Surgery With or Without Chemotherapy in Treating Patients With Newly Diagnosed or Recurrent Bladder Cancer
Recruitment status was Active, not recruiting
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Purpose
RATIONALE: Transurethral resection is a less invasive type of surgery for bladder cancer and may have fewer side effects and improve recovery. Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. It is not yet known whether transurethral resection plus AD 32 is more effective than transurethral resection alone for bladder cancer.
PURPOSE: Randomized phase III trial to compare the effectiveness of transurethral resection surgery followed by AD 32 with that of transurethral resection alone in treating patients who have newly diagnosed or recurrent bladder cancer.
| Condition | Intervention | Phase |
|---|---|---|
|
Bladder Cancer |
Drug: valrubicin Procedure: conventional surgery |
Phase 3 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Primary Purpose: Treatment |
| Official Title: | Phase III Randomized Study of a Single Adjunctive Instillation of Intravesical AD 32 (N-Trifluoroacetyladriamycin-14-Valerate) Versus No Adjunctive Therapy Immediately Following Transurethral Resection in Patients With Multiple Superficial (Ta/T1) Bladder Tumors |
| Estimated Enrollment: | 300 |
| Study Start Date: | December 1996 |
OBJECTIVES: I. Assess the efficacy of adjuvant AD 32 following complete transurethral resection versus transurethral resection alone in patients with newly diagnosed or recurrent superficial transitional cell carcinoma of the bladder. II. Assess the toxicity of AD 32 in these patients.
OUTLINE: This is an open label, randomized, multicenter study. Patients are randomized to receive surgery with AD 32 or surgery alone. Arm I: Patients undergo surgery to remove bladder tumors. AD 32 is administered by catheter into the bladder within 2-24 hours after surgery. Patients must hold the AD 32 liquid in the bladder for 90 minutes. Arm II: Patients undergo only surgery to remove bladder tumors. Patients with T1 or Tis disease may receive BCG therapy once weekly for 6 weeks, followed by 6 weeks of rest. Patients are followed every 3 months for 2 years.
PROJECTED ACCRUAL: This study will accrue approximately 300 patients.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
DISEASE CHARACTERISTICS: Histologically diagnosed stage 0 (Ta), stage I, or recurrent superficial transitional cell carcinoma of the bladder Must have at least 2 papillary appearing bladder tumors by cystoscopic examination Patients with recurrent disease must have no history of Tis tumor
PATIENT CHARACTERISTICS: Age: 18 and over Performance status: SWOG 0-2 Life expectancy: Not specified Hematopoietic: WBC greater than 4000/mm3 Platelet count at least 100,000/mm3 Hepatic: Bilirubin no greater than 2 times upper limit of normal (ULN) SGOT no greater than 2 times ULN Renal: Creatinine no greater than 2 times ULN Other: Not pregnant or nursing Fertile patients must use effective contraception
PRIOR CONCURRENT THERAPY: Biologic therapy: No concurrent biological response modifiers for bladder cancer Chemotherapy: No prior or concurrent chemotherapy for bladder cancer No prior AD 32 therapy for bladder cancer Endocrine therapy: Not specified Radiotherapy: No prior or concurrent radiotherapy Surgery: At least 9 months since any complete transurethral resection of the bladder
Contacts and Locations
Hide Study Locations| United States, Alabama | |
| Urology Associates | |
| Birmingham, Alabama, United States, 35205 | |
| United States, Arizona | |
| Urology Associates, Ltd. | |
| Phoenix, Arizona, United States, 85012 | |
| United States, California | |
| University of California San Diego Cancer Center | |
| La Jolla, California, United States, 92093-0658 | |
| San Diego Urology Center | |
| La Mesa, California, United States, 91942 | |
| Hillcrest Urological Medical Group | |
| San Diego, California, United States, 92103 | |
| San Diego Urology Center | |
| San Diego, California, United States, 92120 | |
| UCSF Cancer Center and Cancer Research Institute | |
| San Francisco, California, United States, 94115-0128 | |
| Santa Monica Urologic Medical Group | |
| Santa Monica, California, United States, 90404 | |
| Western Urological Associates | |
| Van Nuys, California, United States, 91405 | |
| United States, Connecticut | |
| Urology Specialists, P.C. | |
| Waterbury, Connecticut, United States, 06708 | |
| United States, District of Columbia | |
| George Washington University Hospital | |
| Washington, District of Columbia, United States, 20037 | |
| United States, Florida | |
| Atlantic Urological Associates | |
| Daytona Beach, Florida, United States, 32114 | |
| University of Florida - Gainesville | |
| Gainesville, Florida, United States, 32610-0277 | |
| Sylvester Cancer Center, University of Miami | |
| Miami, Florida, United States, 33136 | |
| Urology Care - South | |
| Miami, Florida, United States, 33173 | |
| Urology Health Center | |
| New Port Richey, Florida, United States, 34652 | |
| Office of Ira W. Klimberg | |
| Ocala, Florida, United States, 32674 | |
| Urology Treatment Center | |
| Sarasota, Florida, United States, 3429 | |
| United States, Georgia | |
| Georgia Urology | |
| Atlanta, Georgia, United States, 30342 | |
| United States, Illinois | |
| Affliated Urology | |
| Chicago, Illinois, United States, 60612 | |
| University of Chicago Cancer Research Center | |
| Chicago, Illinois, United States, 60637 | |
| Evanston Northwestern Healthcare | |
| Evanston, Illinois, United States, 60201 | |
| United States, Kentucky | |
| Clinic of Urologic Wellness | |
| Lexington, Kentucky, United States, 40509 | |
| United States, Louisiana | |
| Louisiana State University Health Sciences Center - Shreveport | |
| Shreveport, Louisiana, United States, 71130-3932 | |
| United States, Massachusetts | |
| Cambridge Urological Associates, Inc. | |
| Cambridge, Massachusetts, United States, 02238 | |
| United States, Michigan | |
| Michigan Institute of Urology | |
| Detroit, Michigan, United States, 48236 | |
| United States, Mississippi | |
| Mississippi Urology Clinic, P.A. | |
| Jackson, Mississippi, United States, 39202 | |
| United States, Nebraska | |
| Urology Center | |
| Omaha, Nebraska, United States, 68122 | |
| United States, Nevada | |
| Sheldon Freedman Ltd. | |
| Las Vegas, Nevada, United States, 89109 | |
| Desert Urology | |
| North Las Vegas, Nevada, United States, 89128 | |
| United States, New Hampshire | |
| Norris Cotton Cancer Center | |
| Lebanon, New Hampshire, United States, 03756 | |
| United States, New Jersey | |
| Veterans Affairs Medical Center - East Orange | |
| East Orange, New Jersey, United States, 07018-1095 | |
| United States, New York | |
| Office of John Byrne | |
| New Rochelle, New York, United States, 10801 | |
| Mount Sinai Medical Center, NY | |
| New York, New York, United States, 10029 | |
| Herbert Irving Comprehensive Cancer Center | |
| New York, New York, United States, 10032 | |
| United States, North Carolina | |
| Wake Urological Associates | |
| Raleigh, North Carolina, United States, 27607 | |
| United States, Ohio | |
| Department of Urology and Urologic Oncology | |
| Columbus, Ohio, United States, 43210 | |
| United States, Oregon | |
| Oregon Cancer Center at Oregon Health Sciences University | |
| Portland, Oregon, United States, 97201-3098 | |
| Urology Clinic, P.C. | |
| Portland, Oregon, United States, 97210 | |
| United States, Pennsylvania | |
| Office of Jeffrey K. Cohen | |
| Pittsburgh, Pennsylvania, United States, 15222 | |
| United States, Tennessee | |
| Veterans Affairs Medical Center - Memphis | |
| Memphis, Tennessee, United States, 38104 | |
| Vanderbilt Cancer Center | |
| Nashville, Tennessee, United States, 37232-6838 | |
| United States, Texas | |
| Urology Associates of North Texas | |
| Arlington, Texas, United States, 76015 | |
| Baylor College of Medicine | |
| Houston, Texas, United States, 77030 | |
| Wilford Hall - 59th Medical Wing | |
| Lackland Air Force Base, Texas, United States, 78236-5300 | |
| Veterans Affairs Medical Center - Temple | |
| Temple, Texas, United States, 76504 | |
| United States, Utah | |
| Huntsman Cancer Institute | |
| Salt Lake City, Utah, United States, 84132 | |
| United States, Virginia | |
| Sentara Cancer Center | |
| Norfolk, Virginia, United States, 23507 | |
| Virginia Urology Center | |
| Richmond, Virginia, United States, 23230 | |
| United States, Washington | |
| Office of Ronald G. Anderson | |
| Tacoma, Washington, United States, 98405 | |
| United States, West Virginia | |
| West Virginia University Hospitals | |
| Morgantown, West Virginia, United States, 26506-9162 | |
| Canada, Ontario | |
| Ottawa General Hospital | |
| Ottawa, Ontario, Canada, K1H 8L6 | |
| Toronto General Hospital | |
| Toronto, Ontario, Canada, M5G 2C4 | |
| Study Chair: | Peter R. Carroll, MD | University of California, San Francisco |
More Information
Additional Information:
No publications provided
| ClinicalTrials.gov Identifier: | NCT00003725 History of Changes |
| Other Study ID Numbers: | CDR0000066837, ANTHRA-A9601 |
| Study First Received: | November 1, 1999 |
| Last Updated: | February 6, 2009 |
| Health Authority: | United States: Federal Government |
Keywords provided by National Cancer Institute (NCI):
|
stage 0 bladder cancer stage I bladder cancer recurrent bladder cancer transitional cell carcinoma of the bladder |
Additional relevant MeSH terms:
|
Urinary Bladder Neoplasms Urologic Neoplasms Urogenital Neoplasms Neoplasms by Site Neoplasms Urinary Bladder Diseases |
Urologic Diseases Valrubicin Antineoplastic Agents Therapeutic Uses Pharmacologic Actions |
ClinicalTrials.gov processed this record on May 16, 2013