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A Study of Postoperative Adjuvant Chemotherapy for Upper Urinary Urothelial Carcinoma With Lymphovascular Invasion

Phase 3
Conditions
Chemotherapy Effect
Interventions
Drug: Placebos
Drug: Gemcitabine
Registration Number
NCT04255771
Lead Sponsor
Qinghua Xia,Prof
Brief Summary

This project is to explore the effect of adjuvant chemotherapy on total tumor survival time, progression-free survival time, and recurrence-free survival time in patients with pTanyN0M0 upper urinary urothelial carcinoma with lymphatic vascular invasion (LVI) through a prospective case-control study.

Detailed Description

This project is to explore the effect of adjuvant chemotherapy on total tumor survival time, progression-free survival time, and recurrence-free survival time in patients with pTanyN0M0 upper urinary urothelial carcinoma with lymphatic vascular invasion (LVI) through a prospective case-control study. Therapeutic value of adjuvant chemotherapy for LVI(+) patients with pT1N0M0, pT2N0M0, and pT3-4N0M0 upper urinary urothelial carcinoma, respectively.

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
200
Inclusion Criteria
  1. Aged 20-85 years;
  2. ECOG score 0-1 points;
  3. Patients with UTUC, undergoing radical nephrectomy, pathological staging For pTanyN0M0;
  4. Patients voluntarily signed informed consent.
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Exclusion Criteria
  1. Obvious cardiopulmonary dysfunction, serious diabetes and other chronic diseases;
  2. Obvious chemotherapy contraindications;
  3. Patients have a history of other organ malignancies;
  4. Combined with tumors of other sites.
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Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Effect of placebo on pTanyN0M0 UTUC with lymphatic invasionPlacebosAs a control, this clinical trial also set up a placebo control group. The effect of adjuvant chemotherapy was obtained by random grouping and comparing the effects of patients in the experimental group and the control group.
Effect of adjuvant chemotherapy on pTanyN0M0 UTUC with LVIGemcitabineThis project is to explore the effect of adjuvant chemotherapy on total tumor survival time, progression-free survival time, and recurrence-free survival time in patients with pTanyN0M0 upper urinary urothelial carcinoma with lymphatic vascular invasion (LVI) through a prospective case-control study. Therapeutic value of adjuvant chemotherapy for LVI(+) patients with pT1N0M0, pT2N0M0, and pT3-4N0M0 upper urinary urothelial carcinoma, respectively.
Primary Outcome Measures
NameTimeMethod
Total tumor survival time3 years

Effect of postoperative adjuvant chemotherapy on total tumor survival time

Secondary Outcome Measures
NameTimeMethod
progression-free survival time3 years

Effect of postoperative adjuvant chemotherapy on progression-free survival time

Trial Locations

Locations (1)

Shandong Provincial Hospital

🇨🇳

Jinan, Shandong, China

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