Clinical trial • Phase III • Oncology

Gemcitabine for Non-muscle invasive bladder cancer (intermediate-risk)

Phase III trial of Gemcitabine for Non-muscle invasive bladder cancer (intermediate-risk).

Overview

Trial Therapeutic Area
Oncology
Trial Disease
Non-muscle invasive bladder cancer (intermediate-risk)
Trial Stage
Phase III
Drug Modality
Small molecule

Key dates

Initial CTIS Submission Date
20-08-2024
First CTIS Authorization Date
30-08-2024

Trial design

Randomised, open-label, test arm: gemcitabine accord 100 mg/ml concentrate for infusion (gemcitabine), intravesical use; test treatment: six adjuvant instillations (as stated in protocol synopsis). comparator arm: mitomycin medac, 40 mg, powder and solvent for intravesical solution (mitomycin), intravesical use; comparator treatment: six adjuvant instillations (standard).-controlled Phase III trial across 10 sites in Sweden.

Randomised
Yes
Open Label
Yes
Comparator
Test arm: Gemcitabine Accord 100 mg/ml concentrate for infusion (Gemcitabine), intravesical use; Test treatment: six adjuvant instillations (as stated in protocol synopsis). Comparator arm: Mitomycin medac, 40 mg, powder and solvent for intravesical solution (Mitomycin), intravesical use; comparator treatment: six adjuvant instillations (standard).
Target Sample Size
340

Eligibility

Recruits 340 isVulnerablePopulationSelected = true; exclusion criterion includes 'lack of informed consent'. Subject information and informed consent form available (L1_SIS and ICF)..

Vulnerable Population
isVulnerablePopulationSelected = true; exclusion criterion includes 'lack of informed consent'. Subject information and informed consent form available (L1_SIS and ICF).

Inclusion criteria

  • {"criterion_text":"- Primary and recurrent non muscle invasive bladder cancer with intermediate risk of recurrence"}

Exclusion criteria

  • {"criterion_text":"- Age below 18 years of age\n- lack of informed consent\n- Known allergy to either mitomycin or gemcitabine\n- Severe incontinence\n- Cronic urethral catheter"}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Recurrence-free survival","definition_or_measurement_approach":""}

Secondary endpoints

  • {"endpoint_text":"- Local toxicity and HRQol two weeks after last installation, Progression-free survival, Health economy, Adverse events","definition_or_measurement_approach":"Secondary objectives: local side effects and HRQoL two weeks after the last instillation; HRQoL estimated with EORTC-QLQ-C30 + NMIBC24; Health economy measured with EQ-5D-5L; progression-free survival and adverse events as reported."}

Recruitment

Planned Sample Size
340
Recruitment Window Months
56
Consent Approach
Informed consent required; 'lack of informed consent' listed as an exclusion criterion. A Subject Information and Informed Consent Form (L1_SIS and ICF) document is available (for publication).

Geography

Total Number Of Sites
10
Total Number Of Participants
340

Sweden

Earliest CTIS Part Ii Submission Date
29-03-2023
Latest Decision Or Authorization Date
30-08-2024
Processing Time Days
520
Number Of Sites
10
Number Of Participants
340

Sites

Site Name
Region Skane Helsingborg Hospital
Department Name
Urologikliniken
Principal Investigator Name
Mats Bläckberg
Principal Investigator Email
mats.blackberg@skane.se
Contact Person Name
Mats Bläckberg
Contact Person Email
mats.blackberg@skane.se
Site Name
Region Skane - Skanes Universitetssjukhus
Department Name
Urologkliniken Jan Waldenströms gata 5
Principal Investigator Name
Fredrik Liedberg
Principal Investigator Email
fredrik.liedberg@med.lu.se
Contact Person Name
Fredrik Liedberg
Contact Person Email
fredrik.liedberg@med.lu.se
Site Name
Region Skane Angelholms Sjukhus
Department Name
Urologmottagningen
Principal Investigator Name
Malin Böös
Principal Investigator Email
malin.boos@skane.se
Contact Person Name
Malin Böös
Contact Person Email
malin.boos@skane.se
Site Name
Region Kronoberg
Department Name
Urologmottagningen Ljungby lasarett, Kyrkogatan 2, Ljungby
Principal Investigator Name
Jonas Richthoff
Principal Investigator Email
jonas.richthoff@kronoberg.se
Contact Person Name
Jonas Richthoff
Contact Person Email
jonas.richthoff@kronoberg.se
Site Name
Region Joenkoepings Laen
Department Name
Urologmottagningen, Värnamo sjukhus
Principal Investigator Name
Emma Persson
Principal Investigator Email
emma.b.persson@rjl.se
Contact Person Name
Emma Persson
Contact Person Email
emma.b.persson@rjl.se
Site Name
Region Oerebro Laen
Department Name
Urologkliniken, Universitetssjukhuset Örebro, Södra Grev Rosengatan
Principal Investigator Name
Tomas Jerlström
Principal Investigator Email
tomas.jerlstrom@regionorebrolan
Contact Person Name
Tomas Jerlström
Contact Person Email
tomas.jerlstrom@regionorebrolan
Site Name
Region Kronoberg
Department Name
Kirurgmottagningen, Centrallasarettet Växjö, Strandvägen 8, Växjö
Principal Investigator Name
Joakim Örtegren
Principal Investigator Email
joakim.ortegren@kronoberg.se
Contact Person Name
Joakim Örtegren
Contact Person Email
joakim.ortegren@kronoberg.se
Site Name
Region Joenkoepings Laen
Department Name
Urologmottagningen, Länssjukhuset Ryhov
Principal Investigator Name
Emma Persson
Principal Investigator Email
emma.b.persson@rjl.se
Contact Person Name
Emma Persson
Contact Person Email
emma.b.persson@rjl.se
Site Name
Region Joenkoepings Laen
Department Name
Urologmottagningen, Höglandssjukhuset
Principal Investigator Name
Tomasz Jakubczyk
Principal Investigator Email
tomasz.jakubzyk@rjl.se
Contact Person Name
Tomasz Jakubczyk
Contact Person Email
tomasz.jakubzyk@rjl.se
Site Name
Region Skane Lasarettet I Landskrona
Department Name
Urologimottagningen
Principal Investigator Name
Mats Wokander
Principal Investigator Email
mats.wokander@skane.se
Contact Person Name
Mats Wokander
Contact Person Email
mats.wokander@skane.se

Sponsor

Primary sponsor

Full Name
Region Skane
Organisation Type
Hospital/Clinic/Other health care facility
Country Of Registered Address
Sweden

Third parties

  • {"country":"Sweden","full_name":"Region Skane Skanes Universitetssjukhus","duties_or_roles":"sponsorDuties codes: 1,6","organisation_type":"Hospital/Clinic/Other health care facility"}

Investigational products

Investigational Product Name
Gemcitabine Accord 100 mg/ml Koncentrat till infusionsvätska, lösning
Active Substance
Gemcitabine
Modality
Small molecule
Routes Of Administration
Intravesical
Route
Intravesical
Authorisation Status
Authorised (marketing authorisation number: 45507)
Maximum Dose
1000 mg (max daily); 6000 mg (max total)
Investigational Product Name
Mitomycin medac, 40 mg, pulver och vätska till intravesikal lösning
Active Substance
Mitomycin
Modality
Small molecule
Routes Of Administration
Intravesical
Route
Intravesical
Authorisation Status
Authorised (marketing authorisation number: 50421)
Starting Dose
40 mg
Maximum Dose
40 mg (max daily); 240 mg (max total)

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