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Phase II clinical trial of Cisplatin, Gemcitabine and Trastuzumab (Herceptin®) as first line treatment of advanced irresectable transitional-cell urothelial carcinoma with overexpression of C-erbB-2 - UROTELIALHER2

Conditions
Advanced irresectable transitional-cell urothelial carcinoma, that includes cancer of the bladder, ureter and renal pelvis
Registration Number
EUCTR2004-005241-36-ES
Lead Sponsor
ACROSS Group
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Authorised-recruitment may be ongoing or finished
Sex
All
Target Recruitment
Not specified
Inclusion Criteria

- Histologically proven diagnosis of urothelial adenocarcinoma of bladder, ureter and renal pelvis with overexpression of C-erbB-2 determined by IHC (+++) or FISH/CISH (in IHC ++)
- Non-resectable metastasic or locally advanced disease at the time of inclusion. Any T, any N and M1; T4b, N0, M0 or any T , N1,2 or 3, M0
- Presence of at least one dimensionally measurable target on a CT-scan available for external review, with at least one diameter > or = 2 cm, in a non-irradiated area
- Adequate cardiac function (LVEF > or = 50%)
Are the trial subjects under 18? no
Number of subjects for this age range:
F.1.2 Adults (18-64 years) yes
F.1.2.1 Number of subjects for this age range
F.1.3 Elderly (>=65 years) yes
F.1.3.1 Number of subjects for this age range

Exclusion Criteria

- Prior therapy for advanced disease. Adjuvant or Neoadjuvant therapy or chemo-radiotherapy for primary local disease are permitted if at least 6 months have elapsed
- Congestive heart failure (NYHA class II, III, IV) or history of documented congestive heart failure, unstable angina pectoris, myocardial infarction in the last 6 months, poorly controlled hypertension (systolic >180 mmHg or diastolic >100 mmHg), clinically significant valvular heart disease, or high-risk uncontrolled arrhythmias
- Patients with dyspnoea at rest due to malignant or other disease or who require supportive oxygen therapy

Study & Design

Study Type
Interventional clinical trial of medicinal product
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Main Objective: To determine the efficacy to the combination of Cisplatin, Gemcitabine and Trastuzumab in terms of response rate in patients with advance urothelial carcinoma, that includes the cancer of bladder, of ureter and of renal pelvis with overexpression of C-erbB-2<br><br><br><br><br><br><br><br><br>;Secondary Objective: To determine the progression-free interval, the duration of the response, the toxicity profile and the overall survival in patients with advance urothelial carcinoma<br>;Primary end point(s): The principal variable of valoration will be the number of response rates in patientes treated with the combination
Secondary Outcome Measures
NameTimeMethod
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