Status:
COMPLETED
Cis-urocanic Acid (Cis-UCA) in Patients With Primary or Recurrent Non-muscle Invasive Bladder Cancer
Lead Sponsor:
BioCis Pharma Ltd
Collaborating Sponsors:
Turku University Hospital
Tampere University Hospital
Conditions:
Non-muscle Invasive Bladder Cancer
Eligibility:
All Genders
18-80 years
Phase:
PHASE1
Brief Summary
The purpose of this study is to evaluate safety, tolerability and pharmacokinetics of intravesical cis-urocanic acid in patients with primary or recurrent non-muscle invasive bladder cancer.
Detailed Description
This is a single dose, dose-escalating, Phase I study to evaluate safety, tolerability and pharmacokinetics of intravesical cis-urocanic acid (cis-UCA) in patients with primary or recurrent non-muscle...
Eligibility Criteria
Inclusion
- Informed consent obtained prior to any screening procedures
- Patients with primary or recurrent non-muscle invasive bladder cancer
- The patient is eligible for intravesical instillation
- Age 18-80 years
- WHO performance status 0-2
- Body weight at least 50 kg for males and 45 kg for females; body mass index (BMI) 18-35 kg/m2
- Diagnostic cystoscopy performed within 30 days prior to screening visit
- Negative pregnancy test (premenopausal female patients) at screening and use of adequate contraceptive measures (both male and female patients) throughout the study and 30 days after the cis-UCA dose oPremenopausal female volunteers should be either surgically sterile or using a reliable contraception method: intrauterine device (hormonal or non-hormonal); oral combination pill or hormonal contraception patch; or two of the following: intra-vaginal hormonal ring, oral contraceptive containing progestin only, spermicidal foam, condom, sterilization of male sexual partner (surgical vasectomy) oPatients with no current heterosexual relationship may be included according to the judgment of the Investigator oIf menopause occurred 2 years ago at the minimum, no contraception is required for female participants, nor pregnancy tests oReliable contraception for male patients is concordant with above listed methods for females, as applicable
- Acceptable liver function, renal function and hematological status at screening
- Urinalysis showing no clinically significant abnormalities except those attributable for bladder cancer
Exclusion
- Previously diagnosed bladder fibrosis
- Total bladder capacity estimated by cystoscopy to be less that 150 ml
- Urinary incontinence of that severity that according to the opinion of the Urologist/Investigator would compromise the ability of the patient to retain the study drug intravesical instillation for one hour
- Severe irritative voiding symptoms, such as urgency, frequency and nocturia that could compromise protocol objectives in the opinion of the Urologist/Investigator
- Serious disease (e.g., hydronephrosis, renal or liver failure or other condition) that could compromise protocol objectives in the opinion of the Urologist/Investigator
- Active, uncontrolled bacterial, viral, or fungal infections, including urinary tract infection
- Previous treatment with radiotherapy, or systemic chemotherapy.
- Intravesical instillation(s) within 6 months with BCG or cytostatic agents
- Known allergy to cis-UCA-instillation solution (see Section 5.1 for excipients).
- Having participated in a clinical study with cis-UCA previously
- Known any serious immunodeficiency condition
- Donation of blood or participation in another drug study within 60 days (males) or 90 days (females) before the intravesical instillation in this study
- Any clinically significant laboratory test result (including positive tests for HIV and hepatitis B or C) according to Investigator/Urologist
- Excessive use of alcohol (on average more than 24 units per week for males, and more that 16 units per weeks for females; unit = 4 cl spirits or equivalent)
- Clinically significant illness (except bladder cancer) within 30 days before the screening visit or any other condition, such as vesicourethral reflux (VUR), or complicated urinary stone disease that in the opinion of the Investigator would interfere with the evaluation of the study results or constitute a health hazard for the patient
- Regular use of urine alkalinizing agents/drugs (e.g., acetazolamide, calcium phosphates, aluminium hydroxide, sodium bicarbonate, sodium carbonate, sodium citrate, potassium citrate) that might interfere with the evaluation of the study results
- Unwillingness or doubtful capacity to comply with the protocol
- Doubtful availability, in the opinion of the Investigator, to complete the study
- Poor peripheral venous access -
Key Trial Info
Start Date :
October 1 2009
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
November 1 2012
Estimated Enrollment :
12 Patients enrolled
Trial Details
Trial ID
NCT01458847
Start Date
October 1 2009
End Date
November 1 2012
Last Update
November 12 2012
Active Locations (2)
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1
Tampere University Hospital, Department of Urology
Tampere, Finland, 33520
2
Turku University Hospital, Department of Surgery, Division of Urology
Turku, Finland, 20520