Single Dose Intravesical Apaziquone Postoperative in Patients Undergoing TURBT for Noninvasive Bladder Cancer (SPI-611)

Last updated: March 9, 2021
Sponsor: Spectrum Pharmaceuticals, Inc
Overall Status: Completed

Phase

3

Condition

Bladder Cancer

Urothelial Carcinoma

Urothelial Cancer

Treatment

N/A

Clinical Study ID

NCT00461591
SPI-611
  • Ages > 18
  • All Genders

Study Summary

The purpose of this study was to evaluate the 2-Year Recurrence Rate of bladder cancer in randomized patients with tumor histology Ta, G1-G2 who received TransUrethral Resection of Bladder Tumor (TURBT) plus apaziquone versus those who received TURBT plus placebo.

Eligibility Criteria

Inclusion

Inclusion Criteria: (All questions must be answered YES)

  • Has the patient given written informed consent?
  • Is the patient at least 18 years old?
  • Does the patient have transitional cell carcinoma of the bladder with clinicallyapparent stage Ta, grade G1-G2?
  • If the patient is a female of childbearing potential, is she using anacceptable/effective method of contraception?
  • If the patient is a female of childbearing potential, has she had a negative serumpregnancy test within the past 14 days?
  • Is the patient willing and able to abide by the protocol?

Exclusion

Exclusion Criteria: (All questions must be answered NO)

  • Does the patient have more than 4 bladder tumors?
  • Does any single bladder tumor exceed 3.5 cm in diameter?
  • Does the patient have a single, primary (no previous diagnosis of TCC) bladder tumor <0.5 cm?
  • Has the patient ever received Apaziquone?
  • Does the patient have, or has the patient ever had, any bladder tumor known to beother than stage Ta or grade G1 or G2 (low grade [WHO/ISUP classification])?
  • Does the patient have, or has the patient ever had any bladder tumor with histologyother than transitional cell carcinoma?
  • Does the patient have, or has the patient ever had, carcinoma in situ (CIS)?
  • Does the patient have an active urinary tract infection?
  • Does the patient have a bleeding disorder or a screening platelet count < 100 x 10^9/L?
  • Does the patient have any unstable medical condition that would make it unsafe forhim/her to undergo TURBT under general or spinal anesthesia?
  • Does the patient have a screening hemoglobin < 10 mg/dL, a screening absoluteneutrophil count < 1.5 x 10^9/L or a screening creatinine > 2 mg/dL?
  • Does the patient have a known immunodeficiency disorder?
  • Has the patient received any investigational treatment within the past 30 days?
  • Is the patient breast feeding?
  • Does the patient have a history of interstitial cystitis?
  • Does the patient have a history of allergy to red color food dye?
  • Has the patient had transitional cell carcinoma of the bladder within the past 4months?

Study Design

Total Participants: 802
Study Start date:
April 01, 2007
Estimated Completion Date:
January 31, 2012

Study Description

This was a Phase 3, multicenter, randomized, double-blind, placebo-controlled study. Within 14 days of Screening, eligible patients underwent a TURBT during Visit 1 (Day 0) following which they were immediately randomized in a 1:1 ratio to receive either placebo or 4 mg apaziquone, instilled in a volume of 40 mL into the bladder within 6 hours from the end of the TURBT procedure. After a 60-minute retention period, study drug was drained from the bladder.

A postoperative follow-up examination and review of the local pathology report were performed at Visit 2, which occurred 21 days (±10 days) after the TURBT (Week 3).

  • If the histology of the patient's tumor was confirmed as Ta, G1-G2 (ie, low grade according to World Health Organization [WHO]/International Society of Urologic Pathology [ISUP] classification), no further treatment was given and the patient was observed cystoscopically every 3 months through Year 2 for tumor recurrence (Visit 3 through Visit 10).

  • If the histology of the patient's tumor was other than Ta, G1 or G2 (low grade [WHO/ISUP classification]), further treatment was given in accordance with current treatment guidelines, and the patient was followed up cystoscopically every 3 months through Year 2 for tumor recurrence (Visit 3 through Visit 10).

All patients were to be followed for 2 years.

Connect with a study center

  • Alaska Clinical Research Center, LLC

    Anchorage, Alaska 99508
    United States

    Site Not Available

  • BCG Oncology

    Phoenix, Arizona 85032
    United States

    Site Not Available

  • Sun Health Research Institute

    Sun City, Arizona 85032
    United States

    Site Not Available

  • Urology Associates Medical Group

    Burbank, California 91505
    United States

    Site Not Available

  • Urology Associates of Central CA

    Fresno, California 93720
    United States

    Site Not Available

  • South Orange County Medical Research Center

    Laguna Woods, California 92653
    United States

    Site Not Available

  • Kaiser Permanente Los Angeles Medical Center

    Los Angeles, California 90027
    United States

    Site Not Available

  • Cancer Research Dept/St. Joseph Hospital

    Orange, California 92868
    United States

    Site Not Available

  • San Bernardino Urologic Association

    San Bernardino, California 92404
    United States

    Site Not Available

  • VA Medical Center

    San Francisco, California 94121
    United States

    Site Not Available

  • The Urology Center of Colorado

    Denver, Colorado 80211
    United States

    Site Not Available

  • Connecticut Clinical Research Center

    Middlebury, Connecticut 06762
    United States

    Site Not Available

  • Urologic Surgeons of Washington

    Washington, District of Columbia 20006
    United States

    Site Not Available

  • Urologic Surgeons of Washington

    Washington, D.C., District of Columbia 20006
    United States

    Site Not Available

  • Lakeland Regional Cancer Center

    Lakeland, Florida 33805
    United States

    Site Not Available

  • Urology Consultants

    Longwood, Florida 32750
    United States

    Site Not Available

  • University of Miami

    Miami, Florida 33136
    United States

    Site Not Available

  • Advanced Research Institute

    New Port Richey, Florida 34655
    United States

    Site Not Available

  • Florida Foundation for Healthcare Research

    Ocala, Florida 34474
    United States

    Site Not Available

  • Florida Urology Specialists

    Sarasota, Florida 34237
    United States

    Site Not Available

  • Southeastern Research Group, Inc.

    Tallahassee, Florida 32308
    United States

    Site Not Available

  • Gainesville Urology, PC

    Gainesville, Georgia 30501
    United States

    Site Not Available

  • Urological Professional Association

    Macon, Georgia 31217
    United States

    Site Not Available

  • North Idaho Urology

    Coeur d'Alene, Idaho 83814
    United States

    Site Not Available

  • Idaho Urologic Institute, P.A.

    Meridian, Idaho 83642
    United States

    Site Not Available

  • University of Chicago

    Chicago, Illinois 60637
    United States

    Site Not Available

  • Urology Associates, SC

    Mattoon, Illinois 61938
    United States

    Site Not Available

  • Speciality Care Research

    Peoria, Illinois 61614
    United States

    Site Not Available

  • Northeast Indiana Research, LLC

    Fort Wayne, Indiana 46825
    United States

    Site Not Available

  • Northeast Indiana Research, LLC

    Ft. Wayne, Indiana 46825
    United States

    Site Not Available

  • Metropolitan Urology

    Jeffersonville, Indiana 47130
    United States

    Site Not Available

  • Kansas City Urology Care, P.A.

    Overland Park, Kansas 66211
    United States

    Site Not Available

  • Regional Urology, LLC

    Shreveport, Louisiana 71106
    United States

    Site Not Available

  • Anne Arundel Urology

    Annapolis, Maryland 21401
    United States

    Site Not Available

  • Myron Murdock, MD, LLC

    Greenbelt, Maryland 20770
    United States

    Site Not Available

  • MMPC Urology

    Grand Rapids, Michigan 49546
    United States

    Site Not Available

  • Lakeside Urology, PC

    Saint Joseph, Michigan 49085
    United States

    Site Not Available

  • Lakeside Urology, PC

    St. Joseph, Michigan 49085
    United States

    Site Not Available

  • Michigan Institute of Urology, PC

    Troy, Michigan 48084
    United States

    Site Not Available

  • Five Valleys Urology

    Missoula, Montana 59802
    United States

    Site Not Available

  • Coastal Urological Associates, PA

    Brick, New Jersey 08724
    United States

    Site Not Available

  • Coastal Urological Associates, PA

    Bricktown, New Jersey 08724
    United States

    Site Not Available

  • AdvanceMed Research

    Lawrenceville, New Jersey 08648
    United States

    Site Not Available

  • Delaware Valley Urology, LLC-Marlton

    Marlton, New Jersey 08053
    United States

    Site Not Available

  • Deleware Valley Urology, LLC-Washington Township

    Sewell, New Jersey 08080
    United States

    Site Not Available

  • Delaware Valley Urology, LLC - Voorhees

    Voorhees, New Jersey 08043
    United States

    Site Not Available

  • Delaware Valley Urology, LLC-Westampton

    Westampton, New Jersey 08060
    United States

    Site Not Available

  • Delaware Valley Urology, LLC-Westampton

    Westampton Township, New Jersey 08060
    United States

    Site Not Available

  • Urology Group of New Mexico

    Albuquerque, New Mexico 87109
    United States

    Site Not Available

  • Capital Region Urological Surgeons

    Albany, New York 12208
    United States

    Site Not Available

  • The Urological Institute of NE NY

    Albany, New York 12208
    United States

    Site Not Available

  • Adult and Pediatric Urology

    Carmel, New York 10512
    United States

    Site Not Available

  • Accumed Research Associates

    Garden City, New York 11530
    United States

    Site Not Available

  • Urological Surgeons of Long Island, P.C.

    Garden City, New York 11530
    United States

    Site Not Available

  • Hudson Valley Urology, PC

    Kingston, New York 12401
    United States

    Site Not Available

  • University Urology Associates

    New York, New York 10016
    United States

    Site Not Available

  • CNY Urology, PC

    Oneida, New York 13421
    United States

    Site Not Available

  • Hudson Valley Urology

    Poughkeepsie, New York 12601
    United States

    Site Not Available

  • Urology Associates of Rochester, LLC

    Rochester, New York 14618
    United States

    Site Not Available

  • Center for Urologic Research of WNY, LLC

    Williamsville, New York 14221
    United States

    Site Not Available

  • TriState Urologic Services PSC, Inc.

    Cincinnati, Ohio 45212
    United States

    Site Not Available

  • Columbus Urology Research, LLC

    Columbus, Ohio 43220
    United States

    Site Not Available

  • Oregon Urology Institute

    Springfield, Oregon 97477
    United States

    Site Not Available

  • Urologic Consultants of South Eastern Pennsylvania

    Bala Cynwyd, Pennsylvania 19026
    United States

    Site Not Available

  • Urologic Consultants of South Eastern Pennsylvania

    Bala-Cynwyd, Pennsylvania 19026
    United States

    Site Not Available

  • Urological Associates of Lancaster

    Lancaster, Pennsylvania 17604
    United States

    Site Not Available

  • Fox Chase Cancer Center

    Philadelphia, Pennsylvania 19111-2497
    United States

    Site Not Available

  • Triangle Urology Group

    Pittsburgh, Pennsylvania 15212
    United States

    Site Not Available

  • Susquehenna Urology

    Williamsport, Pennsylvania 17701
    United States

    Site Not Available

  • Carolina Urologic Research Center

    Myrtle Beach, South Carolina 29572
    United States

    Site Not Available

  • The Conrad Pearson Clinic

    Germantown, Tennessee 38138
    United States

    Site Not Available

  • Corpus Christi Urology Group LLC

    Corpus Christi, Texas 78404
    United States

    Site Not Available

  • Urology Clinics of North Texas

    Dallas, Texas 75231
    United States

    Site Not Available

  • Urology San Antonio Research

    San Antonio, Texas 78229
    United States

    Site Not Available

  • Mary Washington Hospital and Urology Associates of Fredericksburg

    Fredericksburg, Virginia 22401
    United States

    Site Not Available

  • Urology of Virginia, PC

    Norfolk, Virginia 23502
    United States

    Site Not Available

  • Urology of Virginia, PC

    Virginia Beach, Virginia 23454
    United States

    Site Not Available

  • Integrity Medical Research, LLC

    Mountlake Terrace, Washington 98043
    United States

    Site Not Available

  • Seattle Urological Associates

    Seattle, Washington 98104
    United States

    Site Not Available

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