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Study Summary
No. 2005-0580:.......Bladder......Colin P. Dinney......Urology
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Study Summary Title
Study Summary
Number:
2005-0580
Study Title:A Phase I Study of the Safety and Tolerability of Intravesical Administration of SCH 721015 in Patients with Transitional Cell Carcinoma of the Bladder P03816
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Physician New Patient Referral
Name:Colin P. DinneyPatients Call:800-392-1611 (in U.S.A.) 713-792-6161 (outside U.S.A.)
Dept:UrologyReferring MD
Call:
800-392-1611 (in U.S.A.) 713-792-6161 (outside U.S.A.)
Phone:713-792-3250
Contact us about clinical trials
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General Information
Disease Group:BladderSupported By:N/A
Phase of Study:Phase IReturn
Visit:
Daily for 5 days after hospitalization, and once a week for 4 weeks. At 4 weeks
for a physical examination, blood work, urine testing and an
electrocardiogram. At 3 months for same testing, another cystoscopy,
photographs of bladder and biopsies.
Treatment
Agents:
SCH 721015Home Care:The patient will be asked to thoroughly wash their hands after using the
bathroom, and add 4 ounces of bleach to the toilet bowl before going to the
bathroom and wait 15 minutes before flushing for 7 days after receiving the
gene transfer agent.

Treatment Loc:Independent Multicenter Arrangements
Estimated
Length of Stay
in Houston:
Approximately 2 days for Part 1 and 2 for the bladder instillation. Then
patients will return to the CTRC for lab collection.
Description/
Intervention:
The goal of this clinical research study is to find the highest tolerable dose
of SCH 721015 and Syn3 that can be given to patients with bladder cancer. The
safety and effectiveness of this drug combination will also be studied.
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Study Objectives / Outcomes
Primary Objective(s): To determine the safety and tolerability of intravesical administration of SCH 721015 with Syn3.

Secondary Objective(s): To confirm transduction of the bladder epithelium as determined by urinary interferon á-2b excretion. To determine duration of interferon á-2b excretion in urine. To preliminarily determine the activity of SCH 721015 in patients with transitional cell carcinoma of the bladder as determined by cytology, cystoscopy and bladder biopsy.
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Study Status Information
Study Activation / Registration Date:10/06/2006
IRB Review and Approval Date:09/21/2005
Study Type:Phase I
Recruitment Status:Closed
Projected Accrual:18-30
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Enrollment Eligibility
If you do not meet the enrollment eligibility, there may be other treatment options for you. Please Contact the Referral Office for more information.

Inclusion Criteria:1) Subjects must be willing to give written informed consent and be able to adhere to dose and visit schedules.

2) Histologically proven recurrent transitional cell carcinoma of the bladder, Stage Tis, Ta.

3) Patients with recurrent Stage T1 disease who do not wish to have a cystectomy.

4) Subjects must have failed at least two prior courses of BCG with or without recombinant interferon alpha administration.

5) At least 3 months must have passed since last intravesical treatment for bladder carcinoma.

6) Subjects must be 18 years of age or older.

7) Life expectancy of at least 3 months.

8) Adequate performance status (Karnofsky score >/= 70%).

9) Adequate laboratory values: a) Hemoglobin >/= 10 gm/dL; b) WBC >/= 3000/µL; c) ANC >/= 1500/µL; d) Platelet count >/= 100,000/µL; e) INR within institutional normal limits or not considered to be clinically relevant values by principal investigator; f) aPTT within institutional normal limits or not considered to be clinically relevant values by principal investigator; g) AST </= 1.5 x ULN; h) ALT </= 1.5 x ULN; i) Total bilirubin within institutional normal limits or not considered to be clinically relevant values by principal investigator; j) Creatinine </=1.5 x ULN.

10) Subjects must be free of any clinically significant disease (other than carcinoma of the bladder) that would interfere with the study evaluations.

11) Female subjects of childbearing potential must be using a medically accepted method of birth control prior to Screening and agree to continue its use during the study or be surgically sterilized (eg, hysterectomy or tubal ligation). Females of childbearing potential should be counseled in the appropriate use of birth control while in this study. Females who are not currently sexually active must agree and consent to use one of the above-mentioned methods should they become sexually active while participating in the study.

12) Male subjects who are sexually active must agree to use condoms for 1 month post-treatment.

13) Female subjects of childbearing potential must have a negative serum pregnancy test (beta-hCG) at screening and pretreatment within 7 days of treatment.

Exclusion Criteria:1) Pregnant or nursing women.

2) Suspected hypersensitivity to interferon alpha.

3) Participation in another clinical trial or use of any investigational drug within 30 days prior to study entry.

4) Subjects with organ transplants.

5) Any known preexisting medical condition that could interfere with the subject's participation in and completion of the study: a) History of psychosis or presence of poorly controlled depression; b) CNS trauma or active seizure disorders requiring medication; c) Significant cardiovascular dysfunction within the past 6 months including symptomatic cardiac ischemia, arrhythmia or congestive heart failure requiring hospitalization or emergancy room visit;

6) (Continued from No. 5) - d) Poorly controlled diabetes mellitus (HbA(subscript 1) C >10.0%); e) Unstable pulmonary disease requiring hospitalization or emergency room visit within the last 3 months; f) Immunologically mediated disease (eg, rheumatoid arthritis, autoimmune hepatitis, immune mediated glomerulonephritis).

7) Donation of blood within the preceding 60 days.

8) Any other condition that, in the opinion of the investigator, would make the subject unsuitable for enrollment or could interfere with the subject participating in and completing the protocol.

9) History of any clinically significant local or systemic infectious disease within 4 weeks prior to initial treatment administration.

10) Untreated bladder infection.

11) Female subjects who are not surgically sterilized, not at least 1 year postmenopausal, or not established on adequate contraception (eg, IUD, condom plus spermicide, diaphragm, or cervical cap plus spermicide) or medical contraception during the study and for at least 1 month prior to drug administration and after study participation.

12) Positive for hepatitis BsAg or HIV Ab or hepatitis C.

13) Immunosuppressive therapy within the last 3 months.

14) Subjects who are part of the staff personnel directly involved with this study.

15) Subjects who are family members of the investigation study staff.

16) BCG therapy or intravesical therapy within 3 months.

17) Traumatic catheterization within 1 month.

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Links
Registration Number: NCT00536588
Study Information on Clinical Trials Registry (clinicaltrials.gov)

Other Links:
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Results


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