The Bladder Instillation Comparison Study

NCT ID: NCT02695771

Last Updated: 2023-04-21

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

101 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-04-19

Study Completion Date

2021-10-22

Brief Summary

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To compare the efficacy of Mitomycin C vs. Gemcitabine vs. no adjuvant treatment as a single intraoperative instillation in preventing recurrence of bladder cancer.

Detailed Description

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This study will compare standard of care treatment for patients with non-muscle invasive bladder cancer (NMIBC). Patients will be randomized to one of three arms, Mitomycin C, Gemcitabine or no additional treatment immediately following TURBT in the operating suite. All treatment, surgical procedures and follow up care will be conducted according to standard of care treatment.

Conditions

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Urinary Bladder Neoplasms

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

NONE

Study Groups

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Mitomycin C

Mitomycin C 40 mg in 40 mL of 0.9% sodium chloride intravesicular immediately following TURBT one time.

Group Type EXPERIMENTAL

Mitomycin C

Intervention Type DRUG

Cancer chemotherapeutic agent

Gemcitabine

Gemcitabine 2 grams in 100 mL of 0.9% sodium chloride intravesicular immediately following TURBT one time.

Group Type ACTIVE_COMPARATOR

Gemcitabine

Intervention Type DRUG

Cancer chemotherapeutic agent

No intervention

Patients randomized to this arm will receive no intervention intravesicular immediately following TURBT one time.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Mitomycin C

Cancer chemotherapeutic agent

Intervention Type DRUG

Gemcitabine

Cancer chemotherapeutic agent

Intervention Type DRUG

Other Intervention Names

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Mutamycin Gemzar, Novaplus

Eligibility Criteria

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Inclusion Criteria

1. sign an informed consent for the study
2. be scheduled for a TURBT for suspected non-muscle invasive bladder tumor.

Exclusion Criteria

1. patients unable to consent for themselves
2. individuals under 18 years old
3. pregnant women
4. prisoners
5. patients with known allergy or intolerance to the mitomycin C or Gemcitabine
6. any other sound medical, psychiatric and/or social reason as determined by the investigator.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Spectrum Health Hospitals

OTHER

Sponsor Role lead

Responsible Party

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Brian R. Lane

Urologist

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Brian R Lane, MD

Role: PRINCIPAL_INVESTIGATOR

Spectrum Health Hospitals

Locations

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Spectrum Health Medical Group-Division of Urology-LHCP

Grand Rapids, Michigan, United States

Site Status

Spectrum Health Medical Group-Division of Urology

Grand Rapids, Michigan, United States

Site Status

Urologic Consultants P.C.

Grand Rapids, Michigan, United States

Site Status

Countries

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United States

References

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Weijers Y, Arentsen HC, Arends TJ, Witjes JA. Management of low-risk and intermediate-risk non-muscle-invasive bladder carcinoma. Hematol Oncol Clin North Am. 2015 Apr;29(2):219-25, vii. doi: 10.1016/j.hoc.2014.11.001.

Reference Type BACKGROUND
PMID: 25836930 (View on PubMed)

Pagano MJ, Badalato G, McKiernan JM. Optimal treatment of non-muscle invasive urothelial carcinoma including perioperative management revisited. Curr Urol Rep. 2014 Nov;15(11):450. doi: 10.1007/s11934-014-0450-1.

Reference Type BACKGROUND
PMID: 25234184 (View on PubMed)

Roupret M, Babjuk M, Comperat E, Zigeuner R, Sylvester RJ, Burger M, Cowan NC, Bohle A, Van Rhijn BW, Kaasinen E, Palou J, Shariat SF. European Association of Urology Guidelines on Upper Urinary Tract Urothelial Cell Carcinoma: 2015 Update. Eur Urol. 2015 Nov;68(5):868-79. doi: 10.1016/j.eururo.2015.06.044. Epub 2015 Jul 16.

Reference Type BACKGROUND
PMID: 26188393 (View on PubMed)

Sylvester RJ, Oosterlinck W, van der Meijden AP. A single immediate postoperative instillation of chemotherapy decreases the risk of recurrence in patients with stage Ta T1 bladder cancer: a meta-analysis of published results of randomized clinical trials. J Urol. 2004 Jun;171(6 Pt 1):2186-90, quiz 2435. doi: 10.1097/01.ju.0000125486.92260.b2.

Reference Type BACKGROUND
PMID: 15126782 (View on PubMed)

Au JL, Badalament RA, Wientjes MG, Young DC, Warner JA, Venema PL, Pollifrone DL, Harbrecht JD, Chin JL, Lerner SP, Miles BJ; International Mitomycin C Consortium. Methods to improve efficacy of intravesical mitomycin C: results of a randomized phase III trial. J Natl Cancer Inst. 2001 Apr 18;93(8):597-604. doi: 10.1093/jnci/93.8.597.

Reference Type BACKGROUND
PMID: 11309436 (View on PubMed)

Montgomery JS, Miller DC, Weizer AZ. Quality indicators in the management of bladder cancer. J Natl Compr Canc Netw. 2013 Apr 1;11(4):492-500. doi: 10.6004/jnccn.2013.0061.

Reference Type BACKGROUND
PMID: 23584349 (View on PubMed)

Han MA, Maisch P, Jung JH, Hwang JE, Narayan V, Cleves A, Hwang EC, Dahm P. Intravesical gemcitabine for non-muscle invasive bladder cancer. Cochrane Database Syst Rev. 2021 Jun 14;6(6):CD009294. doi: 10.1002/14651858.CD009294.pub3.

Reference Type DERIVED
PMID: 34125951 (View on PubMed)

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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2016-030

Identifier Type: -

Identifier Source: org_study_id

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