Evaluation of Immediate Preoperative Instillation (IPOI) of Mitomycin C Compared to Early Postoperative Instillation (IPOP) in Non-muscle Invasive Bladder Cancer
Evaluation of Mitomycin C in Immediate Pre-operative Instillation (IPOI) of Endoscopic Resections of Bladder Tumors Compared to Early Post-operative Instillation (IPOP) : Multicentric, Randomized Study
1 other identifier
interventional
60
1 country
3
Brief Summary
This study seeks to optimize the management of TVNIM (reduction of the risk of reccurence of the disease) by comparing in terms of efficacy and tolerance the immediate preoperative administration of mitomycin C (IPOI) to an early postoperative administration (IPOP). It's a national, multicenter, prospective, randomized, comparative study.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Feb 2014
Longer than P75 for not_applicable
3 active sites
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
Study Start
First participant enrolled
February 17, 2014
CompletedFirst Submitted
Initial submission to the registry
February 27, 2014
CompletedFirst Posted
Study publicly available on registry
March 3, 2014
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 18, 2018
CompletedStudy Completion
Last participant's last visit for all outcomes
January 18, 2018
CompletedSeptember 2, 2026
August 1, 2026
3.9 years
February 27, 2014
August 27, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Time to disease recurrence
Time to disease recurrence is defined as the time between resection and the first cystoscopy that detects a recurrence
12 months
Study Arms (2)
IPOI
EXPERIMENTALOne arm with pre-operative instillation of mitomycine 1h before RTUV (IPOI)
IPOP
ACTIVE COMPARATOROne arm with early post-operative instillation of mitomycine within 24 hours (IPOP)
Interventions
Eligibility Criteria
You may qualify if:
- Age \> 18 years,
- Primary or recurrent bladder tumor with endoscopic papillary aspect,
- One or two bladder tumors,
- Cytology before RTUV showing no high-grade cells,
- Patients without tutorship or subordination (ou curatorship),
- Patients under the general social security system or qualifying through a third party,
- Informed consent signed by the patient after clear and fair information.
You may not qualify if:
- Age \< 18 years,
- Allergy to mitomycin C,
- Traumatic stenting,
- Upper tract urothelial cancer,
- Urethral invasion,
- History of muscle invasive bladder cancer,
- Extensive tumor (3 cm or more),
- Any contraindication to RTUV,
- Simultaneous participation in another clinical research study,
- Patients not insured by the social security or not qualifying through a third party,
- Patients with enhanced protection, namely pregnant or lactating women, persons deprived of their liberty by a judicial or administrative decision, people staying in a health or social institution, adults under legal protection, and finally patients in emergency situations,
- Pregnant or lactating females or women of childbearing potential not willing to use an adequate method of birth control for the duration of the study (i.e. hormonal / mechanical contraceptive : oral, injectable, transdermal, implantable, intrauterine or surgical device: tubal ligation, hysterectomy, total oophorectomy).
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (3)
Bicêtre Hospital
Le Kremlin-Bicêtre, 94270, France
Poitiers University Hospital
Poitiers, 86100, France
Rouen University Hospital
Rouen, 76000, France
Related Publications (1)
Breton J, Bernardeau S, Vallee M, Pillot P, Lebacle C, Delpech PO, Charles T, Biscans C, Vallat A, Pfister C, Irani J. [Single, immediate postoperative intra-vesical instillation (SI) compared to a single preoperative intra-vesical instillation of mitomycin C in non-muscle invasive bladder cancer (NMIBC). Phase II randomized trial]. Prog Urol. 2021 Feb;31(2):63-70. doi: 10.1016/j.purol.2020.07.245. Epub 2020 Sep 3. French.
PMID: 32891506RESULT
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Jacques IRANI, MD, PhD
Poitiers University Hospital
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
February 27, 2014
First Posted
March 3, 2014
Study Start
February 17, 2014
Primary Completion
January 18, 2018
Study Completion
January 18, 2018
Last Updated
September 2, 2026
Record last verified: 2026-08