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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