Bladder Cancer Clinical Trial
Official title:
A Randomized Phase II Trial of Sequential Chemo-Immunotherapy Versus Immunotherapy Alone in Carcinoma in Situ of the Urinary Bladder
RATIONALE: Biological therapies such as BCG use different ways to stimulate the immune
system and stop tumor cells from growing. Drugs used in chemotherapy use different ways to
stop tumor cells from dividing so they stop growing or die. Combining chemotherapy with
biological therapy may kill more tumor cells. It is not yet known if BCG is more effective
with or without mitomycin.
PURPOSE: Randomized phase II trial to compare the effectiveness of BCG plus mitomycin with
that of BCG alone in treating patients who have bladder cancer.
Status | Completed |
Enrollment | 97 |
Est. completion date | |
Est. primary completion date | February 2005 |
Accepts healthy volunteers | No |
Gender | Both |
Age group | N/A and older |
Eligibility |
DISEASE CHARACTERISTICS: - Histologically confirmed carcinoma in situ (CIS) of the bladder with urinary cytology - Primary CIS (no prior history of CIS, papillary, or solid transitional cell carcinoma [TCC] of the bladder and no concurrent papillary or solid TCC) OR - Secondary CIS (detected after complete resection of superficial Ta/T1 TCC of the bladder) OR - Concurrent CIS (in the presence of superficial primary or recurrent Ta/T1 TCC of the bladder) - No more than 28 days since prior transurethral resection (TUR) of all visible lesions - No muscle involvement - No prior or concurrent upper urinary tract tumors - No urethral strictures that would prevent endoscopic procedures and repeated catheterization - No upper urinary tract disease (e.g., vesico-ureteral reflux or massive stones) that would make multiple transurethral procedures risky PATIENT CHARACTERISTICS: Age: - Not specified Performance status: - WHO 0-2 Life expectancy: - Not specified Hematopoietic: - Not specified Hepatic: - Not specified Renal: - Not specified Other: - Not pregnant or nursing - No active tuberculosis (highly positive skin tests allowed if no active disease) - No disease that would preclude general anesthesia - No active intractable or uncontrollable infection - No other prior or concurrent malignancy except cured basal cell skin cancer - No psychological, familial, sociological, or geographical condition that would preclude study participation PRIOR CONCURRENT THERAPY: Biologic therapy: - No prior BCG Chemotherapy: - More than 3 months since prior chemotherapy Endocrine therapy: - Not specified Radiotherapy: - No prior radiotherapy to the pelvis Surgery: - See Disease Characteristics Other: - More than 3 months since prior intravesical cytostatic agents |
Allocation: Randomized, Masking: Open Label, Primary Purpose: Treatment
Country | Name | City | State |
---|---|---|---|
Belgium | Onze Lieve Vrouw Ziekenhuis Aalst | Aalst | |
Belgium | Academisch Ziekenhuis der Vrije Universiteit Brussel | Brussels | |
Belgium | Universitair Ziekenhuis Gent | Ghent | |
Belgium | Virga Jesse Hospital | Hasselt | |
Belgium | Cazk Groeninghe - Campus Maria's Voorzienigheid | Kortrijk | |
Italy | Azienda Ospedaliera Maggiore Della Carita | Novara | |
Italy | Universita Degli Studi Di Pisa | Pisa | |
Italy | Ospedale di Circolo e Fondazione Macchi | Varese | |
Netherlands | Academisch Medisch Centrum | Amsterdam | |
Netherlands | Academisch Ziekenhuis Maastricht | Maastricht | |
Netherlands | University Medical Center Nijmegen | Nijmegen | |
Netherlands | Daniel Den Hoed Cancer Center at Erasmus Medical Center | Rotterdam | |
Portugal | Hospital Desterro | Amadora | |
Turkey | Dokuz Eylul University School of Medicine | Izmir | |
United Kingdom | Bristol Royal Infirmary | Bristol | England |
United Kingdom | University of Wales College of Medicine | Cardiff | Wales |
Lead Sponsor | Collaborator |
---|---|
European Organisation for Research and Treatment of Cancer - EORTC |
Belgium, Italy, Netherlands, Portugal, Turkey, United Kingdom,
Oosterlinck W, Kirkali Z, Sylvester R, da Silva FC, Busch C, Algaba F, Collette S, Bono A. Sequential intravesical chemoimmunotherapy with mitomycin C and bacillus Calmette-Guérin and with bacillus Calmette-Guérin alone in patients with carcinoma in situ — View Citation
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