BCG, Bladder Cancer, Docetaxel, Gemcitabine, Intravesical Instillation
Conditions
Keywords
bladder cancer, BCG, Intravesical Instillation, Gemcitabine, Docetaxel
Brief summary
Studies in the literature are limited both throughout Turkey and in general. For this reason, as a result of the study that we will create, it will provide us with information for bladder protective treatments in patients who do not respond to BCG therapy in bladder cancer patients.
Interventions
Alkalinization of urine 1 day before the procedure Emptying the bladder with a catheter before the procedure mixing 1000 mg gemcitabine in 50 ml saline 90 minutes after administration 37.5 mg docetaxel mixed 120 minutes after administration in 50 ml saline maintanence if there is a 6 week induction response
Sponsors
Study design
Eligibility
Inclusion criteria
\- BCG refractory/relapsed/unresponsive or intolerant Who do not want or are not suitable for radical cystectomy
Exclusion criteria
\- BCG naive A history of multiple cancers Having a radical cystectomy plan
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Recurrence rate | 5 years | the recurrence rate after intravesical chemotherapy will be calculated |
| Progression rate | 5 years | the progression rate after intravesical chemotherapy will be calculated |
| Adverse effects of intravesical chemotherapy | 5 years | the patients' data will be retrospectively analyzed to investigate the side effects of intravesical chemotherapy |
| Intravesical chemotherapy versus radical cystectomy | 5 years | the long-term cancer specific survival, overal survival, recurrence free survival of patients with similar pathological characteristics and who underwent radical cystectomy and patients who were given intravesical chemotherapy will be compared |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| treatment change | 5 years | patient transitions from intravesical chemotherapy to other treatment options will be calculated |
Countries
Turkey (Türkiye)