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Intravesical Gemcitabine Instillation Followed by Transurethral Resection for the Treatment of Patients With Superficial Bladder Cancer at Low Risk.

Phase 2
Completed
Conditions
Superficial Bladder Cancer
Registration Number
NCT00191711
Lead Sponsor
Eli Lilly and Company
Brief Summary

The purpose of this study is to determine whether neoadjuvant intravesical Gemcitabine is enough active in patients with a solitary, low risk superficial bladder cancer.After diagnostic urethrocystoscopy or bladder sonography, all patients will receive intravesical gemcitabine once a week during 6 weeks. Two weeks after finishing antiblastic therapy, all patients will be submitted to a new cystoscopy, with TUR or cold biopsies of the site of the initial lesion.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
43
Inclusion Criteria
  • Primary solitary bladder tumour not exceeding 2 cm of diameter at sonography and/or at cystoscopy, judged by the investigator not muscle infiltrating and at low risk
  • Urinary cytology negative for severe dysplasia (G3).
  • ECOG performance status 0-1
  • Absence of anti-coagulant therapy or acetyl-salicylic acid chronic therapy
  • Absence of other present or past neoplasias except for healed skin basalioma
Exclusion Criteria
  • Tumours with infiltrative patterns at cystoscopy
  • Transitional carcinoma of the upper urinary tract and prostatic urethra.
  • Any previous or concomitant malignancy other than superficial bladder cancer with the exception of cutaneous basalioma and/or cancer of the cervix, adequately treated.

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Primary Outcome Measures
NameTimeMethod
To evaluate pathological complete response rate achieved by 6 week neoadjuvant intravesical administration of Gemcitabine followed by transurethral resection (TUR) or cold biopsies, in patients affected by low risk superficial bladder cancer .
Secondary Outcome Measures
NameTimeMethod
To assess toxicity profile in the same group of patients.

Trial Locations

Locations (1)

For additional information regarding investigative sites for this trial, please call 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559), Mon - Fri 9 AM to 5 PM Eastern time (UTC/GMT - 5 hours, EST) or speak with your physician

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Sesto Fiorentino, Florence, Italy

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