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CompletedNCT00389155Updated Dec 7, 2015

First-Line Treatment of Advanced Bladder Cancer Randomized vs. Gemcitabine ± Vinflunine in Patients Ineligible to Receive Cisplatin-Based Therapy

A Phase 2/3 interventional study of Vinflunine and Gemcitabine in Bladder Cancer, Transitional Cell Carcinoma and Metastasis, sponsored by Bristol-Myers Squibb. Completed at 112 sites in 16 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2015-12-07.

Sponsored by Bristol-Myers Squibb · Phase 2/3, Interventional, and Treatment

Phase
Phase 2/3
Study type
Interventional
Enrollment
34
Allocation
Randomized
Ages
18 Years and older
Sex
All
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Study summary

The purpose of this study is to test an investigational drug, vinflunine (BMS-710485), in combination with gemcitabine in patients with Transitional Cell Carcinoma who cannot be treated with cisplatin. This study will help to determine whether vinflunine in combination with gemcitabine will extend the time period until further growth of the tumor more than gemcitabine alone.

02

Conditions studied

  • Bladder Cancer
  • Transitional Cell Carcinoma
  • Metastasis

Keywords

  • Advanced or metastatic transitional cell carcinoma of the urothelium
03

In context

Carcinoma

6,741 studies on the registry are indexed under Carcinoma; 1,161 are open to participants now.

This study's enrollment of 34 is below the median of 45 across 5,170 interventional studies indexed under Carcinoma.

Browse Carcinoma studies →

Lead sponsor

Bristol-Myers Squibb is the lead sponsor of 1,538 studies on the registry; 116 are open to participants now.

Of its 429 completed or terminated interventional studies of FDA-regulated products, 223 (52%) have results posted.

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

Inclusion criteria

  • Clinical diagnosis of transitional cell carcinoma of the urothelium that is locally advanced or metastatic
  • Ineligible for cisplatin-based therapy because of at least one of the following two medical conditions:

    • Calculated creatinine clearance ≤60 mL/min: OR
    • New York Heart Association Classification Stage III-IV Congestive Heart Failure
  • Measurable disease documented by imaging with at least one uni-dimensional lesion
  • Adequate performance status (ECOG 0, 1, or 2)
  • Men and women ≥18 years of age

Exclusion criteria

Exclusion Criteria:

  • Patients in whom radiation or surgery is indicated
  • Current neuropathy ≥ CTCAE grade 3
  • Prior radiation to ≥ 30% of bone marrow
  • Inadequate renal function: serum creatinine clearance ≤ 20 mL/min
  • Prior allergy to any vinca alkaloid
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Study design

Phase
Phase 2 / Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
34 participants (actual)

Study arms

  • Experimental
    vinflunine and gemcitabine

    solution for injection, IV, vinflunine: 280/320 mg/m2 + gemcitabine: 1000 mg/m2, every 3 wks, variable duration

    Drug: Vinflunine · Drug: Gemcitabine

  • Placebo comparator
    placebo and gemcitabine

    solution for injection, IV, placebo + gemcitabine, 1000 mg/m2, every 3 wks, variable duration

    Drug: Gemcitabine · Other: Placebo

Interventions

  • DrugVinflunine

    solution for injection, IV, vinflunine: 280/320 mg/m2 + gemcitabine: 1000 mg/m2, every 3 wks, variable duration

  • DrugGemcitabine

    solution for injection, IV, placebo + gemcitabine, 1000 mg/m2, every 3 wks, variable duration

  • OtherPlacebo
06

What researchers measure

Primary outcomes

  1. Median Progression-free Survival (PFS) as Defined by Response Evaluation Criteria in Solid Tumors (RECIST) Criteria in Participants With Advanced Transitional Cell Carcinoma (TCC) of the Urothelium

    PFS survival is defined as the time between randomization and the date of progression or death, whichever occurs first, before or after treatment discontinuation. For those still on study and those who remain alive and have not progressed after treatment discontinuation, PFS will be censored on the date of the last tumor assessment.

    Time frame: Until tumor progression, unacceptable toxicity, withdrawal of patient consent, or discontinuation by investigator decision

Secondary outcomes

  1. Tumor Response Rate in Participants With A Best Response of Complete (CR) or Partial (PR) as Defined by RECIST criteria

    Tumor response rate is defined as the number of participants in that arm whose best response is PR or CR, divided by the total number of randomized participants in the arm.

    Time frame: Until tumor progression, unacceptable toxicity, withdrawal of patient consent, or discontinuation by investigator decision

  2. Overall Survival of Participants With TCC of the Urothelium

    Survival duration is defined as the time (in months) from randomization until death. For those participants who have not died, survival duration will be censored at the last date the participant was known to be alive.

    Time frame: Until tumor progression, unacceptable toxicity, withdrawal of patient consent, or discontinuation by investigator decision

  3. Disease Control Rate in Participants With Best Response of CR, PR, or Stable Disease (SD)

    Disease control rate is defined as the number of participants in that arm whose best response is PR, CR, or SD, divided by the total number of randomized participants in the treatment arm.

    Time frame: Until tumor progression, unacceptable toxicity, withdrawal of patient consent, or discontinuation by investigator decision

  4. Duration of Response in Participants With Best Response of CR or PR

    Duration of response is computed for participants with best response of CR or PR; the duration is measured from the time measurement criteria are met for CR or PR, whichever is recorded first, until the date of documented progressive disease or death. Participants who neither relapse nor die will be censored on the date of their last tumor assessment.

    Time frame: Until tumor progression, unacceptable toxicity, withdrawal of patient consent, or discontinuation by investigator decision

  5. Number of Participants With Outcome of Death, Serious Adverse Events (SAEs), Adverse Events (AEs) and AEs Leading to Discontinuation

    An AE is defined as any new untoward medical occurrence or worsening of a preexisting medical condition that does not necessarily have a causal relationship with this treatment. An SAE is any untoward medical occurrence that at any dose results in death, is life-threatening, requires inpatient hospitalization or prolongs existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect, results in drug dependency or drug abuse, or is an important medical event.

    Time frame: Until tumor progression, unacceptable toxicity, withdrawal of patient consent, or discontinuation by investigator decision

  6. Number of Participants With Serum Chemistry Abnormalities by Worst Common Terminology Criteria (CTC) Grade

    Time frame: Following Day 1 to no longer than 30 days after last dose of study medication

  7. Number of Participants With Abnormal Laboratory Findings by Worst CTC Grade

    Time frame: Following Day 1 to no longer than 30 days after last dose of study medication

  8. Time to Response in Participants With Best Response of CR or PR

    Time to response is defined as the number of months from the first dose of study therapy until measurement criteria are met for PR or CR, whichever is recorded first.

    Time frame: Until tumor progression, unacceptable toxicity, withdrawal of patient consent, or discontinuation by investigator decision

07

Study locations

112 sites
  • University Of Alabama At Birmingham
    Birmingham, Alabama 35294, United States
  • Acrc/Arizona Clinical Research Center, Inc.
    Tucson, Arizona 85715, United States
  • Tower Hematology Oncology Medical Group
    Beverly Hills, California 90211, United States
  • Local Institution
    Concord, California 94520, United States
  • Glendale Memorial Hospital And Health Center
    Glendale, California 91204, United States
  • Moores Ucsd Cancer Center
    La Jolla, California 92093, United States
  • North Valley Hematology/Oncology Medical Group
    Mission Hills, California 91345, United States
  • Local Institution
    Orange, California 92868, United States
  • Stanford University
    Stanford, California 94305, United States
  • Local Institution
    Newark, Delaware 19718, United States
  • University Of Florida College Of Medicine At Jacksonville
    Jacksonville, Florida 32209, United States
  • Local Institution
    Jacksonville, Florida 32224, United States
  • Lakeland Regional Cancer Center
    Lakeland, Florida 33805, United States
  • University Of Miami
    Miami, Florida 33136, United States
  • Advanced Medical Specialties
    Miami, Florida 33176, United States
  • Medical College Of Georgia
    Augusta, Georgia 30912, United States
  • Central Georgia Cancer Care, Pc
    Macon, Georgia 31201, United States
  • University Of Chicago
    Chicago, Illinois 60637, United States
  • Springfield Clinic, Llp
    Springfield, Illinois 62703, United States
  • Michiana Hematology Oncology, P.C.
    South Bend, Indiana 46601, United States
  • James Graham Brown Cancer Center
    Louisville, Kentucky 40202, United States
  • Sidney Kimmel Comprehensive Cancer Center At Johns Hopkins
    Baltimore, Maryland 21231, United States
  • Henry Ford Hospital
    Detroit, Michigan 48202, United States
  • Mitchell Folbe, Md, Pc
    Troy, Michigan 48085, United States
  • Local Institution
    Minneapolis, Minnesota 55455, United States
  • Local Institution
    Rochester, Minnesota 55905, United States
  • Missouri Cancer Associates
    Columbia, Missouri 65201, United States
  • University Of Missouri Healthcare/Ellis Fischel Cancer Ctr
    Columbia, Missouri 65203, United States
  • Capital Comprehensive Cancer Care Center
    Jefferson City, Missouri 65109, United States
  • Kansas City Veterans Affairs Medical Center
    Kansas City, Missouri 64128, United States
  • Washington University School Of Medicine
    St. Louis, Missouri 63110, United States
  • Billings Clinic
    Billings, Montana 59101, United States
  • Hematology Oncology Centers Of The Northern Rockies, Pc
    Billings, Montana 59101, United States
  • Nevada Cancer Institute
    Las Vegas, Nevada 89135, United States
  • Nevada Cancer Centers
    Las Vegas, Nevada 89169, United States
  • The Cancer Center At Hackensack University Medical Center
    Hackensack, New Jersey 07601, United States
  • Albert Einstein Cancer Center
    Bronx, New York 10461, United States
  • The Mary Imogene Bassett Hospital
    Cooperstown, New York 13326, United States
  • Columbia University Medical Center
    New York, New York 10032, United States
  • New York Presbyterian Hospital
    New York, New York 10065, United States
  • University Of Rochester
    Rochester, New York 14642, United States
  • Carolinas Hematology Oncology Associates
    Charlotte, North Carolina 28203, United States
  • Mid Dakota Clinic, Pc
    Bismarck, North Dakota 58501, United States
  • Cleveland Clinic
    Cleveland, Ohio 44195, United States
  • Mid-Ohio Oncology/Hematology, Inc. Dba
    Columbus, Ohio 43219, United States
  • Abramson Cancer Center Of The
    Philadelphia, Pennsylvania 19104, United States
  • Guthrie Foundation For Education And Research
    Sayre, Pennsylvania 18840, United States
  • Charleston Cancer Center
    Charleston, South Carolina 29406, United States
  • Medical University Of South Carolina
    Charleston, South Carolina 29425, United States
  • The Jones Clinic, Pc
    Germantown, Tennessee 38138, United States
  • The West Clinic
    Memphis, Tennessee 38120, United States
  • The Sarah Cannon Research Institute
    Nashville, Tennessee 37203, United States
  • Lone Star Oncology Consulants, Pa
    Austin, Texas 78759, United States
  • Cancer Specialists Of South Texas, Pa
    Corpus Christi, Texas 78412, United States
  • The Center For Cancer And Blood Disorders
    Fort Worth, Texas 76104, United States
  • University Of Texas Medical Branch Of Galveston
    Galveston, Texas 77555, United States
  • South Texas Oncology And Hematology, P.A.
    San Antonio, Texas 78207, United States
  • Northern Utah Associates
    Ogden, Utah 84403, United States
  • Cancer Outreach Associates, Pc
    Abingdon, Virginia 24211, United States
  • Virginia Oncology Associates
    Norfolk, Virginia 23502, United States
  • Virginia Mason Medical Center
    Seattle, Washington 98101, United States
  • Univ. Of Washington Medical Ctr., Prostate-Oncology Ctr
    Seattle, Washington 98195, United States
  • West Virginia University
    Morgantown, West Virginia 26506, United States
  • Local Institution
    Milwaukee, Wisconsin 53226, United States
  • Local Institution
    Tweed Heads, New South Wales 2485, Australia
  • Local Institution
    Adelaide, South Australia 5000, Australia
  • Local Institution
    Antwerp, 2020, Belgium
  • Local Institution
    Edegem, 2650, Belgium
  • Local Institution
    Moncton, New Brunswick E1C 6Z8, Canada
  • Local Institution
    Sydney, Nova Scotia B1P 1P3, Canada
  • Local Institution
    London, Ontario N6A 4L6, Canada
  • Local Institution
    Montreal, Quebec H2L4MI, Canada
  • Local Institution
    Arhus, 8000, Denmark
  • Local Institution
    Herlev, 2730, Denmark
  • Local Institution
    Kobenhavn O, 2100, Denmark
  • Local Institution
    Odense C, 5000, Denmark
  • Local Institution
    Caen Cedex 05, 14076, France
  • Local Institution
    Paris Cedex 14, 75679, France
  • Local Institution
    Vandoeuvre Les Nancy, 54511, France
  • Local Institution
    Athens, 11528, Greece
  • Local Institution
    Jakarta, 11420, Indonesia
  • Local Institution
    Milan, 20141, Italy
  • Local Institution
    Trento, 38100, Italy
  • Local Institution
    Viterbo, 01100, Italy
  • Local Institution
    Seongnam, Gyeonggi-Do 463-707, Korea, Republic of
  • Local Institution
    Seoul, 110-744, Korea, Republic of
  • Local Institution
    Seoul, 136-705, Korea, Republic of
  • Local Institution
    Cebu, 6000, Philippines
  • Local Institution
    Davao City, 8000, Philippines
  • Local Institution
    Manila, 1000, Philippines
  • Local Institution
    Quezon City, 1102, Philippines
  • Local Institution
    Bialystok, 15-276, Poland
  • Local Institution
    Cracow, 31-115, Poland
  • Local Institution
    Gdansk, 80-402, Poland
  • Local Institution
    Olsztyn, 10-228, Poland
  • Local Institution
    Poznan, 61-878-, Poland
  • Local Institution
    Warsaw, 02-781, Poland
  • Local Institution
    Obninsk, Kaluga Region 249036, Russian Federation
  • Local Institution
    Moscow, 125284, Russian Federation
  • Local Institution
    Saint Petersburg, 195067, Russian Federation

Showing the first 100 of 112 sites across 16 countries.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 7, 2015, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT00389155
Lead sponsor
Bristol-Myers Squibb
Responsible party
Sponsor
First posted
Oct 18, 2006
Start date
Jan 2007
Primary completion
Jan 2008
Completion
Jan 2008
Last update
Dec 7, 2015

Study contacts

Bristol-Myers Squibb
study director · Bristol-Myers Squibb

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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