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Single Immediate Instillation of EO9 After TURBT in Patients With Non-muscle-invasive Bladder Cancer (NMIBC)

Primary Purpose

Bladder Cancer

Status
Terminated
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
EO9 (Apaziquone)
Placebo
Sponsored by
Nippon Kayaku Co., Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Bladder Cancer focused on measuring Bladder Cancer, NMIBC, TURBT, Apaziquone, EOquin, Immediate instillation

Eligibility Criteria

20 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Patients who have provided written informed consent
  2. Patients who have urothelial cell carcinoma of the bladder with clinically apparent stage Ta, grade G1-G2 and satisfy both of the following criteria:

    • The maximum number of tumors is 5.
    • Each tumor diameter: ≤ 3.5 cm.
  3. Age: ≥20 years old at enrollment.
  4. The functions of the major organs are adequate, and the following test value criteria are satisfied:

    • Neutrophil count ≥1,500/μL
    • Platelet count ≥10×10^4/μL
    • Hemoglobin ≥10 g/dL

Exclusion Criteria:

  1. Patients with a single, primary bladder cancer of <0.5 cm.
  2. Patients with CIS lesions in the bladder or a history thereof.
  3. Patients with a history of other than stage Ta, histological grade G1 or G2 disease.
  4. Patients experiencing recurrence within 4 months following TURBT for prior NMIBC (duration between the last TURBT and cystoscopic confirmation of the present recurrence is within 4 months).
  5. Patients without at least a three-month cystoscopically confirmed recurrence-free interval between the last TURBT and the time of study screening
  6. Patients having a bladder tumor with a histological diagnosis other than urothelial carcinoma of the bladder or a history thereof.
  7. Patients who had been administered EO9 in the past.
  8. Patients who had been administered any other investigational drug within the past 30 days.
  9. Patients having a medical condition that would make it unsafe for them to undergo TURBT under general or spinal anesthesia.

Sites / Locations

  • Nippon Kayaku Investigational site 103
  • Nippon Kayaku Investigational site 107
  • Nippon Kayaku Investigational site 109
  • Nippon Kayaku Investigational site 105
  • Nippon Kayaku Investigational site 104
  • Nippon Kayaku Investigational site 102
  • Nippon kayaku Investigational site 101
  • Nippon Kayaku Investigational site 110
  • Nippon Kayaku Investigational site 111
  • Nippon Kayaku Investigational site 106
  • Nippon Kayaku Investigational site 108
  • Handok Investigational site 203
  • Handok Investigational site 202
  • Handok Investigational site 209
  • Handok Investigational site 201
  • Handok Investigational site 204
  • Handok Investigational site 205
  • Handok Investigational site 206
  • Handok Investigational site 207
  • Handok Investigational site 208

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

EO9 (Apaziquone)

Placebo

Arm Description

Outcomes

Primary Outcome Measures

The recurrence rate at 2 years in patients with histologically diagnosed stage Ta, grade G1 or G2 bladder cancer

Secondary Outcome Measures

The recurrence-free interval in patients with histologically diagnosed stage Ta, grade G1 or G2 bladder cancer
The progression rate
The number of recurrences per patient
The progression-free survival period
The recurrence-free survival period
The overall survival period
The safety of EO9

Full Information

First Posted
November 16, 2011
Last Updated
March 27, 2017
Sponsor
Nippon Kayaku Co., Ltd.
Collaborators
Handok Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT01475266
Brief Title
Single Immediate Instillation of EO9 After TURBT in Patients With Non-muscle-invasive Bladder Cancer (NMIBC)
Official Title
Randomized, Placebo-controlled, Double-blinded Study of Single Immediate Instillation of EO9 After TURBT in Patients With NMIBC
Study Type
Interventional

2. Study Status

Record Verification Date
April 2013
Overall Recruitment Status
Terminated
Why Stopped
Sponsor's decision
Study Start Date
November 2011 (undefined)
Primary Completion Date
April 2013 (Actual)
Study Completion Date
April 2013 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Nippon Kayaku Co., Ltd.
Collaborators
Handok Inc.

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The purpose of this study is to evaluate the efficacy and safety in patients with non-muscle invasive bladder cancer histologically diagnosed to be stage Ta and G1 or G2 and who were randomized into either an EO9 or placebo group after TURBT.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Bladder Cancer
Keywords
Bladder Cancer, NMIBC, TURBT, Apaziquone, EOquin, Immediate instillation

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2, Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
51 (Actual)

8. Arms, Groups, and Interventions

Arm Title
EO9 (Apaziquone)
Arm Type
Experimental
Arm Title
Placebo
Arm Type
Placebo Comparator
Intervention Type
Drug
Intervention Name(s)
EO9 (Apaziquone)
Other Intervention Name(s)
Eoquin(R)
Intervention Description
4 mg/40 mL, Intravesical instillation, Single dose within 6 hours after TURBT
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
40 mL, Intravesical instillation, Single dose within 6 hours after TURBT
Primary Outcome Measure Information:
Title
The recurrence rate at 2 years in patients with histologically diagnosed stage Ta, grade G1 or G2 bladder cancer
Time Frame
2 years
Secondary Outcome Measure Information:
Title
The recurrence-free interval in patients with histologically diagnosed stage Ta, grade G1 or G2 bladder cancer
Time Frame
2 years
Title
The progression rate
Time Frame
2 years
Title
The number of recurrences per patient
Time Frame
2 years
Title
The progression-free survival period
Time Frame
2 years
Title
The recurrence-free survival period
Time Frame
2 years
Title
The overall survival period
Time Frame
2 years
Title
The safety of EO9
Time Frame
2 years

10. Eligibility

Sex
All
Minimum Age & Unit of Time
20 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Patients who have provided written informed consent Patients who have urothelial cell carcinoma of the bladder with clinically apparent stage Ta, grade G1-G2 and satisfy both of the following criteria: The maximum number of tumors is 5. Each tumor diameter: ≤ 3.5 cm. Age: ≥20 years old at enrollment. The functions of the major organs are adequate, and the following test value criteria are satisfied: Neutrophil count ≥1,500/μL Platelet count ≥10×10^4/μL Hemoglobin ≥10 g/dL Exclusion Criteria: Patients with a single, primary bladder cancer of <0.5 cm. Patients with CIS lesions in the bladder or a history thereof. Patients with a history of other than stage Ta, histological grade G1 or G2 disease. Patients experiencing recurrence within 4 months following TURBT for prior NMIBC (duration between the last TURBT and cystoscopic confirmation of the present recurrence is within 4 months). Patients without at least a three-month cystoscopically confirmed recurrence-free interval between the last TURBT and the time of study screening Patients having a bladder tumor with a histological diagnosis other than urothelial carcinoma of the bladder or a history thereof. Patients who had been administered EO9 in the past. Patients who had been administered any other investigational drug within the past 30 days. Patients having a medical condition that would make it unsafe for them to undergo TURBT under general or spinal anesthesia.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Yoshihiro Nambu, M.D., Ph.D.
Organizational Affiliation
Nippon Kayaku Co., Ltd.
Official's Role
Study Director
First Name & Middle Initial & Last Name & Degree
Woo Ick Jang, M.D., Ph.D.
Organizational Affiliation
Handok Inc.
Official's Role
Study Director
Facility Information:
Facility Name
Nippon Kayaku Investigational site 103
City
Yokosuka
State/Province
Kanagawa
Country
Japan
Facility Name
Nippon Kayaku Investigational site 107
City
Kashihara
State/Province
Nara
Country
Japan
Facility Name
Nippon Kayaku Investigational site 109
City
Kurashiki
State/Province
Okayama
Country
Japan
Facility Name
Nippon Kayaku Investigational site 105
City
Osakasayama
State/Province
Osaka
Country
Japan
Facility Name
Nippon Kayaku Investigational site 104
City
Hamamatsu
State/Province
Shizuoka
Country
Japan
Facility Name
Nippon Kayaku Investigational site 102
City
Musashino
State/Province
Tokyo
Country
Japan
Facility Name
Nippon kayaku Investigational site 101
City
Chiba
Country
Japan
Facility Name
Nippon Kayaku Investigational site 110
City
Fukuoka
Country
Japan
Facility Name
Nippon Kayaku Investigational site 111
City
Fukuoka
Country
Japan
Facility Name
Nippon Kayaku Investigational site 106
City
Nara
Country
Japan
Facility Name
Nippon Kayaku Investigational site 108
City
Okayama
Country
Japan
Facility Name
Handok Investigational site 203
City
Bundang
Country
Korea, Republic of
Facility Name
Handok Investigational site 202
City
Daegu
Country
Korea, Republic of
Facility Name
Handok Investigational site 209
City
Hwasun
Country
Korea, Republic of
Facility Name
Handok Investigational site 201
City
Seoul
Country
Korea, Republic of
Facility Name
Handok Investigational site 204
City
Seoul
Country
Korea, Republic of
Facility Name
Handok Investigational site 205
City
Seoul
Country
Korea, Republic of
Facility Name
Handok Investigational site 206
City
Seoul
Country
Korea, Republic of
Facility Name
Handok Investigational site 207
City
Seoul
Country
Korea, Republic of
Facility Name
Handok Investigational site 208
City
Yangsan
Country
Korea, Republic of

12. IPD Sharing Statement

Learn more about this trial

Single Immediate Instillation of EO9 After TURBT in Patients With Non-muscle-invasive Bladder Cancer (NMIBC)

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