Bladder Cancer Clinical Trial
Official title:
Bladder Cancer: Open Versus Laparoscopic or Robotic Cystectomy. A Study to Determine the Feasibility of Randomization to Open Versus Minimal Access Cystectomy in Patients With Bladder Cancer.
RATIONALE: Minimal-access surgery uses a smaller opening in the body to remove the tumor
than is used in standard surgery. It is not yet known whether minimal-access surgery to
remove the bladder is more effective than standard surgery to remove the bladder in treating
patients with bladder cancer.
PURPOSE: This randomized phase II trial is studying standard surgery to see how well it
works compared with minimal-access surgery in treating patients with bladder cancer.
OBJECTIVES:
Primary
- To determine the feasibility of randomizing patients with bladder cancer to undergo an
open cystectomy versus a minimal-access cystectomy (laparoscopic or robotic
cystectomy).
Secondary
- To assess the safety and efficacy of laparoscopic or robotic cystectomy and the reasons
for non-acceptance of randomization.
- To collect safety and toxicity data, including measures of postoperative morbidity and
surgical complications. (Exploratory)
- To investigate anatomical lymph node dissection (an indicator for oncological
clearance) and completeness of cancer surgery. (Exploratory)
- To determine the quality of life of these patients using EORTC QLQ-C30 and EORTC
QLQ-BLM30 questionnaires. (Exploratory)
OUTLINE: This is a multicenter study. Patients who consent to the interview-only (but not
randomization) undergo a qualitative interview exploring factors relating to this decision.
Patients who consent to randomization are randomized to 1 of 2 treatment arms.
- Arm I: Patients undergo an open radical cystectomy.
- Arm II: Patients undergo a minimal-access radical cystectomy (laparoscopic or robotic).
Patients complete quality-of-life questionnaires (EORTC QLQ-C30 and EORTC QLQ-BLM30) at
baseline and at 4 weeks, 6 weeks, 8 weeks, 3 months, and 6 months after completion of study
therapy. Blood, urine, and tissue samples are collected from some patients at baseline and
during study for laboratory analysis.
After completion of study treatment, patients are followed up at 6 weeks, 3 months, and 6
months.
Peer Reviewed and Funded or Endorsed by Cancer Research UK.
PROJECTED ACCRUAL: A total of 92 patients (72 patients for the randomized portion and 20 for
the interview-only portion) are accrued for this study.
;
Allocation: Randomized, Masking: Open Label, Primary Purpose: Treatment
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