Intraoperative vs. Postoperative Intravesical Epirubicin Instillation for Prevention of Bladder Recurrence in High-Risk Upper Urinary Tract Urothelial Carcinoma
IEPBR
Effect of Intravesical Chemotherapy on Disease Recurrence in Patients Undergoing Nephroureterectomy for Upper Urinary Tract Urothelial Carcinoma
1 other identifier
observational
270
1 country
1
Brief Summary
Upper urinary tract urothelial carcinoma (UTUC) accounts for 5%-10% of urothelial malignancies, with up to 50% of patients developing bladder recurrence post-RNU. High-risk UTUC (≥pT2, high-grade, or N+ disease) necessitates aggressive management. Intravesical chemotherapy mitigates recurrence risk, yet optimal timing-intraoperative vs. postoperative-remains unclear. This study evaluates intraoperative epirubicin instillation during RNU compared to postoperative administration and no instillation.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Jun 2021
Typical duration for all trials
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
June 1, 2021
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 1, 2024
CompletedStudy Completion
Last participant's last visit for all outcomes
June 20, 2024
CompletedFirst Submitted
Initial submission to the registry
April 16, 2025
CompletedFirst Posted
Study publicly available on registry
April 23, 2025
CompletedApril 23, 2025
April 1, 2025
2.8 years
April 16, 2025
April 22, 2025
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
To evaluate the relationship between intravesical chemotherapy administered intraoperatively or postoperatively and bladder recurrence.
365 days from the first instillation
Eligibility Criteria
tertiary care clinic
You may qualify if:
- primary high-risk UTUC.
You may not qualify if:
- prior bladder cancer,
- low-risk UTUC (managed conservatively),
- metastatic disease,
- incomplete follow-up
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Ankara City Hospital Bilkent, Ankara, Ankara 06800
Ankara, 06050, Turkey (Türkiye)
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER GOV
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- M.D
Study Record Dates
First Submitted
April 16, 2025
First Posted
April 23, 2025
Study Start
June 1, 2021
Primary Completion
April 1, 2024
Study Completion
June 20, 2024
Last Updated
April 23, 2025
Record last verified: 2025-04