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A phase III study of primary chemotherapy in T2 (G3), T3 and T4a; N0 or NX; M0 transitional cell carcinoma (TCC) of the bladder
ISRCTN ISRCTN82694463
DOI 10.1186/ISRCTN82694463
ClinicalTrials.gov identifier
EudraCT number
Public title A phase III study of primary chemotherapy in T2 (G3), T3 and T4a; N0 or NX; M0 transitional cell carcinoma (TCC) of the bladder
Scientific title
Acronym N/A
Serial number at source BA06
Study hypothesis 1. To determine the survival advantage of the addition of three cycles of cisplatin, methotrexate,and vinblastine (CMV) chemotherapy prior to definitive radiotherapy and/or cystectomy
2. To determine the morbidity and mortality of definitive treatment together with any additional toxicity, arising from CMV chemotherapy
3. To determine the prognostic significance of downstaging to T0 following CMV chemotherapy

Collaboration with the European Organization for Research and Treatment of Cancer (EORTC), Australian Bladder Cancer Study Group. Norwegian Bladder Cancer Study Group, Club Urologico Espanol de Tratamiento Group, Finnbladder and National Cancer Institute, Canada
Lay summary
Ethics approval Not provided at time of registration
Study design Randomised controlled trial
Countries of recruitment International
Disease/condition/study domain Bladder Cancer
Participants - inclusion criteria 1. Histologically proven TCC of the bladder with biopsy proven muscle invasion
2. Tumours considered curable (less than or equal to 7 cm)
3. GFK ≥50 ml/min (Cockcroft)
4. White blood count (WBC) >3.5 x 10^9/L and platelet count >100 x 10^9/L
Participants - exclusion criteria Not provided at time of registration
Anticipated start date 01/12/1989
Anticipated end date 10/07/1995
Status of trial Completed
Patient information material
Target number of participants 915 required, 975 entered
Interventions Primary chemotherapy in T2 (G3), T3 and T4a; N0 or NX; M0 TCC of the bladder
Primary outcome measure(s) Survival
Secondary outcome measure(s) Not provided at time of registration
Sources of funding Medical Research Council (MRC) (UK)
Trial website
Publications 1. 1999 results on http://www.ncbi.nlm.nih.gov/pubmed/10470696.
2. Hall RR, on behalf of the International Collaboration of the MRC Advanced Bladder Cancer Group. Updated results of a randomised control trial of neo-adjuvant cisplatin(C) methotrexate(M) and Vinblatine(V) Chemotherapy for muscle-invasive bladder cancer. Proceedings of ASCO, Vol 21, Abstract 710, 2002.
Contact name Dr  Barbara  Uscinska
  Address MRC Clinical Trials Unit
222 Euston Road
  City/town London
  Zip/Postcode NW1 2DA
  Country United Kingdom
  Email
Sponsor Medical Research Council (MRC) (UK)
  Address 20 Park Crescent
  City/town London
  Zip/Postcode W1B 1AL
  Country United Kingdom
  Tel +44 (0)20 7636 5422
  Fax +44 (0)20 7436 6179
  Email clinical.trial@headoffice.mrc.ac.uk
  Sponsor website: http://www.mrc.ac.uk
Date applied 13/03/2001
Last edited 20/08/2009
Date ISRCTN assigned 13/03/2001
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