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Bladder Cancer clinical trials

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NCT ID: NCT03138967 Completed - Bladder Cancer Clinical Trials

Investigation of Sugammadex in Outpatient Urological Procedures

Start date: September 18, 2017
Phase: Phase 4
Study type: Interventional

The goal of this clinical research study is to determine whether using sugammadex, given with a standard muscle relaxation drug during bladder surgeries, improves anesthesia conditions and recovery time. During some bladder operations, your muscles must be completely relaxed. Muscle relaxation drugs cause the muscles to relax, including the respiratory muscles, and as a result artificial ventilation is needed to help you breathe. Sugammadex and other standard drugs reverse the effect of the muscle relaxation drugs, allowing you to breathe on your own after the operation. Study Groups: If you agree to take part in this study, you will be randomly assigned (as in the flip of a coin) to 1 of 2 study groups. This is done because no one knows if one study group is better, the same, or worse than the other group: - If you are in Group 1, you will receive sugammadex to reverse the muscle relaxation. - If you are in Group 2, you will receive the standard of care (neostigmine/glycopyrrolate) to reverse the muscle relaxation. You and the surgeon will not know which group you have been assigned to. However, the anesthesiologist and study staff will know. Length of Study: You will be on study for up to 1 week after the cystoscopy. If you are unable to have the procedure performed, you may be taken off study early. This is an investigational study. Sugammadex and neostigmine/glycopyrrolate are all FDA approved and commercially available to reverse muscle relaxation. The comparison of these drugs is investigational. Up to 50 participants will take part in this study. All will be enrolled at MD Anderson.

NCT ID: NCT03125460 Completed - Bladder Cancer Clinical Trials

Clinical Evaluation of a Test for Monitoring the Recurrence of Bladder Cancer

Start date: December 2016
Phase:
Study type: Observational

The objective of this study is to establish the performance characteristics of an assay that detects the recurrence of bladder cancer in patients previously diagnosed with bladder cancer. The study is conducted at locations within and outside of the United States. Testing is performed on urine specimens provided by eligible enrolled patients. Results from this study will not be used for patient management decisions.

NCT ID: NCT03081858 Completed - Bladder Cancer Clinical Trials

Proliposomal Intravesical Paclitaxel for Treatment of Low-Grade, Stage Ta, Non Muscle Invasive Bladder Cancer

Start date: May 17, 2018
Phase: Phase 1/Phase 2
Study type: Interventional

This is a single-arm, phase 1/2a study of formulated paclitaxel in subjects with low-grade, noninvasive papillary carcinoma (stage Ta) of the bladder. Part 1 of the study will enroll 6 subjects (3 per cohort) with low-grade, stage Ta transitional cell carcinoma (TCC) of the bladder who will receive escalating doses of paclitaxel formulated as TSD-001 every 2 weeks for 6 treatments until Dose Limiting Toxicity (or until the Maximum Deliverable Dose) is observed (Maximum Tolerated Dose established). Part 2 of the study will enroll an additional 10 subjects with low-grade, stage Ta (uni-or multifocal) TCC of the bladder who will receive weekly TSD-001 for 6 weeks at the highest nontoxic dose (i.e., MTD) established in part 1 of the study. May meet definition of low grade without histological tissue diagnosis if on cystoscopic assessment they have a solitary papillary tumor. Part 3 of the study will continue to track subjects enrolled in Parts 1 and 2 to determine rates of disease-free survival.

NCT ID: NCT03066310 Completed - Bladder Cancer Clinical Trials

Urine-DNA Biomarkers in Detecting Bladder Cancer

Start date: January 17, 2017
Phase:
Study type: Observational

DNA biomarkers in urine are important diagnostic and prognostic indicators for bladder cancer. Many genetic alterations have been identified in the urinary DNA. However, not all bladder tumors harbor mutations in the most commonly altered oncogenes. Thus, to reach satisfactory sensitivity and specificity a new diagnostic test should include multiple biomarkers. The investigators will conduct a prospective evaluation of a panel of mutations in urine-DNA test for the detection of urothelial bladder carcinoma in patients with gross hematuria for cystoscope.

NCT ID: NCT03065725 Completed - Bladder Cancer Clinical Trials

Early Versus Late FDG-PET/CT in Bladder Cancer

Start date: February 1, 2017
Phase:
Study type: Observational

The aim of this study is to examine if late FDG-PET/CT images after intravenous FDG injection has a higher sensitivity and specificity in detecting local lymph node metastases in patients with muscle invasive BC than FDG-PET/CT images 60 minutes after FDG injection. The latter procedure has been used routinely until now.

NCT ID: NCT03063125 Completed - Bladder Cancer Clinical Trials

Perioperative Hypogonadism in Men Undergoing Radical Cystoprostatectomy for Bladder Cancer

Start date: March 31, 2017
Phase:
Study type: Observational

The purpose of this study is to examine the relationship between testosterone level changes around the time of radical cystectomy.

NCT ID: NCT03058757 Completed - Bladder Cancer Clinical Trials

The Effectiveness and Safety of Neoadjuvant Intravesical Mitomycin-C Instillation

Start date: February 1, 2017
Phase: Phase 2
Study type: Interventional

The aim of this study is to evaluate the effectiveness and safety of neoadjuvant intravesical mitomycin-C instillation in non-muscle invasive bladder cancer patients

NCT ID: NCT03058705 Completed - Bladder Cancer Clinical Trials

Near Infrared Fluorescence Imaging for Bladder Cancer Detection

Start date: November 28, 2017
Phase: N/A
Study type: Interventional

The primary outcome of this study is to determine the minimal dwell time needed for adequate detection of hexaminolevinulate HCL avid tumors using protoporphyrin IX (PpIX) near infrared fluorescence (NIRF).

NCT ID: NCT03052504 Completed - Bladder Cancer Clinical Trials

Prospective Versus Retrospective Complications in Radical Cystectomy and Nephrectomy

Start date: September 2016
Phase:
Study type: Observational

The study will examine which differences there are in comorbidity and complications collected retrospectively from medical records compared with data collected prospectively in two groups of patients undergoing either radical cystectomy or radical nephrectomy. Hypothesis is that he prevalence of registered comorbidity and minor complications in patients who have undergone radical cystectomy or nephrectomy, will increase if the data collection is focused and prospective, compared with retrospectively collected data. The study will be conducted as a single-blind randomized controlled trial. Patients included in the study will be randomized to either control or intervention in the ratio 1:1. There are two groups of patients: Patients admitted to radical cystectomy and patients admitted to radical nephrectomy, due to cancer.

NCT ID: NCT03029663 Completed - Bladder Cancer Clinical Trials

Complications of Transurethral Resection of the Bladder Tumour

ComTUR
Start date: December 2016
Phase:
Study type: Observational

This is a prospective study enrolling consecutive patients who undergo transurethral resection of the bladder tumour (TURBT) aimed at determination of a safety of the procedure. Study end-points are incidence, severity and predictive factors of surgical complications. The study secondary aim is a validation of Clavien Dindo scoring system for reporting complication of TURBT.