Quality of Life After Bladder-Preservation Chemotherapy and Radiation Therapy in Patients With Muscle-Invasive Bladder Cancer
Prospective Study of Bladder-Preservation Chemo-Radiotherapy (Partial Bladder Hypo-fractionated Radiotherapy) for Patients With Muscle-Invasive Bladder Cancer
3 other identifiers
interventional
N/A
1 country
1
Brief Summary
This research trial studies quality of life after bladder-preservation chemotherapy and radiation therapy (chemo-radiotherapy) in patients with bladder cancer that has spread into or through the muscle layer of the bladder (muscle-invasive bladder cancer). Bladder-preservation chemo-radiotherapy is a standard treatment for patients with muscle-invasive bladder cancer, however, chemo-radiotherapy may cause urinary tract, bowel, and sexual late side effects that negatively affect patients' quality of life. Studying quality-of-life in patients with muscle-invasive bladder cancer after chemo-radiotherapy may help identify the long-term side effects of treatment and may help plan the best treatment in the future and improve patients' quality of life.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
Started Apr 2015
Longer than P75 for not_applicable
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
Study Start
First participant enrolled
April 22, 2015
CompletedFirst Submitted
Initial submission to the registry
February 10, 2016
CompletedFirst Posted
Study publicly available on registry
February 23, 2016
CompletedPrimary Completion
Last participant's last visit for primary outcome
February 28, 2019
CompletedStudy Completion
Last participant's last visit for all outcomes
February 28, 2019
CompletedJuly 24, 2020
February 1, 2020
3.9 years
February 10, 2016
July 22, 2020
Conditions
Outcome Measures
Primary Outcomes (1)
Establish QOL with validated tools for patients undergoing bladder-preservation chemo-radiation
Validated Quality-of-Life questionnaires developed by the European Organization for Research and Treatment for Cancer (EORTC) will be used. The EORTC QLQ-BLM30 with 30 questions specific to muscle-invasive bladder cancer will be combined and used in conjunction with the general cancer questionnaire EORTC QLQ-C30 (Aaronson).
From the date of study entry up to 5 years
Secondary Outcomes (2)
Quantify the rate of early and late grade 3 or higher GU or GI toxicity based on the CTCAE criteria
Up to 5 years
Overall survival
From the date of study entry to the date of death, assessed up to 5 years
Study Arms (1)
Ancillary-Correlative (late toxicity and QOL)
OTHERPatients complete the EORTC QLQ-BLM-C30 at baseline, every 3 months for 1 year, every 4 months for 1 year, every 6 months for 3 years, and then annually thereafter after completion of chemo-radiotherapy.
Interventions
Ancillary studies
Eligibility Criteria
You may qualify if:
- Histologically confirmed muscle-invasive urothelial cancer (no histology will be excluded)
- No pelvic nodal metastases or distant metastases (based on computed tomography \[CT\], positron emission tomography \[PET\] or magnetic resonance imaging \[MRI\])
- Karnofsky performance status (KPS) \>= 70
- Ability to understand, and willingness to sign, the written informed consent
- Patient will have either opted for bladder-sparing treatment as compared to radical cystectomy, or deemed medically inoperable
- Following the recent recommendations from the International Consultation on Urological Diseases-European Association of Urology International Consultation on Bladder Cancer, eligible patients will be those with no hydronephrosis, no extensive carcinoma in situ (CIS), and no tumor invasion into the stroma of the prostate
You may not qualify if:
- Patients with any evidence of distant metastases
- Prior pelvic radiotherapy
- History of Crohn's disease or ulcerative colitis
- Unable to receive chemotherapy
- Histologies other than urothelial (eg. squamous cell carcinoma, adenocarcinoma, small cell)
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
UCLA / Jonsson Comprehensive Cancer Center
Los Angeles, California, 90095, United States
Study Officials
- PRINCIPAL INVESTIGATOR
Christopher King
UCLA / Jonsson Comprehensive Cancer Center
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- HEALTH SERVICES RESEARCH
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
February 10, 2016
First Posted
February 23, 2016
Study Start
April 22, 2015
Primary Completion
February 28, 2019
Study Completion
February 28, 2019
Last Updated
July 24, 2020
Record last verified: 2020-02