Nordic Cystectomy Study III - Transfusion

NCT ID: NCT04537221

Last Updated: 2020-11-25

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

UNKNOWN

Total Enrollment

1700 participants

Study Classification

OBSERVATIONAL

Study Start Date

2020-09-30

Study Completion Date

2025-09-30

Brief Summary

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Around 7200 cases of Muscle Invasive Bladder Cancer are diagnosed annually in the Nordic countries combined. Muscle Invasive Bladder Cancer is an aggressive disease and it is linked with high mortality rates. The golden standard of treatment is radical cystectomy (RC) (the surgical removal of the bladder) and radical removal of lymph nodes in the pelvis. In addition to surgical treatment, and especially in cases where the tumour invades tissues surrounding the bladder or lymph nodes, chemotherapy is recommended. Chemotherapy can be administered before or after surgery, in a neoadjuvant (NAC) or adjuvant setting (AC). Although most patients recover well from surgery, there are significant risks regarding radical cystectomy. The greatest challenges in planning the treatment are making individual risk assessments and prognosis for the treated patients. Neoadjuvant chemotherapy is also insufficiently used and it is hard to predict how the tumour responds to chemotherapy.

The purpose of this study is to collect prospective clinical data on radical cystectomy -patients in co-operation with other Nordic countries: Sweden, Denmark, Iceland and Norway. The collected data is used to validate existing prediction tools and discover novel tools for prediction of morbidity related to RC and prediction of oncological outcome after RC. The study is divided into three sub-studies. Transfusions during RC and the time of hospitalization after the surgery are associated poorer oncological outcome when compared to those patients who do not need transfusions. The third study focuses on the oncological outcomes in patients receiving blood transfusions. As there are some conflicting reports and the finding is not properly validated, we aim to validate the effect of transfusions on survival after RC.

The number of transfusions during RC and the time between surgery and discharge from hospital will be recorded. Patient cohort will be divided into patients receiving transfusions and not receiving transfusion. The primary end point is patients receiving transfusion and its effect on cancer specific mortality at 24 months. For patients receiving NAC, additional secondary end-point is complete response (pT0N0) rate at RC.

Detailed Description

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Conditions

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Bladder Cancer Invasive Bladder Cancer

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

PROSPECTIVE

Study Groups

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No transfusions

Patients receiving no perioperative blood transfusions (PBT)

Blood transfusion

Intervention Type BIOLOGICAL

Transfusion of red blood cells peri-operatively

Transfusions

Patients receiving perioperative blood transfusions (PBT)

Blood transfusion

Intervention Type BIOLOGICAL

Transfusion of red blood cells peri-operatively

Interventions

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Blood transfusion

Transfusion of red blood cells peri-operatively

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

* Histologically confirmed urinary BC planned to be treated with RC with or without neoadjuvant chemotherapy.
* Histologically confirmed urinary BC planned to be treated with palliative cystectomy
* Signed informed consent
* Patient age \>18 years

Exclusion Criteria

* RC for other reasons than BC
* Other forms of surgical treatment of BC than RC (e.g. bladder resection).
* Patient unwillingness to participate in the study for any reason (i.e. lack of signed consent).
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Nordic Urothelial Cancer Group

OTHER

Sponsor Role collaborator

Turku University Hospital

OTHER_GOV

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Peter Boström, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Turku University Hospital

Locations

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University Hospital of Turku, Hospital Distric of Southwest Finland

Turku, Southwest Finland, Finland

Site Status RECRUITING

Countries

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Finland

Central Contacts

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Otto Ettala, MD, PhD

Role: CONTACT

Phone: 23130280

Email: [email protected]

Ilkka Nikulainen, MD

Role: CONTACT

Phone: 23137928

Email: [email protected]

Facility Contacts

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Otto Ettala, MD, PhD

Role: primary

Other Identifiers

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T199/2020

Identifier Type: -

Identifier Source: org_study_id