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临床试验/ISRCTN24855462
ISRCTN24855462已完成2 期

A phase II randomised feasibility study of chemoresection or surgical management in low risk non muscle invasive bladder cancer

The Institute of Cancer Research0 个研究点目标入组 82 人开始时间: 2015年1月15日最近更新:
适应症

试验速览

阶段
2 期
状态
已完成
入组人数
82

研究概览

简要总结

2016 Other publications in https://doi.org/10.1016/j.ejso.2016.07.104 recruitment aids 2017 Other publications in https://doi.org/10.1186/s13063-017-1902-y recruitment aids 2018 Results article in https://doi.org/10.1016/S1569-9056(18)31571-9 results 2018 Results article in https://doi.org/10.1016/j.juro.2018.02.3000 results 2019 Results article in https://doi.org/10.1016/S1569-9056(19)30560-3 12-month results 2020 Results article in https://www.ncbi.nlm.nih.gov/pubmed/32124514 results

研究设计

研究类型
Interventional

入排标准

性别
All

入选标准

  • Current inclusion criteria as of 29/03/2017:
  • 1. Written informed consent
  • 2. NMIBC recurrence following original diagnosis of low risk NMIBC (defined as Ta G1 or Ta G2 (Ta low grade) with a risk of recurrence score of =6 using EORTC risk tables).
  • 3. Histologically confirmed TCC at original diagnosis
  • 4. Aged 16 or over
  • 5. Satisfactory pre-treatment haematology values haemoglobin > 100 g/L and serum creatinine < 1.5xULN
  • 6. Negative pregnancy test for women of child-bearing potential
  • Previous inclusion criteria from 12/10/2016 to 29/03/2017:
  • 1. Written informed consent
  • 2. NMIBC recurrence following original diagnosis of low risk NMIBC (defined as Ta G1 or Ta G2 (Ta low grade) with a risk of recurrence score of =5 using EORTC risk tables).
  • 3. Histologically confirmed TCC at original diagnosis
  • 4. Aged 16 or over
  • 5. Satisfactory pre-treatment haematology values haemoglobin > 100 g/L and serum creatinine < 1.5xULN
  • 6. Negative pregnancy test for women of child-bearing potential
  • Original inclusion criteria:
  • 1. Written informed consent
  • 2. NMIBC recurrence following original diagnosis of low risk NMIBC (defined as Ta G1 or Ta G2 NMIBC with a risk of recurrence score of <=5 using EORTC risk tables)
  • 3. Histologically confirmed TCC at original and any subsequent diagnoses
  • 4. Aged 16 or over
  • 5. Satisfactory pre-treatment haematology values Hb > 100 g/L and serum creatinine < 1.5xULN
  • 6. Negative pregnancy test for women of child-bearing potential

排除标准

  • Current exclusion criteria as of 29/03/2017:
  • 1. Any history of: grade 3/high grade or =T1 transitional cell carcinoma, concomitant carcinoma in situ, more than 7 tumours at one diagnosis or more than 1 recurrence per year since initial diagnosis or in the past five years, whichever is shorter
  • 2. Any history of histologically confirmed non-TCC bladder cancer
  • 3. Trial entry recurrence identified within 11.5 months of the date of the original diagnosis
  • 4. Any prior treatment of the trial entry recurrence (including biopsy)
  • 5. Previous MMC chemotherapy other than a single instillation at diagnostic surgery
  • 6. Known allergy to MMC
  • 7. Carcinoma involving the prostatic urethra or upper urinary tract (participants should have had imaging of the upper urinary tract within 2 years prior to randomisation)
  • 8. Known or suspected reduced bladder capacity (<100ml)
  • 9. Significant bleeding disorder
  • 10. Female patients who are breast-feeding or are of childbearing potential and unwilling or unable to use adequate non-hormonal contraception. Male patients should also use contraception if sexually active.
  • 11. Active or intractable urinary tract infection
  • 12. Urethral stricture or anything impeding the insertion of a catheter
  • 13. Large narrow neck diverticula
  • 14. Significant urinary incontinence
  • 15. Any other conditions that in the Principal Investigator’s opinion would contraindicate protocol treatment
  • 16. Unable or unwilling to comply with study procedures or follow up schedule
  • Previous exclusion criteria from 12/10/2016 to 29/03/2017:
  • 1. Any history of: grade 3/high grade or T1 transitional cell carcinoma, concomitant carcinoma in situ, more than 7 tumours at one diagnosis or more than 1 recurrence per year since initial diagnosis or in the past five years, whichever is shorter
  • 2. Any history of histologically confirmed non-TCC bladder cancer
  • 3. Trial entry recurrence identified within 11.5 months of the date of the original diagnosis
  • 4. Previous MMC chemotherapy other than a single instillation at diagnostic surgery
  • 5. Known allergy to MMC
  • 6. Carcinoma involving the prostatic urethra or upper urinary tract (participants should have had imaging of the upper urinary tract within 2 years prior to randomisation)
  • 7. Known or suspected reduced bladder capacity (<100ml)
  • 8. Significant bleeding disorder
  • 9. Female patients who are breast-feeding or are of childbearing potential and unwilling or unable to use adequate non-hormonal contraception. Male patients should also use contraception if sexually active
  • 10. Active or intractable urinary tract infection
  • 11. Urethral stricture or anything impeding the insertion of a catheter
  • 12. Large narrow neck diverticula
  • 13. Significant urinary incontinence
  • 14. Any other conditions that in the Principal Investigator’s opinion would contraindicate protocol treatment
  • 15. Unable or unwilling to comply with study procedures or follow up schedule
  • Original exclusion criteria:

研究者

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