Phase 3
N=779
Study to Improve Detection and Early Recurrence Rate in Bladder Cancer Patients Using Hexvix Fluorescence Cystoscopy
Bladder Cancer
Bottom Line
View on ClinicalTrials.gov: NCT00233402 ↗Enrolled (actual)
779
Serious AEs
8.9%
Results posted
Oct 2013
Primary outcome: Primary: Proportion of Patients With >= 1 Ta or T1 Tumor Detected With Blue Light and Not White Light — 16.4 percentage of participants
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 3
- Interventions
- Hexvix (Drug); Standard white light cystoscopy (Procedure)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- Photocure
- Primary completion
- Jul 2008
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Proportion of Patients With >= 1 Ta or T1 Tumor Detected With Blue Light and Not White Light |
16.4 | — |
| PRIMARY Comparison of the Proportions of Patients in the White Light Cystoscopy and Hexvix Groups Who Underwent TURB for a Histologically-confirmed Ta or T1 Tumor Who Had a Recurrence ( CIS, Ta, T1 or T2-T4 Tumor) Within 9 Months. |
47.2; 56.1 | — |
| SECONDARY Proportion of False Positive Lesions of Hexvix Cystoscopy and White Light Cystoscopy. |
12; 10 | — |
| SECONDARY Proportion of Patients With at Least One CIS Lesion Detected With Blue Light and None Seen With White Light. |
31.7 | — |
Summary
The purpose of this study is to document the additional detection of papillary bladder cancer and the reduced early recurrence due to the improved detection and resection of these tumors after Hexvix cystoscopy compared to standard cystoscopy in patients with papillary bladder cancer.
Eligibility Criteria
Inclusion Criteria
The patients should be indicated for a cystoscopic examination for suspected or verified papillary bladder cancer and fulfill one or more of the following criteria:
- Patients with more than one initial bladder tumor confirmed on an outpatient cystoscopy.
- Patients having recurrence within 12 months confirmed on an outpatient cystoscopy
- Patients with more than one papillary lesion at recurrence independently of the time of the recurrence confirmed on an outpatient cystoscopy
Exclusion Criteria
- Patients with known tumors in the prostatic urethra or distal urethra
- Gross hematuria. (Note: Gross hematuria is defined as a heavy bladder bleed resulting in marked amounts of blood in the urine, which may interfere with fluorescence cystoscopy. Where the bleed is light, the patient should not be excluded if in the investigator's opinion, rinsing during cystoscopy will alleviate the possible interference with fluorescence cystoscopy).
- Patient with porphyria.
- Known allergy to hexyl aminolevulinate hydrochloride or a similar compound.
- Participation in other clinical studies with investigational drugs either concurrently or within the last 30 days.
- Pregnant or breast-feeding (all women of child-bearing potential must document a negative serum or urine pregnancy test at screening and use the contraceptive pill or intrauterine device (IUD) during the treatments and for at least one month thereafter).
- Patients who have received BCG or chemotherapy within three months prior to the initial cystoscopy/TURB, except for a single dose of chemotherapy for prevention of seeding after resection.
- Conditions associated with a risk of poor protocol compliance.
Data sourced from ClinicalTrials.gov (NCT00233402). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.