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Sponsors and Collaborators: |
Southwest Oncology Group National Cancer Institute (NCI) |
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Information provided by: | National Cancer Institute (NCI) |
ClinicalTrials.gov Identifier: | NCT00445601 |
RATIONALE: Drugs used in chemotherapy, such as gemcitabine, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. Giving gemcitabine directly into the bladder after surgery may kill more tumor cells. It is not yet known whether giving gemcitabine directly into the bladder is more effective than a placebo in treating bladder cancer.
PURPOSE: This randomized phase III trial is studying gemcitabine to see how well it works when given directly into the bladder compared with a placebo after surgery in treating patients with newly diagnosed or recurrent bladder cancer.
Condition | Intervention | Phase |
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Bladder Cancer |
Drug: gemcitabine hydrochloride Other: placebo |
Phase III |
Study Type: | Interventional |
Study Design: | Treatment, Randomized, Double-Blind |
Official Title: | A Phase III Blinded Study of Immediate Post-Turbt Instillation of Gemcitabine Versus Saline in Patients With Newly Diagnosed or Occasionally Recurring Grade I/II Superficial Bladder Cancer |
Estimated Enrollment: | 340 |
Study Start Date: | September 2007 |
Estimated Primary Completion Date: | January 2013 (Final data collection date for primary outcome measure) |
Arms | Assigned Interventions |
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Arm I: Experimental
Patients receive intravesical gemcitabine hydrochloride over 1 hour.
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Drug: gemcitabine hydrochloride
Given intravesically
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Arm II: Placebo Comparator
Patients receive intravesical placebo over 1 hour.
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Other: placebo
Given intravesically
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OBJECTIVES:
Primary
Secondary
Tertiary
OUTLINE: This is a randomized, double-blind, multicenter study. Patients are stratified according to disease status (first occurrence vs recurrent disease) and number of tumor sites (1 vs ≥ 2). Patients are randomized to 1 of 2 treatment arms.
All patients undergo transurethral resection of the bladder tumor. Within 3 hours, patients receive intravesical therapy according to their randomized arm.
After completion of study treatment, patients are followed every 3 months for 2 years and then every 6 months for 2 years.
PROJECTED ACCRUAL: A total of 340 patients will be accrued for this study.
Ages Eligible for Study: | 18 Years and older |
Genders Eligible for Study: | Both |
Accepts Healthy Volunteers: | No |
DISEASE CHARACTERISTICS:
Diagnosis of newly diagnosed or recurrent transitional cell bladder cancer meeting the following criteria:
No more than 2 recurrences (except for index tumor) within the 3 years prior to the index tumor's transurethral resection of the bladder tumor (TURBT)
Index tumor post-TURBT must meet the following criteria:
Negative upper tract imaging studies within 6 months prior to study entry
PATIENT CHARACTERISTICS:
No other prior malignancy except for any of the following:
PRIOR CONCURRENT THERAPY:
Study Chair: | Edward M. Messing, MD, FACS | James P. Wilmot Cancer Center |
Investigator: | David P. Wood, MD | University of Michigan Cancer Center |
Responsible Party: | Southwest Oncology Group - Group Chair's Office ( Laurence H. Baker ) |
Study ID Numbers: | CDR0000534235, SWOG-S0337 |
Study First Received: | March 7, 2007 |
Last Updated: | April 21, 2009 |
ClinicalTrials.gov Identifier: | NCT00445601 History of Changes |
Health Authority: | Unspecified |
transitional cell carcinoma of the bladder stage 0 bladder cancer stage I bladder cancer recurrent bladder cancer |
Antimetabolites Urinary Tract Neoplasm Cystocele Immunologic Factors Urinary Bladder Diseases Urinary Bladder Neoplasms Urogenital Neoplasms Carcinoma, Transitional Cell Urologic Neoplasms |
Immunosuppressive Agents Antiviral Agents Recurrence Carcinoma Radiation-Sensitizing Agents Urologic Diseases Bladder Neoplasm Gemcitabine Transitional Cell Carcinoma |
Antimetabolites Anti-Infective Agents Antimetabolites, Antineoplastic Immunologic Factors Molecular Mechanisms of Pharmacological Action Antineoplastic Agents Physiological Effects of Drugs Urinary Bladder Diseases Urinary Bladder Neoplasms Enzyme Inhibitors Urogenital Neoplasms |
Urologic Neoplasms Immunosuppressive Agents Antiviral Agents Pharmacologic Actions Neoplasms Neoplasms by Site Radiation-Sensitizing Agents Urologic Diseases Therapeutic Uses Gemcitabine |