Bladder Cancer
Conditions
Keywords
Bladder Cancer, NMIBC, TURBT, Apaziquone, EOquin, Immediate instillation
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.
Interventions
4 mg/40 mL, Intravesical instillation, Single dose within 6 hours after TURBT
40 mL, Intravesical instillation, Single dose within 6 hours after TURBT
Sponsors
Study design
Eligibility
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.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The recurrence rate at 2 years in patients with histologically diagnosed stage Ta, grade G1 or G2 bladder cancer | 2 years |
Secondary
| Measure | Time frame |
|---|---|
| The progression rate | 2 years |
| The number of recurrences per patient | 2 years |
| The progression-free survival period | 2 years |
| The recurrence-free interval in patients with histologically diagnosed stage Ta, grade G1 or G2 bladder cancer | 2 years |
| The overall survival period | 2 years |
| The safety of EO9 | 2 years |
| The recurrence-free survival period | 2 years |
Countries
Japan, South Korea