Status:
COMPLETED
Single Agent Abraxane as Second Line Therapy in Bladder Cancer
Lead Sponsor:
Sunnybrook Health Sciences Centre
Collaborating Sponsors:
Celgene Corporation
Conditions:
Transitional Cell Carcinoma
Eligibility:
All Genders
18+ years
Phase:
PHASE2
Brief Summary
The purpose of this study is to determine what effects the drug Abraxane has on bladder cancer.
Detailed Description
For those patients with advanced bladder cancer who have progressed on a platinum based regimen, no widely accepted standard second line therapy currently exists. Taxanes including paclitaxel have exh...
Eligibility Criteria
Inclusion
- Patients must have histological or cytological diagnosis of urothelial carcinoma. Mixed histologies are permitted as long as transitional cell carcinoma is the major component (i.e. \>50% of the pathologic specimen). Pure or predominant squamous cell carcinomas are not permitted.
- Patients with transitional cell carcinomas of the renal pelvis and ureter are permitted.
- Patients must have metastatic or locally advanced unresectable disease.
- Patients must have received one and only one prior chemotherapeutic regimen which included a platinum (at least one cycle) for metastatic/recurrent disease. Neoadjuvant or adjuvant chemotherapy will be considered to have been first line if the patient progressed within 12 months of the last dose.
- Neoadjuvant/adjuvant chemotherapy (with or without a taxane) is permitted if registration is greater than 12 months since the last dose (patients must then have received one platinum containing regimen in the metastatic setting)
- ECOG performance status \<= 2.
- Estimated life expectancy of \>12 weeks.
- Patients must have measurable disease according to RECIST criteria.
- If female of childbearing potential, pregnancy test is negative within 72 hours priors to first dose of study drug.
- If fertile, patient agrees to use an effective method of contraception to avoid pregnancy for the duration of the study.
- Adequate organ function; Absolute neutrophil count \>1.5 x 109/L. Platelet count \>100 x109/L. Hemoglobin \>90 g/L. Total bilirubin \<1.5x upper limit of normal. Transaminases \<3x upper limit of normal (\<5x if liver metastasis are present) Calculated creatinine clearance \>40 ml/min (Cockcroft \& Gault formula)
- Able to give informed consent.
Exclusion
- Prior taxane therapy for metastatic disease (or \> 12 months since a taxane-containing neoadjuvant or adjuvant chemotherapy).
- Pre-existing peripheral neuropathy \>1 by NCI-CTC criteria.
- Pregnant or lactating females.
- Uncontrolled brain or leptomeningeal involvement (treated brain metastasis permitted if both known lesions and medications e.g. steroids for that indication are stable).
- History of serious or concurrent illness that might be aggravated by study treatment.
- History of class II-IV congestive heart failure.
- Other malignancies except adequately controlled basal cell carcinoma of the skin or carcinoma in situ of the cervix or incidental prostate cancer (T1a, Gleason \<7 PSA \<10ng/ml) or any other tumor within 5 years prior to enrollment.
- Other investigational therapy or radiation therapy within 30 days before registration.
- Patients not willing to employ adequate contraception for the duration of the study.
Key Trial Info
Start Date :
March 1 2008
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
June 1 2012
Estimated Enrollment :
48 Patients enrolled
Trial Details
Trial ID
NCT00683059
Start Date
March 1 2008
End Date
June 1 2012
Last Update
October 17 2016
Active Locations (5)
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1
Juravinski Cancer Centre
Hamilton, Ontario, Canada, L8V 5C2
2
London Regional Cancer Program
London, Ontario, Canada, N6A 4L6
3
Ottawa Regional Cancer Centre
Ottawa, Ontario, Canada, K1H 8L6
4
Sunnybrook Health Sciences Centre
Toronto, Ontario, Canada, M4N 3M5