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| Sponsors and Collaborators: |
Southwest Oncology Group National Cancer Institute (NCI) Cancer and Leukemia Group B |
|---|---|
| Information provided by: | National Cancer Institute (NCI) |
| ClinicalTrials.gov Identifier: | NCT00003824 |
Purpose
RATIONALE: Chemoprevention therapy is the use of certain drugs to try to prevent the development or recurrence of cancer. It is not yet known whether ciprofloxacin is more effective than cephalexin in preventing cancer recurrence in patients who are undergoing surgery to treat bladder cancer.
PURPOSE: Randomized phase III trial to compare the effectiveness of ciprofloxacin with that of cephalexin in preventing recurrence of cancer in patients who are undergoing surgery for bladder cancer.
| Condition | Intervention | Phase |
|---|---|---|
|
Bladder Cancer |
Drug: cephalexin Drug: ciprofloxacin Drug: trimethoprim-sulfamethoxazole Procedure: chemotherapy Procedure: surgical procedure |
Phase III |
| Study Type: | Interventional |
| Study Design: | Treatment, Randomized |
| Official Title: | The Effect of Fluoroquinolones on the Disease-Free Interval in Patients With Stage Ta Transitional Cell Carcinoma of the Bladder |
| Estimated Enrollment: | 900 |
| Study Start Date: | April 1999 |
OBJECTIVES: I. Determine whether ciprofloxacin improves the recurrence-free survival of patients with superficial transitional cell carcinoma of the bladder treated with a transurethral tumor resection.
OUTLINE: This is a randomized, multicenter study. Patients are stratified according to disease status (first occurrence vs recurrent disease). Patients are randomized to receive either oral ciprofloxacin or oral cephalexin 2 times a day for 3 days starting the night before resection. Patients who are allergic to penicillin or a cephalosporin receive oral co-trimoxazole 2 times a day for 3 days. All patients undergo complete resection of all bladder tumors. Patients are followed every 3 months for the first 2 years, every 6 months for the next 2 years, and at the end of the fifth year.
PROJECTED ACCRUAL: A total of 900 patients will be accrued for this study over 3 years.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
DISEASE CHARACTERISTICS: Stage Ta (any grade) transitional cell carcinoma of the bladder on basis of cystoscopy Recurrent disease no greater than T1 Must not be at high risk for upper tract (ureter or renal pelvic) transitional cell cancers
PATIENT CHARACTERISTICS: Age: 18 and over Performance status: SWOG 0-2 Life expectancy: Not specified Hematopoietic: Not specified Hepatic: Not specified Renal: Not specified Other: Not pregnant or nursing Fertile patients must use effective contraception No other prior malignancy in the past 5 years except adequately treated basal cell or squamous cell skin cancer, carcinoma in situ of the cervix, or adequately treated stage I or II cancer in complete remission No allergies to fluoroquinolones If allergic to penicillin or cephalosporin, must be able to take co-trimoxazole
PRIOR CONCURRENT THERAPY: Biologic therapy: Not specified Chemotherapy: At least 28 days since prior intravesical therapy and recovered Endocrine therapy: Not specified Radiotherapy: At least 28 days since prior radiotherapy and recovered Surgery: Not specified Other: At least 3 months prior to cystoscopy since prior fluoroquinolones No concurrent fluoroquinolones No concurrent hemodialysis or peritoneal dialysis No concurrent probenecid or theophylline No concurrent antacids containing aluminum, magnesium or calcium, products containing iron or zinc, caffeine, cyclosporine, or warfarin
Contacts and Locations
Show 90 Study Locations| Study Chair: | David P. Wood, MD | Barbara Ann Karmanos Cancer Institute |
| Study Chair: | David P. Wood, MD | Barbara Ann Karmanos Cancer Institute |
More Information
| Study ID Numbers: | CDR0000066978, SWOG-S9809, CLB-S9809 |
| Study First Received: | November 1, 1999 |
| Last Updated: | July 23, 2008 |
| ClinicalTrials.gov Identifier: | NCT00003824 |
| Health Authority: | United States: Federal Government |
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stage 0 bladder cancer recurrent bladder cancer transitional cell carcinoma of the bladder |
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Trimethoprim Cystocele Sulfamethoxazole Fluoroquinolones Cephalexin Urinary Bladder Diseases Urinary Bladder Neoplasms Trimethoprim-Sulfamethoxazole Combination Urogenital Neoplasms Carcinoma, Transitional Cell |
Urologic Neoplasms Transitional cell carcinoma Recurrence Carcinoma Folic Acid Ciprofloxacin Urologic Diseases Urinary tract neoplasm Neoplasms, Glandular and Epithelial Bladder neoplasm |
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Anti-Infective Agents Antiprotozoal Agents Neoplasms by Histologic Type Molecular Mechanisms of Pharmacological Action Enzyme Inhibitors Anti-Infective Agents, Urinary Folic Acid Antagonists Renal Agents |
Pharmacologic Actions Anti-Bacterial Agents Antimalarials Antiparasitic Agents Neoplasms Neoplasms by Site Therapeutic Uses Nucleic Acid Synthesis Inhibitors |
