Clinical Study of Neoadjuvant Therapy Outcome Prediction of Muscle-invasive Bladder Cancer Based on PTC Drug Sensitivity Detection

NCT ID: NCT05767528

Last Updated: 2023-03-14

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

40 participants

Study Classification

OBSERVATIONAL

Study Start Date

2022-12-08

Study Completion Date

2024-12-08

Brief Summary

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In this study, investigators plan to conduct the 3D in vitro culture PTC drug sensitivity testing of fresh tumor specimen which obtained by endoscopic biopsy or other methods. Through assessing the consistency between the testing results and the patients' neoadjuvant treatment outcomes, they would evaluate the accuracy of PTC drug sensitivity testing and its application value in the individualized precision medicine for muscle-invasive bladder carcinoma.

Detailed Description

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This is a prospective observational study. In this study, researchers propose to enroll 40 participants above 18 years of age with muscle-invasive bladder carcinoma, who are going to receive the neoadjuvant therapy before surgery. Collecting fresh tumor samples for PTC drug sensitivity testing, conducting neoadjuvant therapy for the subjects simultaneously. By combining PTC prediction results with the patients' clinical treatment process and medication feedback, researchers could estimate the accuracy of PTC drug sensitivity testing. Completion of this research would provide real-world figures to support for the clinical application for PTC drug sensitivity testing, and a method is going to be established to guide the clinical treatment regimen for patients with muscle-invasive bladder carcinoma.

Conditions

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Muscle-Invasive Bladder Carcinoma

Study Design

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Observational Model Type

CASE_ONLY

Study Time Perspective

PROSPECTIVE

Study Groups

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Case Group

Participants who were diagnosed as MIBC and plan to receive neoadjuvant therapy before the surgery, above 18 years of age, regardless of gender

Patient-derived tumor-like cell clusters (PTC) drug sensitivity testing

Intervention Type DIAGNOSTIC_TEST

Conducting the neoadjuvant therapy of FDA-approved drugs for patients with muscle-invasive bladder carcinoma, culturing the patient-derived tumor-like cell clusters for drug sensitivity testing simultaneously, then assess the accuracy of the diagnostic test by combination and analysis of these results

Interventions

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Patient-derived tumor-like cell clusters (PTC) drug sensitivity testing

Conducting the neoadjuvant therapy of FDA-approved drugs for patients with muscle-invasive bladder carcinoma, culturing the patient-derived tumor-like cell clusters for drug sensitivity testing simultaneously, then assess the accuracy of the diagnostic test by combination and analysis of these results

Intervention Type DIAGNOSTIC_TEST

Eligibility Criteria

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Inclusion Criteria

* 1 The lesion of biopsy was diagnosed as muscle-invasive bladder cancer
* 2 Age ≥ 18 years old, regardless of gender
* 3 Treatment plan of bladder removal surgery
* 4 Neoadjuvant therapy before surgery
* 5 Adequate fresh tumor tissue can be obtained by endoscopic biopsy for PTC drug sensitivity testing
* 6 ECOG 0-1, expected survival is more than 3 months
* 7 Normal or stable hepatic, renal, and hematopoietic function
* 8 Normal or stable blood pressure
* 9 The subjects are willing to participate, sign an informed consent form, and have good compliance

Exclusion Criteria

* 1 Patients with incomplete clinical data
* 2 Central nervous system metastasis
* 3 The presence of other malignant diseases was discovered during treatment, which is going to interfere the study
* 4 Researchers believe that the patient is not suitable for participation after comprehensive evaluation
* 5 Refuse the treatment or follow-up plans
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Beijing GeneX Health Technology Co., Ltd

UNKNOWN

Sponsor Role collaborator

Chinese PLA General Hospital

OTHER

Sponsor Role lead

Responsible Party

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Shaoxi Niu

Chinese People's Liberation Army (PLA) General Hospital

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Xu Zhang, M.D.&Ph.D.

Role: PRINCIPAL_INVESTIGATOR

Chinese PLA General Hospital

Hongzhao Li, M.D.&Ph.D.

Role: PRINCIPAL_INVESTIGATOR

Chinese PLA General Hospital

Shaoxi Niu, M.D.&Ph.D.

Role: PRINCIPAL_INVESTIGATOR

Chinese PLA General Hospital

Locations

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Chinese PLA General Hospital

Beijing, Beijing Municipality, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Shaoxi Niu, M.D.&Ph.D.

Role: CONTACT

+8613911353443

Facility Contacts

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Shaoxi Niu, M.D.&Ph.D.

Role: primary

+8613911353443

References

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Other Identifiers

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S2022-714-01

Identifier Type: -

Identifier Source: org_study_id

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