A Randomized Study Comparing Single Agent Gemcitabine Intravesical Therapy Versus Mitomycin C in Patients With Intermediate Risk Superficial Bladder Cancer

Lilly

Status and phase

Completed

Phase 2

Conditions

Superficial Bladder Cancer

Treatments

Drug: Gemcitabine

Drug: mitomycin C

Study type

Interventional

Funder types

Industry

Identifiers

NCT00192049

8048

B9E-MC-S344

Details and patient eligibility

About

Gemcitabine has been shown to be highly effective and well tolerated in the first and second line therapy, as a single agent or in combination therapy for treatment of metastatic transitional cell carcinoma. On the basis of Gemcitabine clinical activity and good tolerability this drug has been recently tested in intravesical therapy. we consider Gemcitabine as a good therapy candidate for patient with intermediate risk superficial bladder cancer. Based on the phase I/II clinical trials w are going to explore the efficacy and tolerability of Gemcitabine in this setting, and compare it to Mitomycin C which is widely used in this group of patients.

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

Histologically verified superficial transitional cell carcinoma of the bladder.
patients with primary or recurrent intermediate risk superficial bladder cancer after TUR. Patients with primary tumor with stage TaG1 with multiple lesions (>3) or lesions bigger than 3 cm or patients with TaG2-3 or T1G1-2.
Patients must not be pre-treated with any intravesical immunotherapy (BCG) or chemotherapy.
Male or female, age greater than 18.

Exclusion criteria

Time between TUR and start of intravesical chemotherapy will be longer than 4 weeks.
Patients who have received previous (BCG) or chemotherapy.
Patients with evidence of invasive, locally advanced or metastatic bladder cancer (greater than or equal to T2 disease; stage greater than or equal to B1) or patients with upper urinary tract disease.