Intravesical Instillation Therapy With Bacillus Calmette-Guérin (BCG) and Sequential BCG and Electromotive Mitomycin-C (EMDA-MCC) in Patients With High-risk Non-muscle-invasive Bladder Carcinoma
Condition: Bladder Cancer
Study Type: Interventional
Clinical Trials Identifier NCT 8-digits: NCT03664869
Sponsor: Turku University Hospital
Phase: Phase 3
Eligibility:
- Age: minimum 18 Years maximum N/A
- Gender: All
Inclusion Criteria:
- Histologically proven non-muscle-invasive tumour types confined to the urinary bladder
- Carcinoma in situ with or without a papillary tumour(s)
- Ta tumour(s) of high-grade
- Any T1 tumour(s)
- Written informed consent is required from every eligible patient
- Second resection performed in case of T1 tumour
- Adequate physical and mental condition to participate in the study (as judged by treating physician
Exclusion Criteria:
- Ta low grade tumour(s)
- Muscle invasive (pT≥2) tumors
- Urothelial cancer involving the prostatic urethra or upper urinary tract
- Non-urothelial bladder cancer.
- Prior BCG failure (If the 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)
- Prior or concurrent immunotherapy
- Any medication or condition considered as contraindication to BCG or MMC (as judged by the treating physician)
- Urethral stricture, stone disease, chronic urinary tract infection or any other urological condition that may comprise study participation (as judged by the treating physician)
- Known allergy to MMC or BCG
- Age < 18 years
- Pregnancy or lactating patient
- Other untreated or unstable malignancy in risk of recurrence/progression (as judged by the treating physician)
- Cardiac pacemaker
- Expected survival time less than one year
- Expected poor compliance
View trial on ClinicalTrials.gov