Status:

COMPLETED

Gemcitabine With Or Without Oxaliplatin in Treating Patients With Locally Advanced or Metastatic Bladder Cancer

Lead Sponsor:

Institut du Cancer de Montpellier - Val d'Aurelle

Conditions:

Bladder Cancer

Eligibility:

All Genders

18-120 years

Phase:

PHASE2

Brief Summary

RATIONALE: Drugs used in chemotherapy, such as gemcitabine and oxaliplatin, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. Giv...

Detailed Description

OBJECTIVES: Primary * Determine the objective response rate in patients with advanced urothelial cancer treated with gemcitabine hydrochloride with vs without oxaliplatin. Secondary * Determine th...

Eligibility Criteria

Inclusion

  • DISEASE CHARACTERISTICS:
  • Histologically confirmed urothelial carcinoma, or transitional cell carcinoma of the bladder or upper urinary tract
  • Locally advanced disease (T4b) or metastatic disease (N2, N3, or M1)
  • Unable to receive cisplatin-based chemotherapy due to creatinine clearance 30-60 mL/min or performance status 2
  • At least 1 unidimensionally measurable lesion according to RECIST criteria
  • No nonmeasurable lesions only, including any of the following:
  • Ascites
  • Pleural or pericardial effusion
  • Bone metastases
  • Lymphangitis
  • No symptomatic cerebral metastases unless they have been stabilized
  • PATIENT CHARACTERISTICS:
  • See Disease Characteristics
  • Performance status 0-2
  • ANC ≥ 1,500/mm³
  • Platelet count ≥ 100,000/mm³
  • Alkaline phosphatase ≤ 2 times normal (unless bone metastases are present)
  • Transaminases ≤ 2 times normal (5 times normal if hepatic metastases present)
  • Bilirubin ≤ 1.5 times normal
  • Not pregnant or nursing
  • Fertile patients must use effective contraception during and for at least 6 months after completion of treatment
  • No prior malignancy within the past 5 years except carcinoma in situ of the cervix or basal cell skin cancer
  • No peripheral neuropathy ≥ grade 2
  • No uncontrolled infection
  • No other medical conditions that could interfere with evaluating tolerability, including any of the following:
  • Congestive heart failure
  • Angina pectoris that cannot be stabilized with medication
  • Myocardial infarction within the past 12 months
  • Serious thromboembolic disease
  • No psychologic, social, or geographic reason that would make follow-up impossible
  • PRIOR CONCURRENT THERAPY:
  • See Disease Characteristics
  • No prior chemotherapy for advanced disease
  • More than 4 weeks since prior radiotherapy to a target measurable lesion

Exclusion

    Key Trial Info

    Start Date :

    July 1 2004

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ACTUAL

    End Date :

    March 1 2009

    Estimated Enrollment :

    44 Patients enrolled

    Trial Details

    Trial ID

    NCT00627432

    Start Date

    July 1 2004

    End Date

    March 1 2009

    Last Update

    February 18 2025

    Active Locations (1)

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    Centre Regional de Lutte Contre le Cancer - Centre Val d'Aurelle

    Montpellier, France, 34298