Clinical trial • Oncology

MITOMYCIN for Non-muscle-invasive bladder cancer | Bladder cancer

Clinical trial of MITOMYCIN for Non-muscle-invasive bladder cancer | Bladder cancer.

Overview

Trial Therapeutic Area
Oncology
Trial Disease
Non-muscle-invasive bladder cancer | Bladder cancer
Drug Modality
Small molecule | Vaccine

Key dates

Initial CTIS Submission Date
26-08-2024
First CTIS Authorization Date
19-09-2024

Trial design

Randomised, bcg-medac (bcg vaccine), intravesical use; product: bcg-medac, suspension for injection; max daily dose amount reported as 3000 million cfu; schedule not specified in available data.-controlled trial across 1 site in Finland.

Randomised
Yes
Comparator
BCG-medac (BCG vaccine), intravesical use; product: BCG-medac, suspension for injection; max daily dose amount reported as 3000 million CFU; schedule not specified in available data.
Target Sample Size
300

Eligibility

Recruits 300 Vulnerable population not selected. Written informed consent is required from every eligible patient. No mention of assent or specific procedures for vulnerable groups in the available documents..

Pregnancy Exclusion
Pregnancy or lactating patient
Vulnerable Population
Vulnerable population not selected. Written informed consent is required from every eligible patient. No mention of assent or specific procedures for vulnerable groups in the available documents.

Inclusion criteria

  • {"criterion_text":"- Histologically proven non-muscle-invasive tumour types confined to the urinary bladder\n- Written informed consent is required from every eligible patient\n- Second resection performed in case of T1 tumour\n- Adequate physical and mental condition to participate in the study (as judged by treating physician"}

Exclusion criteria

  • {"criterion_text":"- Ta low grade tumour(s)\n- Muscle invasive (pT≥2) tumors\n- Urothelial cancer involving the prostatic urethra or upper urinary tract\n- Non‐urothelial bladder cancer\n- Prior BCG failure (If patient has previously been successfully treated with BCG, and duration from the last instillation is >12 months, participation may be considered, if bladder preserving is chosen)\n- Prior or concurrent immunotherapy\n- Any medication or condition considered as contraindication to BCG or MMC (as judged by the treating physician)\n- Urethral stricture, stone disease, chronic urinary tract infection or any other urological condition that may comprise study participation (as judged by the treating physician)\n- Known allergy to MMC or BCG\n- Age < 18 years\n- Pregnancy or lactating patient\n- Other untreated or unstable malignancy in risk of recurrence/progression (as judged by the treating physician)\n- Cardiac pacemaker\n- Expected survival time less than one year\n- Expected poor compliance"}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Recurrence: defined as occurrence of histologically confirmed urothelial cancer recurrence of any stage or grade. Time for recurrence will be calculated from randomization date to date of biopsy/TUR-BT confirming recurrence.","definition_or_measurement_approach":"Defined as occurrence of histologically confirmed urothelial cancer recurrence of any stage or grade; time for recurrence calculated from randomization date to date of biopsy/TUR-BT confirming recurrence."}

Secondary endpoints

  • {"endpoint_text":"- Progression: defined as occurrence of biopsy/TUR-BT confirmed urothelial cancer with higher T-category as follows: Time for progression is calculated from randomization to the date of biopsy/TUR-BT/radiological evidence of metastasis confirming progression","definition_or_measurement_approach":"Defined as biopsy/TUR-BT confirmed urothelial cancer with higher T-category; time for progression calculated from randomization to date of biopsy/TUR-BT or radiological evidence of metastasis confirming progression."}

Recruitment

Planned Sample Size
300
Recruitment Window Months
84
Consent Approach
Written informed consent is required from every eligible patient. Subject information and informed consent form documents are available (documents in Finnish and Swedish are present). No mention of assent or separate age-specific consent procedures in the available data.

Geography

Total Number Of Sites
1
Total Number Of Participants
300

Finland

Earliest CTIS Part Ii Submission Date
09-07-2024
Latest Decision Or Authorization Date
19-09-2024
Processing Time Days
72
Number Of Sites
1
Number Of Participants
300

Sites

Site Name
Turku University Hospital
Department Name
Urology
Contact Person Name
Peter Boström
Contact Person Email
peter.bostrom@varha.fi

Sponsor

Primary sponsor

Full Name
Turku University Hospital
Organisation Type
Hospital/Clinic/Other health care facility
Country Of Registered Address
Finland

Investigational products

Investigational Product Name
Mitomycin medac, 40 mg, jauhe ja liuotin liuosta varten, virtsarakkoon
Active Substance
MITOMYCIN
Modality
Small molecule
Routes Of Administration
INTRAVESICAL USE
Route
Intravesical
Authorisation Status
Marketing-authorised (marketingAuthNumber: 31922)
Dose Levels
40 mg (maxDailyDoseAmount reported)
Maximum Dose
40 mg
Investigational Product Name
BCG-medac, jauhe ja liuotin suspensiota varten, virtsarakkoon
Active Substance
BCG (BACILLUS CALMETTE-GUÉRIN) BACTERIA
Modality
Vaccine
Routes Of Administration
INTRAVESICAL USE
Route
Intravesical
Authorisation Status
Marketing-authorised (marketingAuthNumber: 16706)
Dose Levels
3000 million CFU (maxDailyDoseAmount reported)
Maximum Dose
3000 million CFU
Combination Treatment
Yes

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