UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000000842
Receipt number R000001010
Scientific Title Randomized Prospective Trial of Intravesical Bacillus Calmette-Guerin Instillation with Low Dose versus Standard Dose for Transitional Cell Carcinoma of the Urinary Bladder
Date of disclosure of the study information 2007/10/05
Last modified on 2014/04/24 17:51:17

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Basic information

Public title

Randomized Prospective Trial of Intravesical Bacillus Calmette-Guerin Instillation with Low Dose versus Standard Dose for Transitional Cell Carcinoma of the Urinary Bladder

Acronym

Low dose BCG study

Scientific Title

Randomized Prospective Trial of Intravesical Bacillus Calmette-Guerin Instillation with Low Dose versus Standard Dose for Transitional Cell Carcinoma of the Urinary Bladder

Scientific Title:Acronym

Low dose BCG study

Region

Japan


Condition

Condition

Initial or recurrent superficial bladder cancer that cannot be completely resected and carcinoma in situ (CIS) of the bladder.

Classification by specialty

Urology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To evaluate efficacy and safety of Immunobladder for intravesical instillation at a dose of 40 mg in superficial bladder cancer that cannot be completely resected and carcinoma in situ (CIS) of the bladder in comparison with Immunobladder for intravesical instillation at a standard dose of 80 mg in a randomized comparative study.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Complete response rate (CR rate)

Key secondary outcomes

1) Relapse-free survival (all secondarily
enrolled subjects/subjects with CR)
2) Incidence of adverse drug reactions
3) Progression-free survival
4) Achievement rate for instillation frequency
5) Overall survival rate
6) QOL


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Dose comparison

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Freeze-dried BCG for intravesical use (Japanese strain) (Immunobladder for intravesical instillation 80 mg/40 mL) will be instilled 8 times.

Interventions/Control_2

Freeze-dried BCG for intravesical use (Japanese strain) (Immunobladder for intravesical instillation 40 mg/40 mL) will be instilled 8 times.

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit

85 years-old >=

Gender

Male and Female

Key inclusion criteria

1) Histologically confirmed transitional cell carcinoma.
2) Confirmed superficial bladder cancer that cannot be completely resected or carcinoma in situ (CIS) of the bladder. CIS may be primary, secondary or concurrent. In patients with concurrent CIS however, coexisting bladder cancer must be only superficial and have been completely resected.
*Note: Patients with concurrent CIS who have received radical TURBT will be excluded from this study although biopsy is required. Patients with concurrent CIS who have had coexisting superficial bladder cancer resected at least twice to complete elimination will be excluded from this study because the start of treatment of concurrent CIS may be complicated.
3) Performance status of 0 to 2.
4) Patients that can receive assessment, such as cystoscopy and urinary cytology on a regular basis.
5) Male or female, aged between 20 and 85 years.
6) Intact function of the main organs
Hb>=10 g/dL; PLT>=10&#61620;104/mm3; WBC>=3,000/mm3; AST (GOT), ALT (GPT), ALP<normal value&#61620;2, serum creatinine<=1.5 mg/dL.
7) Patients that have given written informed consent prior to the start of this study.

Key exclusion criteria

1)Active tuberculous lesion or strongly positive tuberculin reaction*.
*: Strongly positive tuberculin reaction is defined as redness with a maximum diameter of >= 10 mm accompanied by induration with redness, blister, and necrosis.
2) Active double cancer (including upper urinary tract carcinoma and prostatic urethral cancer)
3) Previously received BCG intravesical instillation therapy
4) History of upper urinary tract carcinoma
5) Previously received systemic intravenous or intra-arterial infusion of an anti-cancer drug or radiation therapy for bladder cancer
6) Previously received TURBT, systemic chemotherapy or intravesical instillation therapy with an anti-cancer drug within 4 weeks prior to biopsy
7) Contracted bladder
8) Serious drug hypersensitivity
9) Previously received local radiation therapy for the bladder
10) Patients receiving pharmacotherapy, including steroids at an immunosuppressive dose
11) Serious viral or bacterial infection
12) Interstitial pneumonia or pulmonary fibrosis
13) Severe cardiac (circulatory), pulmonary, renal, hepatic, or hematopoietic impairment
14) Other serious complications
15) Pregnant or possibly pregnant women
16) Patients the investigator considers to be inappropriate for this study

Target sample size

160


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Seiji Naito

Organization

Graduate School of Medical Sciences, Kyushu University

Division name

Department of Urology

Zip code


Address

3-1-1 Maidashi, Higashi-ku Fukuoka 812-8582, Japan

TEL

092-642-5603

Email

naito@uro.med.kyushu-u.ac.jp


Public contact

Name of contact person

1st name
Middle name
Last name Akira Yokomizo

Organization

Graduate School of Medical Sciences, Kyushu University

Division name

Department of Urology

Zip code


Address

3-1-1 Maidashi, Higashi-ku Fukuoka 812-8582, Japan

TEL

092-642-5603

Homepage URL

http://www.evidence.jp/bcg/

Email

yokoa@uro.med.kyushu-u.ac.jp


Sponsor or person

Institute

Study Group for Low-dose BCG Intravesical Instillation Therapy

Institute

Department

Personal name



Funding Source

Organization

The Waksman Foundation of Japan INC.

Organization

Division

Category of Funding Organization

Non profit foundation

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2007 Year 10 Month 05 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2006 Year 07 Month 20 Day

Date of IRB


Anticipated trial start date

2006 Year 11 Month 01 Day

Last follow-up date

2013 Year 03 Month 01 Day

Date of closure to data entry

2013 Year 06 Month 01 Day

Date trial data considered complete

2014 Year 02 Month 28 Day

Date analysis concluded

2014 Year 12 Month 31 Day


Other

Other related information



Management information

Registered date

2007 Year 10 Month 04 Day

Last modified on

2014 Year 04 Month 24 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000001010


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name