Chemoradiotherapy for Recurrent T1G3 Bladder Cancer
Primary Purpose
Bladder Cancer
Status
Unknown status
Phase
Phase 4
Locations
Study Type
Interventional
Intervention
chemoradiation
Sponsored by
About this trial
This is an interventional treatment trial for Bladder Cancer focused on measuring chemoradiation for, T1G3 BC
Eligibility Criteria
Inclusion Criteria:
- All patients with recurrent T1G3 bladder cancer after 6 doses of BCG consenting for chemoradiation and refusing radical cystectomy
Exclusion Criteria:
- Any patients with distant metastasis or positive LN on CT or MRI.
- Patients unfit for chemoradiation
Sites / Locations
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
chemoradiotherapy
Arm Description
Chemoradiation in the form of cisplatin plus conformal radiotherapy 55GY/20 fractions which is biologically effective to 64GY/32 fractions fr
Outcomes
Primary Outcome Measures
Result of chemoradiation for recurrentT1G3 BC after BCG failure
treatment of 20 patients with recurrent T1G3
BC by chemoradiation to see efficacy and safety .and to reduce the number of recurrent cases and improve survival.
Secondary Outcome Measures
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT03274284
Brief Title
Chemoradiotherapy for Recurrent T1G3 Bladder Cancer
Official Title
Chemoradiotherapy for Recurrent T1G3 Bladder Cancer After BCG Failure
Study Type
Interventional
2. Study Status
Record Verification Date
September 2017
Overall Recruitment Status
Unknown status
Study Start Date
October 2017 (Anticipated)
Primary Completion Date
November 2019 (Anticipated)
Study Completion Date
December 2019 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Assiut University
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No
5. Study Description
Brief Summary
To evaluate the short term results of chemoradiation in case of T1G3 BC after BCG failure.
Detailed Description
Non- muscle invasive bladder cancer (NMIBC) is a heterogeneous group of cancers. For most urologists the treatment of T1G3 tumor poses a dilemma of management.The spectrum of clinical behavior includes; T1 lesions that will not progress however T1G3 may be potentially lethal, associated with metastatic disease at the time of presentation.
The major goal of treatment for T1G3 BC should be bladder preservation whenever possible.
Intravesical therapy with Bacille Calmette Guerin (BCG) may decrease the recurrence rate by compared with transurethral resection of bladder tumor (TURBT) alone.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Bladder Cancer
Keywords
chemoradiation for, T1G3 BC
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 4
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
20 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
chemoradiotherapy
Arm Type
Experimental
Arm Description
Chemoradiation in the form of cisplatin plus conformal radiotherapy 55GY/20 fractions which is biologically effective to 64GY/32 fractions fr
Intervention Type
Combination Product
Intervention Name(s)
chemoradiation
Intervention Description
chemoradiation in case of T1G3 BC after BCG failure.
Primary Outcome Measure Information:
Title
Result of chemoradiation for recurrentT1G3 BC after BCG failure
Description
treatment of 20 patients with recurrent T1G3
BC by chemoradiation to see efficacy and safety .and to reduce the number of recurrent cases and improve survival.
Time Frame
followup within two years
10. Eligibility
Sex
All
Minimum Age & Unit of Time
40 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
All patients with recurrent T1G3 bladder cancer after 6 doses of BCG consenting for chemoradiation and refusing radical cystectomy
Exclusion Criteria:
Any patients with distant metastasis or positive LN on CT or MRI.
Patients unfit for chemoradiation
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
moktar dawood
Phone
+201009442860
Email
mokhtardawood@yahoo.com
First Name & Middle Initial & Last Name or Official Title & Degree
Diaa El Din Mohamed
Phone
+201001229936
Email
Diaa-hameed@hotmail.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Ahmed Moeen
Organizational Affiliation
Moeen3@yahoo.com
Official's Role
Study Director
12. IPD Sharing Statement
Citations:
PubMed Identifier
17552951
Citation
Lambert EH, Pierorazio PM, Olsson CA, Benson MC, McKiernan JM, Poon S. The increasing use of intravesical therapies for stage T1 bladder cancer coincides with decreasing survival after cystectomy. BJU Int. 2007 Jul;100(1):33-6. doi: 10.1111/j.1464-410X.2007.06912.x.
Results Reference
background
PubMed Identifier
11912367
Citation
Soloway MS, Sofer M, Vaidya A. Contemporary management of stage T1 transitional cell carcinoma of the bladder. J Urol. 2002 Apr;167(4):1573-83.
Results Reference
background
Learn more about this trial
Chemoradiotherapy for Recurrent T1G3 Bladder Cancer
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