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Sponsors and Collaborators: |
European Organization for Research and Treatment of Cancer National Cancer Institute (NCI) Groupe D'Etude des Tumeurs Uro-Genitales Nordic Urothelial Cancer Group National Cancer Institute of Canada Institute of Cancer Research, United Kingdom American College of Surgeons |
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Information provided by: | National Cancer Institute (NCI) |
ClinicalTrials.gov Identifier: | NCT00028756 |
RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Combining more than one drug and giving them after surgery may kill any remaining tumor cells. It is not yet known if adjuvant chemotherapy is more effective when given immediately after radical cystectomy (surgery to remove the bladder) or when the cancer returns.
PURPOSE: Randomized phase III trial to compare the effectiveness of immediate adjuvant chemotherapy with that of adjuvant chemotherapy given when the cancer returns in treating patients who have undergone a radical cystectomy for stage III or stage IV transitional cell carcinoma of the bladder urothelium.
Condition | Intervention | Phase |
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Bladder Cancer |
Drug: cisplatin Drug: doxorubicin hydrochloride Drug: filgrastim Drug: gemcitabine hydrochloride Drug: methotrexate Drug: vinblastine Procedure: adjuvant therapy |
Phase III |
Study Type: | Interventional |
Study Design: | Treatment, Randomized, Active Control |
Official Title: | Randomized Phase III Trial Comparing Immediate Versus Deferred Chemotherapy After Radical Cystectomy in Patients With pT3-pT4, and/or N+MO Transitional Cell Carcinoma (TCC) of the Bladder |
Estimated Enrollment: | 660 |
Study Start Date: | October 2001 |
Estimated Primary Completion Date: | January 2007 (Final data collection date for primary outcome measure) |
OBJECTIVES:
OUTLINE: This is a randomized, multicenter study. Patients are stratified according to participating center, tumor status (pT1-2 vs pT3 vs pT4), and node status (node positive vs node negative with 15 or more nodes sampled vs node negative with less than 15 nodes sampled). Patients are randomized to one of two treatment arms.
Patients in both arms receive one of the following chemotherapy regimens to be determined by participating center:
Patients are followed every 3 months for 1 year, every 6 months for 5 years, and then annually thereafter.
Peer Reviewed and Funded or Endorsed by Cancer Research UK
PROJECTED ACCRUAL: A total of 660 will be accrued for this study.
Genders Eligible for Study: | Both |
Accepts Healthy Volunteers: | No |
DISEASE CHARACTERISTICS:
Histologically confirmed transitional cell carcinoma of the bladder urothelium
PATIENT CHARACTERISTICS:
Age:
Performance status:
Life expectancy:
Hematopoietic:
Hepatic:
Renal:
Cardiovascular:
Other:
PRIOR CONCURRENT THERAPY:
Biologic therapy:
Chemotherapy:
Endocrine therapy:
Radiotherapy:
Surgery:
Investigator: | Cora N. Sternberg, MD, FACP | Vincenzo Pansadoro Foundation |
Study Chair: | Christine Theodore, MD | Institut Gustave Roussy |
Study Chair: | Sten Nilsson, MD | Karolinska University Hospital - Solna |
Study Chair: | Armen G. Aprikian, MD | Montreal General Hospital |
Study Chair: | Michael Leahy, MBChB, FRACP, FRCP, FRC Path | Fremantle Hospital |
Study Chair: | Ian Tannock, MD, PhD | Princess Margaret Hospital, Canada |
Study ID Numbers: | CDR0000069130, EORTC-30994, ACOSOG-EORTC-30994, CAN-NCIC-EORTC-30994, FNCLCC-GETUG-EORTC-30994, JUG-EORTC-30994, NORDIC-EORTC-30994, SEUG-EORTC-30994, SWOG-EORTC-30994, UKCCCR-EORTC-30994, NCRI-BLADDER-EORTC-30994 |
Study First Received: | January 4, 2002 |
Last Updated: | October 22, 2008 |
ClinicalTrials.gov Identifier: | NCT00028756 |
Health Authority: | Unspecified |
stage III bladder cancer stage IV bladder cancer transitional cell carcinoma of the bladder |
Cystocele Urinary Bladder Diseases Urinary Bladder Neoplasms Vinblastine Urogenital Neoplasms Carcinoma, Transitional Cell Urologic Neoplasms Transitional cell carcinoma Doxorubicin |
Carcinoma Folic Acid Cisplatin Urologic Diseases Methotrexate Gemcitabine Urinary tract neoplasm Neoplasms, Glandular and Epithelial Bladder neoplasm |
Antimetabolites Anti-Infective Agents Antimetabolites, Antineoplastic Molecular Mechanisms of Pharmacological Action Immunologic Factors Antineoplastic Agents Physiological Effects of Drugs Reproductive Control Agents Antibiotics, Antineoplastic Neoplasms by Site Therapeutic Uses Abortifacient Agents Dermatologic Agents Nucleic Acid Synthesis Inhibitors |
Neoplasms by Histologic Type Mitosis Modulators Enzyme Inhibitors Antimitotic Agents Abortifacient Agents, Nonsteroidal Folic Acid Antagonists Antiviral Agents Immunosuppressive Agents Pharmacologic Actions Neoplasms Radiation-Sensitizing Agents Tubulin Modulators Antirheumatic Agents Antineoplastic Agents, Phytogenic |