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Status unknownNCT04664816Updated Dec 21, 2020

Omega-3 Polyunsaturated Fatty Acids and Non-Muscle Invasive Bladder Cancer

An interventional study of n-3PUFAs Treatment and Placebo Treatment in Non-Muscle Invasive Bladder Cancer, sponsored by Mansoura University. Status unknown at 1 site in Egypt. Open to participants aged 18 Years to 90 Years. Per ClinicalTrials.gov, last updated 2020-12-21.

Sponsored by Mansoura University · Not applicable, Interventional, and Prevention

The sponsor has not verified this record recently (last verified Dec 2020), so the status shown — last known as Recruiting — may be out of date.
Phase
Not applicable
Study type
Interventional
Enrollment
110
Allocation
Randomized
Ages
18 Years to 90 Years
Sex
All
01

Study summary

The investigators hypothesize that omega-3 polyunsaturated fatty acids (n-3 PUFAs) might have a role in prevention of the recurrence of non-muscle invasive bladder cancer (NMIBC).

The patients who are suffering from high-risk NMIBC will be randomly allocated into two groups: The first group (n-3 PUFAs group): 55 patients will receive omega-3 plus twice daily for one year after transurethral resection of bladder tumor (TURBT). The second group (Control group): 55 patients will receive placebo twice daily for one year after TURBT.

All patients will receive intravesical Bacillus Calmette-Guérin (BCG) immunotherapy and they will be followed up for two years.

The chemopreventive effect of n-3 PUFAs on the recurrence of NMIBC after TURBT will be studied via magnetic resonance imaging (MRI), inpatient cystoscopy, histopathological examination and molecular studies of the resected bladder tissues.

Read the detailed description

The investigators hypothesize that omega-3 polyunsaturated fatty acids (n-3 PUFAs) might have a role in prevention of the recurrence of non-muscle invasive bladder cancer (NMIBC).

The patients who are suffering from high-risk NMIBC will be randomly allocated into two groups: The first group (n-3 PUFAs group): 55 patients will receive omega-3 plus (1200 mg) orally, twice a day for at least 12 months. The treatment will start after transurethral resection of bladder tumor (TURBT), as soon as the histopathology will be obtained. The treatment will be discontinued if recurrence develops, unacceptable or serious adverse events occur or according to the patients' request. The second group (Control group): 55 patients will receive placebo twice daily for one year after TURBT. Patients and care providers will be blinded to the medication given.

All patients will receive intravesical Bacillus Calmette-Guérin (BCG) immunotherapy and they will be followed up for two years.

The chemopreventive effect of n-3 PUFAs on the recurrence of NMIBC after TURBT will be studied via magnetic resonance imaging (MRI), inpatient cystoscopy, histopathological examination and molecular studies of the resected bladder tissues.

02

Conditions studied

  • Non-Muscle Invasive Bladder Cancer

Keywords

  • Non-muscle invasive bladder cancer;
  • Transurethral resection of bladder tumor;
  • Omega-3 polyunsaturated fatty acids.
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 planned enrollment of 110 is above the median of 60 across 1,163 interventional studies indexed under Urinary Bladder Neoplasms.

Browse Urinary Bladder Neoplasms studies →

Lead sponsor

Mansoura University is the lead sponsor of 1,077 studies on the registry; 183 are open to participants now.

Of its 9 completed or terminated interventional studies of FDA-regulated products, 0 (0%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 90 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Patients who are at high risk for recurrence of NMIBC after TURBT based on the following tumor characteristics:
  • Stage Ta (G3, multifocal, or ≥ 2 occurrences within 12 months, including the current tumor),
  • Stage T1 (any grade) and/or,
  • Carcinoma in situ (CIS),
  • Without any indication for radical cystectomy.

Exclusion criteria

Exclusion Criteria:

  • Patients with:
  • ≥ T2 bladder cancer,
  • Evidence of nodal metastasis,
  • Associated upper tract urothelial carcinoma (UTUC) or
  • Those who refuse.
05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Care provider)
Enrollment
110 participants (estimated)

Study arms

  • Experimental
    n-3PUFAs group

    These patients will receive omega-3 plus (1200 mg) orally, twice a day for at least 12 months. The treatment will start after TURBT, as soon as the histopathology will be obtained. The treatment will be discontinued if recurrence develops, unacceptable or serious adverse events occur or according to the patients' request.

    Drug: n-3PUFAs Treatment

  • Placebo comparator
    Control group

    These patients will receive placebo orally, twice a day for at least 12 months. The treatment will start after TURBT, as soon as the histopathology will be obtained. The treatment will be discontinued if recurrence develops, unacceptable or serious adverse events occur or according to the patients' request.

    Drug: Placebo Treatment

Interventions

  • Drugn-3PUFAs Treatment

    Omega-3 plus (1200 mg) orally, twice a day for at least 12 months.

    Also known as: Treatment

  • DrugPlacebo Treatment

    Placebo orally, twice a day for at least 12 months.

    Also known as: Control

06

What researchers measure

Primary outcomes

  1. Time to first recurrence.

    Time to first recurrence is defined as the length of time from surgery to the first bladder recurrence or until last follow up.

    Time frame: 2 years

  2. Recurrence-free survival

    Recurrence-free survival is defined as the length of time after treatment of non-muscle invasive bladder cancer that the patient survives without any radiological, histopathological, immunohistochemical or molecular evidence of tumor recurrence.

    Time frame: 2 years

07

Study locations

1 of 1 sites recruiting
  • Urology and Nephrology Center, Mansoura University
    Mansoura, Egypt
    Recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 21, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04664816
Lead sponsor
Mansoura University
Responsible party
Ahmed Elkashef (Assistant Lecturer of Urology, Urology and Nephrology Center, Principal Investigator, Mansoura University) — Principal investigator
First posted
Dec 11, 2020
Start date
Dec 1, 2020
Primary completion
Dec 1, 2022 (estimated)
Completion
Dec 1, 2023 (estimated)
Last update
Dec 21, 2020

Study contacts

Ahmed Elkashef
Contact
ahmed-elkashef@hotmail.com
+201000428981
Mohamed Fadallah
Contact
mohamedfadalah@gmail.com
+201061729388
Ahmed Elkashef
principal investigator · Urology and Nephrology Center, Mansoura University, Egypt
Hassan Abol-Enein
study director · Urology and Nephrology Center, Mansoura University, Egypt
Ahmed A. Shokeir
study chair · Urology and Nephrology Center, Mansoura University, Egypt

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is status unknown, as verified in Dec 2020. You cannot join it, but the record below documents what was studied.

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