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Gemcitabine Hydrochloride, Cisplatin, and Sunitinib Malate as First-Line Therapy in Treating Patients With Locally Advanced And/or Metastatic Transitional Cell Carcinoma of the Urothelium (SUCCINCT)

Phase 2
Completed
Conditions
Bladder Cancer
Transitional Cell Cancer of the Renal Pelvis and Ureter
Urethral Cancer
Registration Number
NCT01089088
Lead Sponsor
Cardiff University
Brief Summary

RATIONALE: Drugs used in chemotherapy, such as gemcitabine hydrochloride and cisplatin, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. Sunitinib malate may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth and by blocking blood flow to the tumor. Giving gemcitabine hydrochloride and cisplatin together with sunitinib malate may kill more tumor cells.

PURPOSE: This phase II trial is studying the side effects of giving gemcitabine hydrochloride and cisplatin together with sunitinib malate and to see how well it works as first-line therapy in treating patients with locally advanced and/or metastatic transitional cell carcinoma of the urothelium.

Detailed Description

OBJECTIVES:

* To determine the activity, safety, and feasibility of gemcitabine hydrochloride and cisplatin in combination with sunitinib malate as first-line therapy in patients with locally advanced and/or metastatic transitional carcinoma of the urothelium.

OUTLINE: This is a multicenter study.

Patients receive gemcitabine hydrochloride IV over 30 minutes on days 1 and 8, cisplatin IV over 3-4 hours on day 1, and oral sunitinib malate once daily on days 2-15. Treatment repeats every 21 days for 6 courses in the absence of disease progression or unacceptable toxicity.

After completion of study treatment, patients are followed at 6 months and 1 year.

Peer Reviewed and Funded or Endorsed by Cancer Research UK

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
63
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Primary Outcome Measures
NameTimeMethod
Progression-free survival6 months

Proportion of patients progression free at 6 months

Secondary Outcome Measures
NameTimeMethod
Toxicity during and after treatment according to NCI CTCAE v 3.01 Year
Progression-free survival (time-to-event)1 year
Overall survival3 years
Tolerability (side effects) and feasibility of use (number of patients requiring dose delays or reduction and/or treatment withdrawal)1 year
Objective (radiological) response rate according to RECIST1 year

Trial Locations

Locations (16)

Royal Shrewsbury Hospital

🇬🇧

Shrewsbury, Shropshire, United Kingdom

Royal Bournemouth Hospital

🇬🇧

Bournemouth, England, United Kingdom

The Royal Marsden Hospitals (Surrey)

🇬🇧

Sutton, Surrey, United Kingdom

Southampton General Hospital

🇬🇧

Southampton, United Kingdom

Hammersmith Hospital

🇬🇧

London, United Kingdom

Christie Hospital

🇬🇧

Manchester, United Kingdom

Bristol Haematology and Oncology Centre

🇬🇧

Bristol, Avon, United Kingdom

Churchill Hospital

🇬🇧

Oxford, Oxfordshire, United Kingdom

St James's University Hospital

🇬🇧

Leeds, Yorkshire, United Kingdom

Addenbrooke's Hospital

🇬🇧

Cambridge, United Kingdom

Velindre Hospital

🇬🇧

Cardiff, United Kingdom

Beatson West of Scotland Cancer Centre

🇬🇧

Glasgow, United Kingdom

St Mary's Hospital (Paddington)

🇬🇧

London, United Kingdom

St Bartholomew's Hospital

🇬🇧

London, United Kingdom

Castle Hill Hospital

🇬🇧

Cottingham, East Yorkshire, United Kingdom

Charing Cross Hospital

🇬🇧

London, United Kingdom

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