Neoadjuvant Chemotherapy in Locally Advanced Bladder Cancer

NCT ID: NCT01801644

Last Updated: 2013-03-01

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

NA

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-04-30

Study Completion Date

2013-02-28

Brief Summary

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To evaluate the efficacy and safety of neoadjuvant gemcitabine and cisplatin (gem/cis) in locally advanced bladder cancer.

Detailed Description

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Patients with locally advanced transitional cell bladder cancer receive 3 cycles of neoadjuvant gemcitabine/cisplatin before radical cystectomy.

Patients with histologically confirmed clinical stage T2-T4a, N0-2 bladder cancer are going to be included. After CT scan of the thorax and abdomen plus MRI of the pelvis patient receive chemotherapy.

Pathologic response rate will be assessed after surgery by the institutional pathologic review. Safety is going to be assessed according to the National Cancer Institute Common Toxicity Criteria (CTC,version 3.0).

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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gemcitabine plus cisplatin

gemcitabine plus cisplatin: 3 cycles of gemcitabine 1000 mg/m2 on days 1,8,15 as a 30 minute infusion and cisplatin 70 mg/m2 on day 1 as an 2 hour infusion will be applied

Group Type EXPERIMENTAL

gemcitabine plus cisplatin

Intervention Type DRUG

gemcitabine 1000 mg/m2 on days 1,8,15 as a 30 minute infusion followed by cisplatin 70 mg/m2 on day 1 as an 2 hour infusion

Interventions

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gemcitabine plus cisplatin

gemcitabine 1000 mg/m2 on days 1,8,15 as a 30 minute infusion followed by cisplatin 70 mg/m2 on day 1 as an 2 hour infusion

Intervention Type DRUG

Other Intervention Names

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gemzar (gemcitabine) plus cisplatin (= cisplatin)

Eligibility Criteria

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Inclusion Criteria

* 18 years of age
* histologically confirmed stage T2, T3 or T4a urothelial bladder cancer with N0-N2
* Eastern Cooperative Oncology Group (ECOG) performance status of 0-1
* bone marrow reserve (neutrophil count \>1500 cells per μL,platelet count \>100 000 per μL) count
* hepatic function (serum bilirubin \<2,5 times the upper limit of normal, serum aminotransferase ≤2,5 times the upper limit of normal).
* renal function with a creatinine clearance \>60ml/min

Exclusion Criteria

* metastatic disease
* serious or uncontrolled concurrent medical illness
* pregnancy
* history of other malignancies (with the exception of excised cervical or basal skin or squamous-cell carcinoma)
* non-transitional cell bladder cancer
* creatinine clearance \<60ml/min
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Barmherzige Brüder Vienna

OTHER

Sponsor Role lead

Responsible Party

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Johannes Meran

Prof. Dr.Johannes Meran

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Johannes Meran, M.D.

Role: PRINCIPAL_INVESTIGATOR

Barmherzige Brüder Vienna

Locations

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Barmherzige Brüder Vienna

Vienna, Vienna, Austria

Site Status

Countries

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Austria

References

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Dash A, Pettus JA 4th, Herr HW, Bochner BH, Dalbagni G, Donat SM, Russo P, Boyle MG, Milowsky MI, Bajorin DF. A role for neoadjuvant gemcitabine plus cisplatin in muscle-invasive urothelial carcinoma of the bladder: a retrospective experience. Cancer. 2008 Nov 1;113(9):2471-7. doi: 10.1002/cncr.23848.

Reference Type BACKGROUND
PMID: 18823036 (View on PubMed)

Tolerability of neoadjuvant chemotherapy with gemcitabine plus cisplatin in elderly (older than age 65) patients (pts) with muscle-invasive urothelial cancer. D. Niedersuess-Beke, B. Gruenberger, T. Puntus, W. Bauer, M. Lamche, P. Schramek, J. G. Meran; Barmherzige Brueder Hospital, Vienna, Austria; Goettlicher Heiland Hospital, Vienna, Austria ´ J Clin Oncol 29: 2011 (suppl 7; abstr 296)

Reference Type RESULT

Other Identifiers

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Bladder Cancer-001

Identifier Type: OTHER

Identifier Source: secondary_id

Bladder Cancer-001

Identifier Type: -

Identifier Source: org_study_id

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