Title
Neoadjuvant Chemotherapy in Locally Advanced Bladder Cancer
Neoadjuvant Gemcitabine and Cisplatin in Locally Advanced Bladder Cancer
Phase
N/ALead Sponsor
Barmherzige Brüder ViennaStudy Type
InterventionalStatus
Completed No Results PostedIndication/Condition
Bladder CancerIntervention/Treatment
gemcitabine cisplatin ...Study Participants
60To evaluate the efficacy and safety of neoadjuvant gemcitabine and cisplatin (gem/cis) in locally advanced bladder cancer.
Patients with locally advanced transitional cell bladder cancer receive 3 cycles of neoadjuvant gemcitabine/cisplatin before radical cystectomy.
Patients with histologically confirmed clinical stage T2-T4a, N0-2 bladder cancer are going to be included. After CT scan of the thorax and abdomen plus MRI of the pelvis patient receive chemotherapy.
Pathologic response rate will be assessed after surgery by the institutional pathologic review. Safety is going to be assessed according to the National Cancer Institute Common Toxicity Criteria (CTC,version 3.0).
gemcitabine 1000 mg/m2 on days 1,8,15 as a 30 minute infusion followed by cisplatin 70 mg/m2 on day 1 as an 2 hour infusion
gemcitabine plus cisplatin: 3 cycles of gemcitabine 1000 mg/m2 on days 1,8,15 as a 30 minute infusion and cisplatin 70 mg/m2 on day 1 as an 2 hour infusion will be applied
Inclusion Criteria: 18 years of age histologically confirmed stage T2, T3 or T4a urothelial bladder cancer with N0-N2 Eastern Cooperative Oncology Group (ECOG) performance status of 0-1 bone marrow reserve (neutrophil count >1500 cells per μL,platelet count >100 000 per μL) count hepatic function (serum bilirubin <2,5 times the upper limit of normal, serum aminotransferase ≤2,5 times the upper limit of normal). renal function with a creatinine clearance >60ml/min Exclusion Criteria: metastatic disease serious or uncontrolled concurrent medical illness pregnancy history of other malignancies (with the exception of excised cervical or basal skin or squamous-cell carcinoma) non-transitional cell bladder cancer creatinine clearance <60ml/min