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临床试验/ISRCTN61126465
ISRCTN61126465已完成3 期

Randomised trial of Selective bladder Preservation Against Radical Excision (cystectomy) in muscle invasive T2/T3 transitional cell carcinoma of the bladder: a feasibility study

Institute of Cancer Research (UK)0 个研究点目标入组 110 人开始时间: 2006年9月22日最近更新:
适应症

试验速览

阶段
3 期
状态
已完成
发起方
入组人数
110

研究概览

研究设计

研究类型
Interventional

入排标准

性别
All

入选标准

  • 1. Histologically confirmed Transitional Cell Carcinoma (TCC) of the bladder
  • 2. Aged over 18 years
  • 3. Clinical stage T2 or T3 N0 M0 (as classified by the TNM (Tumour, Nodes, Metastasis) Classification of the American Joint Committee on Cancer [AJCC])
  • 4. World Health Organisation (WHO) performance status zero to one
  • 5. Fit for radical cystectomy
  • 6. Fit for radical radiotherapy
  • 7. Receiving/received three cycles of gemcitabine-cisplatin or other protocol approved neo-adjuvant chemotherapy regimen and willing and fit to receive a fourth cycle according to study protocol
  • 8. Satisfactory haematological profile (at time of chemotherapy administration):
  • a. Haemoglobin [Hb] more than 10 gms/dl
  • b. White Blood Cells (WBC) more than 3.0 x 10^9/L
  • c. Platelet count more than 150 x 10^9/L
  • 9. Liver function tests (Bilirubin, Aspartate Aminotransferase [AST], Alkaline phosphatase less than 1.5 x Upper Limit of Normal [ULN])
  • 10. Written informed consent and available for long-term follow-up
  • 11. Patients receiving chemotherapy are expected to have a glomerular filtration rate more than 50 ml/min though this is not part of formal inclusion criteria

排除标准

  • 1. Adenocarcinoma, Squamous Cell Carcinoma (SCC), small cell carcinoma or other variant histology (N.B. squamoid differentiation or mixed TCC/SCC is permitted)
  • 2. Widespread Carcinoma In Situ (CIS) or CIS remote from muscle invasive tumour
  • 3. Previous malignancy in the last five years except for adequately controlled non melanotic skin tumours, CIS of cervix or Lobular Carcinoma In Situ (LCIS) of breast
  • 4. Pre-exisiting hydronephrosis
  • 5. Previous pelvic radiotherapy
  • 6. Any contra-indication to radical radiotherapy e.g. inflammatory bowel disease, radiosensitivity syndrome, severe diverticular disease
  • 7. Bilateral total hip replacements
  • 8. Pregnancy
  • 9. Significant co-morbid medical conditions which would interfere with administration of any protocol treatment

研究者

发起方
Institute of Cancer Research (UK)

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