S0337, Gemcitabine After Surgery in Treating Patients With Newly Diagnosed or Recurrent Bladder Cancer
Bladder Cancer
About this trial
This is an interventional treatment trial for Bladder Cancer focused on measuring transitional cell carcinoma of the bladder, stage 0 bladder cancer, stage I bladder cancer, recurrent bladder cancer
Eligibility Criteria
DISEASE CHARACTERISTICS:
Diagnosis of newly diagnosed or recurrent transitional cell bladder cancer meeting the following criteria:
- Ta or T1 primary tumor
- Grade 1 or 2 disease
No more than 2 recurrences (except for index tumor) within the 18 months prior to the index tumor's transurethral resection of the bladder tumor (TURBT)
Index tumor post-TURBT must meet the following criteria:
- Ta or T1 tumor without any prior tumor in situ, grade 3 (high grade) disease within 2 years prior to index tumor TURBT, or invasion of the muscularis propria (stage ≥ T2)
- Grade 1 or 2 disease (similar to papillary urothelial neoplasm of low malignant potential and low-grade bladder cancer)
- Not a candidate for a therapy other than TURBT (e.g., a series of instillations of intravesical immunotherapy [e.g., BCG] or intravesical chemotherapy, or cystectomy or partial cystectomy)
Negative upper tract imaging studies within 1 year (365 days) prior to study entry
- Imaging studies may be performed after registration provided it is done prior to TURBT on the day of treatment
- No urothelial cancer of the prostate or more distal urethra (or urethra at all in women) as assessed by endoscopy
- Must have a negative urine culture (less than or equal to 10,000 col/mL, mixed flora-likely contamination) OR negative urine analysis for infection AND negative nitrates on reagent strip, ≤ 10 white blood cell count (WBC)/high-power field, and no rods or organisms on examination of spun urine sediment OR an automated or visual reagent strip urinalysis that is negative for leukocytes and nitrates within the past 28 days
- TURBT planned within the next 28 days and planned treatment within 3 hours after TURBT
PATIENT CHARACTERISTICS:
- Zubrod performance status 0-1
- Not pregnant or nursing
- Fertile patients must use effective contraception
No other prior malignancy except for any of the following:
- Adequately treated basal cell or squamous cell skin cancer
- In situ cervical cancer
- Adequately treated stage I or II cancer from which patient is in complete remission
- Any other cancer from which patient has been disease-free for 3 years
PRIOR CONCURRENT THERAPY:
- See Disease Characteristics
- More than 145 days since prior intravesical therapy
Sites / Locations
- Arkansas Cancer Research Center at University of Arkansas for Medical Sciences
- Samuel Oschin Comprehensive Cancer Institute at Cedars-Sinai Medical Center
- University of California Davis Cancer Center
- University of Colorado Cancer Center at UC Health Sciences Center
- Urology Center of Colorado
- Veterans Affairs Medical Center - Denver
- St. Joseph Regional Medical Center
- Cardinal Bernardin Cancer Center at Loyola University Medical Center
- St. Rose Ambulatory and Surgery Center
- Hays Medical Center
- Hutchinson Hospital Corporation
- Kansas City Cancer Centers - West
- Kansas Masonic Cancer Research Institute at the University of Kansas Medical Center
- Kansas City Cancer Centers - Southwest
- Mount Carmel Regional Cancer Center
- Tammy Walker Cancer Center at Salina Regional Health Center
- Kansas City Cancer Center - Shawnee Mission
- St. Francis Comprehensive Cancer Center
- Feist-Weiller Cancer Center at Louisiana State University Health Sciences
- University of Michigan Comprehensive Cancer Center
- Josephine Ford Cancer Center at Henry Ford Hospital
- William Beaumont Hospital - Royal Oak Campus
- Truman Medical Center - Hospital Hill
- Veterans Affairs Medical Center - Kansas City
- Kansas City Cancer Centers - South
- Kansas City Cancer Centers - North
- Kansas City Cancer Centers - East
- CCOP - Montana Cancer Consortium
- St. Vincent Healthcare Cancer Care Services
- Hematology-Oncology Centers of the Northern Rockies - Billings
- Billings Clinic - Downtown
- Bozeman Deaconess Cancer Center
- St. James Healthcare Cancer Care
- Great Falls Clinic - Main Facility
- Sletten Cancer Institute at Benefis Healthcare
- Northern Montana Hospital
- St. Peter's Hospital
- Glacier Oncology, PLLC
- Kalispell Medical Oncology at KRMC
- Kalispell Regional Medical Center
- Montana Cancer Specialists at Montana Cancer Center
- Montana Cancer Center at St. Patrick Hospital and Health Sciences Center
- James P. Wilmot Cancer Center at University of Rochester Medical Center
- Blumenthal Cancer Center at Carolinas Medical Center
- Cleveland Clinic Taussig Cancer Center
- Oklahoma University Cancer Institute
- Bay Area Hospital
- Knight Cancer Institute at Oregon Health and Science University
- Brooke Army Medical Center
- M. D. Anderson Cancer Center at University of Texas
- Baylor University Medical Center - Houston
- Methodist Hospital
- Veterans Affairs Medical Center - Houston
- Wilford Hall Medical Center
- Veterans Affairs Medical Center - San Antonio (Murphy)
- University of Texas Health Science Center at San Antonio
- Cancer Therapy and Research Center
- University Hospital - San Antonio
- Overlake Cancer Center at Overlake Hospital Medical Center
- Providence Centralia Hospital
- Providence Regional Cancer Partnership
- St. Francis Hospital
- Providence St. Peter Hospital Regional Cancer Center
- Good Samaritan Cancer Center
- Franciscan Cancer Center at St. Joseph Medical Center
- Allenmore Hospital
- CCOP - Northwest
- MultiCare Regional Cancer Center at Tacoma General Hospital
- Madigan Army Medical Center - Tacoma
- St. Clare Hospital
Arms of the Study
Arm 1
Arm 2
Experimental
Placebo Comparator
Arm I
Arm II
Patients receive intravesical gemcitabine hydrochloride over 1 hour.
Patients receive intravesical placebo over 1 hour.