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临床试验/ISRCTN64153246
ISRCTN64153246已完成2 期

Phase II study of radiotherapy with concurrent weekly gemcitabine in muscle-invasive bladder cancer

Christie Hospital NHS Foundation Trust (UK)0 个研究点目标入组 50 人开始时间: 2010年7月30日最近更新:
适应症

试验速览

阶段
2 期
状态
已完成
发起方
入组人数
50

研究概览

研究设计

研究类型
Interventional

入排标准

入选标准

  • 1. Histologically confirmed T2-3 N0M0 transitional cell carcinoma (TCC) of the bladder*
  • 2. Life expectancy greater than 3 months
  • 3. World Health Organization (WHO) performance status 0 ? 2
  • 4. Patients opting for bladder preservation who are able and motivated to comply with follow up
  • 5. Maximal achievable transurethral resection of bladder tumour (TURBT)
  • 6. Serum creatinine less than 1.5 x upper limit of normal (ULN)
  • 7. Haemoglobin (Hb) greater than 10 g/dl, platelets greater than 100,000/mm^3, white cell count (WCC) greater than 2000/mm^3
  • 8. Aged greater than 18 years
  • 9. Provided informed consent
  • *Patients with TCC in whom biopsy fails to demonstrate histological evidence of muscle invasion but where magnetic resonance (MR) demonstrates unequivocal evidence of deep muscle invasion can be accepted for trial entry

排除标准

  • 1. Residual tumour with any unidimensional measurement greater than or equal to 7 cm following TURBT
  • 2. Poor bladder function:
  • 2.1. Any WHO bladder symptom score equalling 3 or greater than or equal to two bladder symptom scores equalling 2
  • 2.2. Documented bladder capacity less than or equal to 200 ml
  • 3. Abnormal liver function tests (LFT) (bilirubin greater than 1.3 x ULN, alkaline phosphatase greater than 5 x ULN, transaminases greater than 5 x ULN)
  • 4. Previous radiotherapy to pelvis
  • 5. More than one instillation of intravesical cytotoxic chemotherapy or immunotherapy
  • 6. Any previous systemic chemotherapy
  • 7. Radiotherapy planning target volume (PTV) greater than 1000cm^3
  • 8. Any prior malignancy (excluding basal cell carcinoma [BCC])
  • 9. Pre-existing medical conditions that preclude this treatment
  • 10. Pregnant or breast-feeding
  • 11. Not able to use appropriate and/or adequate contraception during and for 3 months after the study

研究者

发起方
Christie Hospital NHS Foundation Trust (UK)

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