabine hydrochloride

Up to six 21 day chemotherapy cycles:

Cisplatin 70mg/m2 (IV day 1) Gemcitabine 1000mg/m2 (IV days 1 \& 8) Sunitinib 37.5mg (po days 2 to 15)

Intervention Type DRUG

sunitinib malate

Up to six 21 day chemotherapy cycles:

Cisplatin 70mg/m2 (IV day 1) Gemcitabine 1000mg/m2 (IV days 1 \& 8) Sunitinib 37.5mg (po days 2 to 15)

Intervention Type DRUG

Other Intervention Names

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Sutent

Eligibility Criteria

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Inclusion Criteria

* No concurrent anticoagulant therapy with warfarin or unfractionated heparin

* Patients requiring anticoagulation may be entered on study after successful conversion to low molecular weight heparin
* No concurrent medications that have known adverse interactions with sunitinib malate (i.e., strong CYP3A4 inhibitors or inducers)
* No prior or concurrent live vaccines (e.g., measles, mumps, rubella, oral polio, bacille Calmette-Guérin \[BCG\], yellow fever, varicella, and TY21a typhoid vaccines)
Minimum Eligible Age

16 Years

Maximum Eligible Age

120 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Cardiff University

OTHER

Sponsor Role lead

Responsible Party

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Lisette Nixon

Senior Trial Manager

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Tom Geldart

Role: PRINCIPAL_INVESTIGATOR

Royal Bournemouth Hospital

Locations

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Bristol Haematology and Oncology Centre

Bristol, Avon, United Kingdom

Site Status

Castle Hill Hospital

Cottingham, East Yorkshire, United Kingdom

Site Status

Royal Bournemouth Hospital

Bournemouth, England, United Kingdom

Site Status

Churchill Hospital

Oxford, Oxfordshire, United Kingdom

Site Status

Royal Shrewsbury Hospital

Shrewsbury, Shropshire, United Kingdom

Site Status

The Royal Marsden Hospitals (Surrey)

Sutton, Surrey, United Kingdom

Site Status

St James's University Hospital

Leeds, Yorkshire, United Kingdom

Site Status

Addenbrooke's Hospital

Cambridge, , United Kingdom

Site Status

Velindre Hospital

Cardiff, , United Kingdom

Site Status

Beatson West of Scotland Cancer Centre

Glasgow, , United Kingdom

Site Status

St Bartholomew's Hospital

London, , United Kingdom

Site Status

Hammersmith Hospital

London, , United Kingdom

Site Status

St Mary's Hospital (Paddington)

London, , United Kingdom

Site Status

Charing Cross Hospital

London, , United Kingdom

Site Status

Christie Hospital

Manchester, , United Kingdom

Site Status

Southampton General Hospital

Southampton, , United Kingdom

Site Status

Countries

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United Kingdom

References

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Chang SS. Re: SUCCINCT: An Open-Label, Single-Arm, Non-Randomised, Phase 2 Trial of Gemcitabine and Cisplatin Chemotherapy in Combination with Sunitinib as First-Line Treatment for Patients with Advanced Urothelial Carcinoma. J Urol. 2015 Dec;194(6):1583-4. doi: 10.1016/j.juro.2015.09.005. Epub 2015 Sep 5. No abstract available.

Reference Type RESULT
PMID: 26582660 (View on PubMed)

Related Links

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Other Identifiers

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WCTU-SUCCINCT

Identifier Type: -

Identifier Source: secondary_id

ISRCTN54607216

Identifier Type: -

Identifier Source: secondary_id

EUDRACT-2007-007591-42

Identifier Type: -

Identifier Source: secondary_id

EU-21013

Identifier Type: -

Identifier Source: secondary_id

WCTU-SPON-416-07

Identifier Type: -

Identifier Source: secondary_id

CRUK-07/044

Identifier Type: -

Identifier Source: secondary_id

CDR0000667764

Identifier Type: -

Identifier Source: org_study_id

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