Bladder Cancer
Conditions
Keywords
bladder cancer, Hyperthermia, Radiotherapy, Chemotherapy
Brief summary
Analysis of the efficacy and the compatibility of deep regional hyperthermia in combination with radiotherapy and chemoradiotherapy in bladder cancer
Interventions
Deep Regional Hyperthermia (RHT) 1-2/week up to 10 sessions a type of cancer treatment in which body tissue is exposed to high temperatures (up to 113°F).
50,4 Gy (28 x 1,8 Gy) plus Boost: If R0: 5,4 Gy; If R1/2: 9 Gy
600 mg/m\^2 civ 120h; d 1-5, 29-33
20 mg/m\^2; d1-5, 29-33
Sponsors
Study design
Eligibility
Inclusion criteria
* Age ≥ 18 years * Histologically confirmed bladder cancer * M0 * ECOG-performance status ≤ 2 * Informed consent
Exclusion criteria
* Pre-existing uncontrolled cardiac disease, signs of cardiac failure, or rhythm disturbances requiring therapy * Cardiac Pacemaker * Myocardial infarction within the past 12 months * Congestive heart failure * Complete bundle branch block * New York Heart Association (NYHA) class III or IV heart disease * Disease that would preclude TUR, chemoradiation or deep regional hyperthermia * Metal implants (lenght \> 2cm or dense clusters of marker clips in the pelvis) * Active or therapy-resistent bladder infections * Pre-existing or concommitant immunodeficiency Syndrom * Pregnant or lactating women * Patients not willing to use effective contraception during and up to 6 months after therapy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Overall survival | Participants will be followed for up to 5 years after the end of therapy | Overall survival |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Bladder preservation rate | Participants will be followed for up to 5 years after the end of therapy | Rate of patients where bladder can be preserved |
| Disease free survival | Participants will be followed for up to 5 years after the end of therapy | Length of survival without disease recurrence |
Countries
Germany