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CompletedNCT00052637Updated Oct 23, 2013

Cystoscopy and Hexyl 5-Aminolevulinate in Detecting Carcinoma In Situ in Patients With Bladder Cancer

A Phase 3 interventional study of hexaminolevulinate and biopsy in Bladder Cancer, sponsored by Photocure. Completed at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2013-10-23.

Sponsored by Photocure · Phase 3, Interventional, and Diagnostic

Phase
Phase 3
Study type
Interventional
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

RATIONALE: Diagnostic procedures such as cystoscopy may improve the ability to detect cancer and to determine the extent of disease.

PURPOSE: Diagnostic trial to compare the effectiveness of cystoscopy using hexyl 5-aminolevulinate and two light sources in detecting carcinoma in situ in patients who have bladder cancer.

Read the detailed description

OBJECTIVES:

  • Compare blue light fluorescent cystoscopy with reconstituted hexyl 5-aminolevulinate (Hexvix®) vs white light cystoscopy for the detection of carcinoma in situ (CIS) in patients with bladder cancer.
  • Compare the positive and false detection rates of histologically confirmed non-CIS lesions and dysplasia by these modalities in these patients.
  • Compare the false detection rate of histologically confirmed CIS lesions by these modalities in these patients.
  • Compare the number of tumor lesions and dysplasia detected by these modalities in these patients.
  • Compare management of patients after evaluation with these modalities.
  • Determine the safety of reconstituted hexyl 5-aminolevulinate (Hexvix®) in these patients.

OUTLINE: This is an open-label, multicenter study.

Patients undergo bladder catheterization and instillation of reconstituted hexyl 5-aminolevulinate (Hexvix®). After 60 minutes the bladder is evacuated, and the patient undergoes cystoscopic examination of the bladder by white light and then blue light fluorescence. Biopsies are taken of all suspicious areas seen under white and/or blue light modalities, and one normal-appearing area seen under both light modalities, and papillary lesions are resected.

Patients are followed at 7 days after procedure.

PROJECTED ACCRUAL: A total of 420 patients will be accrued for this study within 1 year.

02

Conditions studied

  • Bladder Cancer

Keywords

  • bladder cancer
  • recurrent bladder cancer
  • stage 0 bladder cancer
03

In context

Urinary Bladder Neoplasms

1,616 studies on the registry are indexed under Urinary Bladder Neoplasms; 421 are open to participants now.

Browse Urinary Bladder Neoplasms studies →

Lead sponsor

Photocure is the lead sponsor of 22 studies on the registry; 2 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

DISEASE CHARACTERISTICS:

  • Indication for cystoscopy for suspected or confirmed bladder cancer
  • Meets at least one of the following criteria:

    • Multiple bladder lesions
    • Bladder lesion greater than 3 cm
    • Bladder tumor of at least stage T1
    • Grade 2 or 3 bladder tumor
    • Recurrent bladder cancer
  • No positive cytology obtained in the last 4 weeks
  • No prior G3 tumor with one set of positive random biopsies
  • No porphyria

PATIENT CHARACTERISTICS:

Age

  • 18 and over

Performance status

  • Not specified

Life expectancy

  • Not specified

Hematopoietic

  • Not specified

Hepatic

  • Not specified

Renal

  • No gross hematuria

Other

  • Not pregnant or nursing
  • Negative pregnancy test
  • Fertile patients must use effective contraception during and for 1 month after study
  • No known allergy to reconstituted hexyl 5-aminolevulinate or a similar compound
  • No concurrent condition that would preclude study compliance

PRIOR CONCURRENT THERAPY:

Biologic therapy

  • More than 3 months since prior BCG

Chemotherapy

  • More than 3 months since prior chemotherapy

    • Single prior dose of chemotherapy for prevention of seeding after resection allowed

Endocrine therapy

  • Not specified

Radiotherapy

  • Not specified

Surgery

  • Not specified

Other

  • More than 30 days since prior participation in another clinical trial
  • No concurrent participation in another clinical trial
05

Study design

Phase
Phase 3
Primary purpose
Diagnostic
Allocation
Non-randomized
Masking
None (open label)

Interventions

  • Drughexaminolevulinate
  • Procedurebiopsy
  • Procedurecystoscopy
06

Study locations

1 site
  • Jonsson Comprehensive Cancer Center, UCLA
    Los Angeles, California 90095, United States
07

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 23, 2013, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
08

Registry details

Key details

Study ID
NCT00052637
Lead sponsor
Photocure
Collaborators
National Cancer Institute (NCI)
Responsible party
Sponsor
First posted
Jan 27, 2003
Start date
Sep 2001
Primary completion
May 2002
Last update
Oct 23, 2013

Study contacts

Peter Schulam, MD
principal investigator · Jonsson Comprehensive Cancer Center

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Oct 2013. You cannot join it, but the record below documents what was studied.

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