Overview

Combination Chemotherapy in Treating Patients With Stage II Bladder Cancer

Status:
Completed
Trial end date:
2003-01-01
Target enrollment:
0
Participant gender:
All
Summary
RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Combining more than one drug may kill more tumor cells. PURPOSE: Phase II trial to study the effectiveness of combination chemotherapy following surgery in treating patients with stage II bladder cancer.
Phase:
Phase 2
Accepts Healthy Volunteers?
No
Details
Lead Sponsor:
Memorial Sloan Kettering Cancer Center
Collaborator:
National Cancer Institute (NCI)
Treatments:
Doxorubicin
Liposomal doxorubicin
Methotrexate
Vinblastine
Criteria
DISEASE CHARACTERISTICS: Invasive transitional cell carcinoma of the bladder that is
clinical stage T2-3a N0 M0 by cystoscopy Cystoscopy performed at Memorial Sloan-Kettering
Cancer Center (MSKCC) No multifocal carcinoma in situ No obstructive uropathy or palpable
mass Pathologic confirmation of histology and no more than 20% positive expression of
nuclear p53, as follows: On study following transurethral resection of the bladder (TURB)
OR At TURB performed within 6 weeks of entry as part of initial staging

PATIENT CHARACTERISTICS: Age: 18 and over Performance status: Karnofsky 60%-100%
Hematopoietic: WBC at least 3,500 Platelets greater than 150,000 Hepatic: Bilirubin less
than 2.0 mg/dL Renal: Creatinine less than 1.5 mg/dL OR Creatinine clearance greater than
60 mL/min per 1.73 square meters Cardiovascular: No NYHA class III/IV status Other: No
concomitant malignancy other than basal cell skin carcinoma Negative pregnancy test
required of fertile women Adequate contraception required of fertile women

PRIOR CONCURRENT THERAPY: No prior systemic chemotherapy No prior bladder irradiation