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Gemcitabine + Cisplatin for Bladder Cancer

Phase 2
Waitlist Available
Led By Jonathan Coleman, MD
Research Sponsored by Memorial Sloan Kettering Cancer Center
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Required Initial Laboratory Values: Absolute neutrophil count ≥ 1500 cells/mm3, Platelets ≥ 100,000 cells/mm3, Hemoglobin ≥ 9.0g/dL, Bilirubin ≤ 1.2, Aspartate transaminase (AST) and alanine transaminase (ALT) ≤ 2.5 x ULN for the institution, Alkaline phosphatase ≤ 2.5 x ULN for the institution, Serum creatinine ≤ 1.3 mg/dL if male or ≤ 1.1 mg/dL if female OR calculated creatinine clearance ≥ 55 ml/min/1.73m^2, If female of childbearing potential, serum pregnancy test is negative, Patients with reproductive potential must use an effective method to avoid pregnancy for the duration of the trial.
Age ≥ 18 years of age
Timeline
Screening 3 weeks
Treatment Varies
Follow Up 3 years
Awards & highlights

Study Summary

This trial is testing if getting chemotherapy can help shrink a tumor before surgery for kidney cancer.

Who is the study for?
This trial is for adults with high-grade upper tract transitional cell carcinoma who are fit for kidney surgery. They must have certain blood and organ function levels, not be pregnant or breastfeeding, use effective contraception, and have no recent major heart issues or surgeries. Prior systemic chemotherapy disqualifies them.Check my eligibility
What is being tested?
The study tests if Gemcitabine and Cisplatin chemotherapy given over four cycles (each lasting 21 days) can shrink kidney tumors before surgery. The treatment spans a total of 12 weeks.See study design
What are the potential side effects?
Potential side effects include nausea, vomiting, low blood counts leading to increased infection risk or bleeding problems, kidney damage, nerve damage causing numbness or tingling in hands and feet, and allergic reactions.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
Select...
I am 18 years old or older.
Select...
My cancer is a high-grade type in the upper urinary tract, confirmed by tests.
Select...
I am a suitable candidate for major kidney or ureter surgery, as determined by a specialist.
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I am mostly able to care for myself.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~3 years
This trial's timeline: 3 weeks for screening, Varies for treatment, and 3 years for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
To define the pathologic response rate (<pT2)
Secondary outcome measures
To determine overall survival of patients
Disease
To evaluate the safety and tolerability

Side effects data

From 2022 Phase 1 & 2 trial • 93 Patients • NCT03684811
46%
Aspartate aminotransferase increased
38%
Nausea
38%
Alanine aminotransferase increased
33%
Blood alkaline phosphatase increased
33%
Fatigue
25%
Constipation
25%
Disease Progression
25%
Disease progression
21%
Hyperkalaemia
21%
Diarrhoea
21%
Asthenia
21%
Decreased appetite
17%
Stomatitis
17%
Cough
17%
Red blood cell count decreased
17%
Pruritus
17%
Platelet count decreased
13%
Dyspnoea
13%
Gamma-glutamyltransferase increased
13%
Blood bilirubin increased
13%
Vomiting
13%
Abdominal pain
13%
Pyrexia
13%
Rash
8%
Oedema peripheral
8%
Abdominal pain upper
8%
Neutrophil count decreased
8%
Hyperbilirubinaemia
8%
Hyponatraemia
8%
Headache
8%
Arthralgia
8%
Hypoalbuminaemia
8%
Insomnia
8%
Bronchitis
8%
Lymphocyte count decreased
8%
Weight decreased
8%
Hypophosphataemia
8%
Abdominal distension
8%
Hypokalaemia
4%
Dehydration
4%
Oesophageal varices haemorrhage
4%
Mouth ulceration
4%
Gastrooesophageal reflux disease
4%
White blood cell count decreased
4%
Muscle spasms
4%
Renal failure
4%
Hypercalcaemia
4%
Hypomagnesaemia
4%
Dysgeusia
4%
Ascites
4%
Acute kidney injury
4%
Blood creatinine increased
4%
Pelvic venous thrombosis
4%
Dysphagia
4%
Hepatic enzyme abnormal
4%
Tumour pain
4%
Dyspepsia
4%
Abdominal infection
4%
Hyperglycaemia
4%
Flank pain
4%
Hypertension
100%
80%
60%
40%
20%
0%
Study treatment Arm
Cohort 4A
Cohort 5A
Cohort 1A
Cohort 1B
Cohort 2A
Cohort 3A

Trial Design

1Treatment groups
Experimental Treatment
Group I: Gemcitabine and CisplatinExperimental Treatment1 Intervention
This is a Phase II Study of Gemcitabine and Cisplatin (GC) as neoadjuvant chemotherapy in patients with upper tract high-grade urothelial carcinoma who are candidates for radical nephroureterectomy or distal ureterectomy.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Gemcitabine and Cisplatin
2018
Completed Phase 2
~100

Find a Location

Who is running the clinical trial?

Hartford HospitalOTHER
133 Previous Clinical Trials
18,873 Total Patients Enrolled
Memorial Sloan Kettering Cancer CenterLead Sponsor
1,933 Previous Clinical Trials
585,563 Total Patients Enrolled
Mayo ClinicOTHER
3,205 Previous Clinical Trials
3,766,727 Total Patients Enrolled

Media Library

Gemcitabine and Cisplatin Clinical Trial Eligibility Overview. Trial Name: NCT01261728 — Phase 2
Bladder Cancer Research Study Groups: Gemcitabine and Cisplatin
Bladder Cancer Clinical Trial 2023: Gemcitabine and Cisplatin Highlights & Side Effects. Trial Name: NCT01261728 — Phase 2
Gemcitabine and Cisplatin 2023 Treatment Timeline for Medical Study. Trial Name: NCT01261728 — Phase 2

Frequently Asked Questions

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

Has the combination of Gemcitabine and Cisplatin been officially sanctioned by the FDA?

"Although there is some evidence that Gemcitabine and Cisplatin are safe, as this trial is only in Phase 2, the team at Power have given it a rating of 2 on their safety scale."

Answered by AI

What is the maximum enrollment capacity of this medical trial?

"This trial is not accepting candidates at the moment. It was initially advertised on December 14th, 2010, and had its most recent update on January 3rd 2022. If you are searching for other trials, there are currently 2515 clinical studies that are actively recruiting patients with carcinoma transitional cell symptoms and 971 research opportunities involving Gemcitabine and Cisplatin available right now."

Answered by AI

To what extent has research on Gemcitabine and Cisplatin been explored?

"As of this moment, 971 clinical trials are underway to assess the efficacy and safety of Gemcitabine and Cisplatin. 336 of these investigations have advanced to Phase 3, with a large concentration centred in Shanghai but encompassing over 50 000 sites across the globe."

Answered by AI

Are there any healthcare facilities in Canada actively conducting this research?

"Currently, this clinical trial is recruiting at 9 different medical facilities. These include Memorial Sloan Kettering Cancer Center @ Suffolk in Commack, Hartford Hospital (Data Collection Only) in Hartford, and the flagship site of Memorial Sloan Kettering Cancer Center in New york City as well as 6 additional centres."

Answered by AI

Does this research study have any open enrollment at present?

"Unfortunately, this specific clinical trial has stopped searching for participants. Initially posted on December 14th 2010 and most recently amended January 3rd 2022; however, there are still 2515 trials actively looking to enroll patients with carcinoma or transitional cell as well as 971 studies involving Gemcitabine/Cisplatin that require volunteers."

Answered by AI

What are Gemcitabine and Cisplatin commonly employed to combat?

"Gemcitabine and Cisplatin are frequently used to manage neoplasm metastasis, as well as bladder cancer, testicular carcinoma in situ, and small cell lung cancer (SCLC)."

Answered by AI
~2 spots leftby Dec 2024