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Comparison of Cystectomy and Nephroureterectomy with Alternative Therapeutic Strategies in Patients with Urothelial Carcinoma of the Urinary Bladder and Upper Urinary Tract – Analysis of Clinicopathological Factors and Survival Data.

Comparison of Cystectomy and Nephroureterectomy with Alternative Therapeutic Strategies in Patients with Urothelial Carcinoma of the Urinary Bladder and Upper Urinary Tract – Analysis of Clinicopathological Factors and Survival Data.

Status
Active, not recruiting
Phases
Unknown
Study type
Observational
Source
DRKS
Registry ID
DRKS00039221
Enrollment
200
Registered
2026-02-11
Start date
2026-02-13
Completion date
Unknown
Last updated
2026-03-02

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Urothelial carcinoma of the urinary bladder, ureter, or kidney. C65 C66 C67 C68

Interventions

Group 1: A retrospective analysis of all patients with urothelial carcinoma (MIUC
= pT2 or pT1 cN+) who underwent radical cystectomy or nephroureterectomy, as well as those in whom these procedures were not performed due to patient refusal or lack of eligibility. Alternative treatm

Sponsors

Uniklinikum Essen - Abteilung für Urologie
Lead Sponsor

Eligibility

Sex/Gender
All
Age
18 Years to No maximum

Inclusion criteria

Inclusion criteria: Patients with urothelial carcinoma (MIUC) (= pT2 or pT1 cN+) o Patients who have undergone radical cystectomy (RC) or nephroureterectomy (NUX). o Patients who declined radical cystectomy or nephroureterectomy, or were not eligible for these procedures. o Alternative bladder-preserving treatment using trimodal therapy or TUR-B; additionally, patients receiving best supportive care. Age = 18 years

Exclusion criteria

Exclusion criteria: Presence of distant metastases (M1) at the time of initial diagnosis. Previous radical cystectomy (RC) or nephroureterectomy (NUX) (i.e., no primary cases). Lack of histopathological confirmation of the diagnosis. Other dominant malignant disease unless it has been completely treated with curative intent.

Design outcomes

Primary

MeasureTime frame
WHAT is the endpoint (target criterion)? Overall survival (OS), defined as the time from diagnosis or initiation of therapy to death from any cause. WHEN is this parameter checked? At baseline and during routine follow-up visits until death or last known contact. HOW is data collected (e.g. questionnaire XY)? Data are collected retrospectively from electronic medical records and hospital information systems, including clinical documentation and survival status obtained from follow-up records.

Secondary

MeasureTime frame
Progression-free survival (PFS): time from diagnosis or initiation of therapy to the occurrence of tumour progression (local, regional, or distant metastasis) or death from any cause, whichever occurs first. In addition, clinical and pathological factors as well as prognostic predictors will be analysed in relation to overall survival and progression-free survival. WHAT is the endpoint (target criterion)? Progression-free survival (PFS), defined as the time from diagnosis or initiation of therapy to the occurrence of tumour progression (local, regional, or distant metastasis) or death from any cause, whichever occurs first. In addition, clinical and pathological factors as well as prognostic predictors will be analysed in relation to overall survival and progression-free survival. WHEN is this parameter checked? At baseline and during routine clinical and radiological follow-up according to standard care. HOW is data collected (e.g., questionnaire XY)? Data are collected retrospectively from medical records, including radiology reports, pathology findings, and clinical follow-up documentation.

Countries

Germany

Contacts

Public ContactStefan Cieslik

Universitätsklinikum Essen - Urologie

stefan.cieslik@uk-essen.de+49 201 723 3211

Outcome results

None listed

Source: DRKS (via WHO ICTRP) · Data processed: Mar 14, 2026