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21 March 2013 
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Intravesical Ialuril® plus oral combination of curcumine, quercetine, hyluronic acid (HA) and chondroitin sulphate (CS) for prophylaxis of recurrent non-muscle invasive transitional cell carcinoma (TCC) of the bladder
ISRCTN ISRCTN45836359
DOI 10.1186/ISRCTN45836359
ClinicalTrials.gov identifier
EudraCT number
Public title Intravesical Ialuril® plus oral combination of curcumine, quercetine, hyluronic acid (HA) and chondroitin sulphate (CS) for prophylaxis of recurrent non-muscle invasive transitional cell carcinoma (TCC) of the bladder
Scientific title Intravesical Ialuril® plus oral combination of curcumine, quercetine, hyluronic acid (HA) and chondroitin sulphate (CS) for prophylaxis of recurrent non-muscle invasive transitional cell carcinoma (TCC) of the bladder: a prospective longitudinal investigative pilot non-randomised study
Acronym N/A
Serial number at source 001/Ialuril_Oral
Study hypothesis To test the hypothesis whether or not immediate post-TURBT intravesical instillation of a combination of HA and CS (Ialuril®) – repairing coating - followed by oral administration of a combination of HA and CS plus curcumine and quercetine – maintaining coating - is safe, tolerated and effective in preventing the recurrence of TCC after TURBT in patients with superficial low-intermediate risk pTa-1 TCC.
Lay summary Lay summary under review 2
Ethics approval Not provided at time of registration
Study design Prospective longitudinal investigative pilot non-randomised (phase 1b) study
Countries of recruitment Italy
Disease/condition/study domain Superficial (non muscle invasive) transitional cell carcinoma
Participants - inclusion criteria Patients (male and female) with single, ultrasound detected < 3 cm tumor diameter, or multiple 3 or less, each < 1 cm, low- and intermediate-grade (Grade II in old nomenclature) superficial TCC at the first diagnosis, confirmed by flexible cystoscopy and cold cup biopsy
Participants - exclusion criteria 1. Concomitant CIS
2. Involvement of the prostatic urethra
3. Neurogenic bladder
4. Diabetes mellitus type I and II
5. Previous bladder or prostate surgery (any kind)
6. Previous treatment with drugs (capsaicin, vanilloids, ovanil, botulinum toxin etc)
7. Further exclusion criteria were previous chemotherapies and/or pelvic radiotherapy
Anticipated start date 01/01/2012
Anticipated end date 31/12/2013
Status of trial Ongoing
Patient information material Not available in web format, please use the contact details below to request a patient information sheet
Target number of participants 20
Interventions All the patients underwent standard transurethral resection of the visible lesions. Immediate post-TURBT intravesical instillation of a combination of HA and CS (Ialuril®: 50 ml/vial solution containing HA 800 mg and CS 1 mg) followed by oral treatment with pills (one a day for 90 days) containing CS 200 mg, HA 20 mg, quercitine 200 mg and curcumine 100 mg.
Primary outcome measure(s) To investigate the safety, the tolerability and the efficacy of the combined treatment for the prevention of TCC recurrence.

Tolerability was reported as discontinuation or deviation of the protocol and safety as general or local side effects.

Efficacy was defined as the absence of recurrence as defined by negative ultrasound evaluation, negative urine cytology and negative endoscopic assessment after three month.
Secondary outcome measure(s) Secondary end-point consists of morphological immunohistochemical assessment, comparing samples at entry and after three months for transient receptor protein vanilloids 1 (TRPV1) expression and GAGs as well
Sources of funding Institut Biochimique SA (IBSA) (Italy)
Trial website
Publications
Contact name Dr  Massimo  Lazzeri
  Address via Stamira d'Ancona 20
  City/town Milan
  Zip/Postcode 20127
  Country Italy
Sponsor Institut Biochimique SA (IBSA) (Italy)
  Address Via Emilia
  City/town Lodi
  Zip/Postcode 26900
  Country Italy
  Sponsor website: http://www.ibsa-international.com/
Date applied 10/03/2013
Last edited 20/03/2013
Date ISRCTN assigned 20/03/2013
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