Adjuvant Chemotherapy Following Radical Cystectomy to Treat Locally Advanced Bladder Cancer
2 other identifiers
interventional
200
1 country
1
Brief Summary
Effect of adjuvant chemotherapy to control tumor progression in patients after cystectomy for locally advanced bladder cancer.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_3
Started Mar 2014
Longer than P75 for phase_3
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
February 26, 2014
CompletedFirst Posted
Study publicly available on registry
February 28, 2014
CompletedStudy Start
First participant enrolled
March 1, 2014
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 1, 2019
CompletedStudy Completion
Last participant's last visit for all outcomes
April 1, 2019
CompletedFebruary 28, 2014
February 1, 2014
5.1 years
February 26, 2014
February 27, 2014
Conditions
Outcome Measures
Primary Outcomes (1)
cancer progressive free survival rate
60 months
Secondary Outcomes (1)
overall survival
60 months
Study Arms (2)
Adjuvant Chemotherapy
ACTIVE COMPARATORAdjuvant Chemotherapy(Gemcitabine, Cisplatin):Gemcitabine 1000 mg/m2 iv,D1,D8,D15;cisplatin 70 mg/m2 iv,D2.With 4 cycles. Treatment begins between 1-5 weeks after radical operation (within 42 days is recommended)
Control
NO INTERVENTIONNo immediate post-surgery treatment. Patients undergo observation followed by cisplatin and gemcitabine as in arm I at local relapse, or receive intravenously chemotherapy with cisplatin and gemcitabine at multiple metastases
Interventions
Gemcitabine 1000 mg/m2 iv,D1,D8,D15;cisplatin 70 mg/m2 iv,D2.With 4 cycles. Treatment begins between 1-5 weeks after radical operation (within 42 days is recommended)
Eligibility Criteria
You may qualify if:
- Male or female, 18 years of age or older, estimated life expectancy ≥ 6 months.
- Pathologically confirmed localized invasive bladder cancer following standardize radical cystectomy and pelvic lymphadenectomy.
- Transitional cell carcinoma of bladder, stage pT3N0M0.Transitional cell carcinoma may be with or without squamous cell carcinoma and/or adenocarcinoma components.
- Electrocorticography(ECOG) performance status 0-2.
- Blood routine:Absolute neutrophil count (ANC) ≥ 1500/μL,White blood cell count ≥ 3000/μLPlatelets ≥ 100,000/μL,Hemoglobin ≥ 10.0 g/dL,
- Total serum bilirubin≤ 1.5 x upper limit of normal (ULN).Serum aspartate transaminase (AST; serum glutamic oxaloacetic transaminase(SGOT)) and serum alanine transaminase (ALT; serum glutamic pyruvic transaminase (SGPT)) ≤ 2.5 x upper limit of normal (ULN).
- Creatinine clearance rate,Ccr ≥ 60%
- ECG:no arrhythmias, no myocardial infarction.
- Signed and dated informed consent document indicating that the patient (or legally acceptable representative) has been informed of all pertinent aspects of the trial prior to enrollment.
- Willingness and ability to comply with scheduled visits, treatment plans, laboratory tests,and other study procedures.
You may not qualify if:
- Past history of systemic chemotherapy
- Serious heart and lung dysfunction.
- Associated with central or peripheral neuropathy greater than 2 grade.
- Evidence of distant metastasis beyond the pelvis.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Southwest hospital,China
Chongqing, Chongqing Municipality, 400030, China
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Zhiwen Chen, M.D,Ph.D
Southwest Hospital, China
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- M.D,Ph.D
Study Record Dates
First Submitted
February 26, 2014
First Posted
February 28, 2014
Study Start
March 1, 2014
Primary Completion
April 1, 2019
Study Completion
April 1, 2019
Last Updated
February 28, 2014
Record last verified: 2014-02