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Paclitaxel, Carboplatin and Gemcitabine in the Treatment of Patients With Advanced Transitional Cell Cancer of the Bladder

The recruitment status of this study is unknown because the information has not been verified recently.
Verified January 2006 by University of Michigan.
Recruitment status was  Active, not recruiting
Information provided by:
University of Michigan Identifier:
First received: August 25, 2005
Last updated: January 19, 2006
Last verified: January 2006

This trial will evaluate the efficacy and safety of combination chemotherapy (paclitaxel, carboplatin, and gemcitabine) prior to surgery in the treatment of patients with locally advanced transitional cell cancer of the bladder.

Condition Intervention Phase
Bladder Cancer
Drug: Paclitaxel, Carboplatin, Gemcitabine
Phase 2

Study Type: Interventional
Study Design: Allocation: Non-Randomized
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: Phase II Trial of Paclitaxel, Carboplatin and Gemcitabine in Patients With Locally Advanced Transitional Cell Carcinoma of the Bladder

Resource links provided by NLM:

Further study details as provided by University of Michigan:

Primary Outcome Measures:
  • To assess the overall response measured as complete pathologic response and conversion to resectability of the combination of paclitaxel, carboplatin and gemcitabine in patients with locally advanced transitional cell carcinoma of the bladder

Secondary Outcome Measures:
  • To explore the relationship between response and tumor expression of molecular markers including p53, retinoblastoma protein (Rb) and p21, and the relationship between overall survival and expression of p53, Rb, and p21

Estimated Enrollment: 87
Study Start Date: November 1999
Detailed Description:

This is a Phase II trial of neoadjuvant chemotherapy with paclitaxel, carboplatin and gemcitabine in the treatment of locally advanced transitional cell carcinoma of the bladder. Patients will be stratified based on extent of disease. Patients with T3, N0 disease will receive 3 cycles of chemotherapy and then proceed to cystectomy. Patients with T4 disease or any patient with N1-3 disease will receive 3 cycles of therapy followed by assessment of response. Patients with evidence of response will then receive an additional three cycles of therapy with reassessment of resectability after cycles #6. Correlative Studies: Tumor specimens obtained at initial biopsy will be assayed for expression of p53, Rb and p21.


Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Patients must have histologically proven locally advanced (T3-4, N0 or Tany, N1-3) urothelial carcinoma of the bladder. Patients with local disease and unilateral or bilateral hydronephrosis will be eligible and included in the T3 arm of the study.
  • Tumor specimens must be available for assay of molecular markers.

Exclusion Criteria:

  • Patients may not have had prior systemic or intra-arterial chemotherapy and no prior radiotherapy. (Patients may have received intravesicular chemotherapy.)
  Contacts and Locations
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Please refer to this study by its identifier: NCT00136175

United States, Michigan
The University of Michigan Comprehensive Cancer Center
Ann Arbor, Michigan, United States, 48109
Sponsors and Collaborators
University of Michigan
Principal Investigator: David C. Smith, MD The University of Michigan Comprehensive Cancer Center
  More Information

No publications provided Identifier: NCT00136175     History of Changes
Other Study ID Numbers: UMCC 9910
Study First Received: August 25, 2005
Last Updated: January 19, 2006
Health Authority: United States: Institutional Review Board

Keywords provided by University of Michigan:
Neoadjuvant chemotherapy

Additional relevant MeSH terms:
Urinary Bladder Neoplasms
Neoplasms by Site
Urinary Bladder Diseases
Urogenital Neoplasms
Urologic Diseases
Urologic Neoplasms
Anti-Infective Agents
Antimetabolites, Antineoplastic
Antimitotic Agents
Antineoplastic Agents
Antineoplastic Agents, Phytogenic
Antiviral Agents
Enzyme Inhibitors
Immunologic Factors
Immunosuppressive Agents
Mitosis Modulators
Molecular Mechanisms of Pharmacological Action
Pharmacologic Actions
Physiological Effects of Drugs
Radiation-Sensitizing Agents
Therapeutic Uses
Tubulin Modulators processed this record on November 25, 2014