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TerminatedNCT00635726Updated Oct 8, 2015

Methotrexate, Vinblastine, Doxorubicin and Cisplatin (MVAC) Followed by Gemcitabine Plus Cisplatin (GEM+CDDP) in Locally Advanced or Metastatic Bladder Cancer

A Phase 2 interventional study of Methotrexate and Vinblastine in Bladder Cancer, sponsored by Hellenic Oncology Research Group. Terminated at 7 sites in Greece. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2015-10-08.

Sponsored by Hellenic Oncology Research Group · Phase 2, Interventional, and Treatment

Why this study was terminated
Due to poor accrual
Phase
Phase 2
Study type
Interventional
Enrollment
41
Allocation
Not applicable
Ages
18 Years to 75 Years
Sex
All
01

Study summary

This phase II trial will study the effectiveness and toxicity of sequential high dose MVAC followed by gemcitabine and cisplatin, as first line treatment in patients with locally advanced or metastatic bladder cancer.

Read the detailed description

High dose MVAC and Cisplatin/Gemcitabine combination regimens have shown comparable efficacy in the first line treatment of advanced or metastatic bladder cancer, whereas the latter regimen has better tolerability. The efficacy and tolerability of the sequential administration of these two regimens is not known.

02

Conditions studied

  • Bladder Cancer

Keywords

  • 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.

This study's enrollment of 41 is below the median of 60 across 1,163 interventional studies indexed under Urinary Bladder Neoplasms.

Browse Urinary Bladder Neoplasms studies →

Lead sponsor

Hellenic Oncology Research Group is the lead sponsor of 57 studies on the registry; none are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Histologically or cytologically confirmed transitional cell carcinoma of the urinary bladder.
  • Metastatic or locally advanced disease.
  • No prior chemotherapy.
  • Performance status (World Health Organization) 0-2.
  • Measurable or evaluable disease.
  • Measurable disease is defined as at least 1 unidimensional measurable lesion

    ≥20 mm by conventional techniques or 1 bidimensionally measurable lesion ≥ 20 X 10 mm. Lesions that are smaller or uni- or bidimensionally unmeasurable are considered as evaluable disease.

  • Adequate liver (bilirubin ≤ 1.5 Upper Normal Limit, serum glutamate-pyruvate aminotransferase/serum glutamic pyruvic transaminase ≤ 2 Upper Normal Limit, ALP ≤ 2.5 Upper Normal Limit), renal (creatinine ≤ 1.5 Upper Normal Limit) and bone marrow (absolute neutrophil count ≥ 1,500/mm3, platelet count ≥ 100,000/mm3) function.
  • Life expectancy > 3 months.
  • Patients must be able to understand the nature of this study and give written informed consent.

Exclusion criteria

Exclusion Criteria:

  • History of serious cardiac disease (unstable angina, severe congestive heart failure, myocardial infarction within the previous 6 months, ventricular arrhythmias).
  • Second primary malignancy, except for non-melanoma skin cancer and in situ cervical cancer.
  • Active infection.
  • Uncontrolled inflammation.
  • Pregnant or lactating women.
  • Psychiatric illness or social situation that would preclude study compliance.
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
41 participants (actual)

Study arms

  • Experimental
    1

    MVAC -\> GEM+CDDP

    Drug: Methotrexate · Drug: Vinblastine · Drug: Doxorubicin · Drug: Cisplatin · Drug: Gemcitabine

Interventions

  • DrugMethotrexate

    Methotrexate intravenous (IV) 30 mgr/m2 on day 1 every 2 weeks for 6 courses

  • DrugVinblastine

    Vinblastine IV 3 mgr/m2 on day 1 every 2 weeks for 6 courses

  • DrugDoxorubicin

    Doxorubicin IV 30 mgr/m2 on day 2 every 2 weeks for 6 courses

  • DrugCisplatin

    Cisplatin IV 70 mgr/m2 on day 2 every 2 weeks for 6 courses

    Also known as: CDDP

  • DrugCisplatin

    Cisplatin IV 70 mgr/m2 on day 1 every 3 weeks for 4 courses

    Also known as: CDDP

  • DrugGemcitabine

    Gemcitabine 1000 mgr/m2 on days 1 and 8 every 3 weeks for 4 courses

    Also known as: Gemzar

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What researchers measure

Primary outcomes

  1. Overall response rate

    Time frame: Objective responses confirmed by computed tomography (CT) or magnetic resonance imaging (MRI) (on 3rd and 6th cycle)

Secondary outcomes

  1. Time to tumor progression

    Time frame: 1-year

  2. Overall survival

    Time frame: 1-year

  3. Toxicity profile

    Time frame: Toxicity assessment on each chemotherapy cycle

07

Study locations

7 sites
  • University General Hospital of Alexandroupolis, Dept. of Medical Oncology
    Alexandroupolis, Greece
  • 401 Military Hospital, Medical Oncology Unit
    Athens, Greece
  • Air Forces Military Hospital, Dept. of Medical Oncology
    Athens, Greece
  • IASO General Hospital of Athens, 1st Dept. of Medical Oncology
    Athens, Greece
  • Laikon General Hospital, Medical Oncology Unit, Propedeutic Dept. of Internal Medicine
    Athens, Greece
  • Metaxa's Anticancer Hospital of Piraeus, 1st Dept. of Medical Oncology
    Piraeus, Greece
  • Theagenion Anticancer Hospital of Thessaloniki
    Thessaloniki, Greece
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 8, 2015, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT00635726
Lead sponsor
Hellenic Oncology Research Group
Collaborators
University Hospital of Crete
Responsible party
Sponsor
First posted
Mar 14, 2008
Start date
Feb 2008
Primary completion
Feb 2013
Completion
Feb 2013
Last update
Oct 8, 2015

Study contacts

Nikos Androulakis, MD
principal investigator · University Hospital of Crete, Dept. of Medical Oncology

Oversight

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

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