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CIK in Treating Patients With Bladder Cancer

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StatusAktivan, ne regrutira
Sponzori
The First People's Hospital of Changzhou

Ključne riječi

Sažetak

Chemotherapy is the main treatment method for patients with Bladder Cancer. However, Relapse remains the major cause of treatment failure.Biological therapies such as CIK stimulate the immune system and stop tumor cells from growing. A series of studies reported that cytokine-induced killer cells (CIK) have a broad anti-tumor spectrum. The investigators suppose that CIK will improve the prognosis. Combining chemotherapy with biological therapy may kill more tumor cells. In this study, the patients will be treated with CIK cells after chemotherapy. The purpose of this study is to evaluate the efficacy of CIK for Bladder Cancer.

Opis

About 1500 patients with staging I-III of Bladder Cancer, after accepting chemotherapy, will be randomly divided into group A (receive CIK treatment) or group B (just regularly follow up), and the randomize ratio will be 1:1. Patients in group A will receive 3 cycles of CIK cells treatment (every 12 weeks). Patients in group B will have no anti-tumor therapy.

Datumi

Posljednja provjera: 01/31/2016
Prvo podneseno: 06/23/2015
Predviđena prijava poslana: 06/30/2015
Prvo objavljeno: 07/02/2015
Posljednje ažuriranje poslano: 02/17/2016
Posljednje ažuriranje objavljeno: 02/21/2016
Stvarni datum početka studija: 01/31/2016
Procijenjeni datum primarnog završetka: 06/30/2025
Procijenjeni datum završetka studije: 06/30/2030

Stanje ili bolest

Urinary Bladder Neoplasms

Intervencija / liječenje

Biological: CIK

Faza

Faza 2

Grupe ruku

RukaIntervencija / liječenje
No Intervention: Non-CIK
After accepting chemotherapy, patients will regularly follow up.
Experimental: CIK
After accepting chemotherapy, patients will receive at least 3 cycles of Cytokine-induced Killer Cells treatment per year.
Biological: CIK
chemotherapy plus 3 cycles of Cytokine-induced Killer Cells(CIK) treatment

Kriterij prihvatljivosti

Dobni uvjeti za studiranje 18 Years Do 18 Years
Spolovi koji ispunjavaju uvjete za studijAll
Prihvaća zdrave volontereDa
Kriteriji

Inclusion Criteria:

- Patients histologically confirmed carcinoma in of the bladder with urinary cytology;

- Patients with staging I-III of Bladder Cancer;

- Patients who had completed chemotherapy;

- Patients who have a life expectancy of at least 12 weeks;

- Eastern Cooperative Oncology Group (ECOG) performance status was 0-1;

- The bone marrow functioned normally (WBC>4.0×10^9/L, Hb>120 g/L, Platelet(PLT)>100×10^9/L);

- The ECG results were normal, and the liver and kidney were functional.

Exclusion Criteria:

- Patients who had upper urinary tract disease (e.g., vesico-ureteral reflux or massive stones) that would make multiple transurethral procedures risk;

- Patients who had urethral strictures that would prevent endoscopic procedures and repeated catheterization;

- Patients who had prior or concurrent upper urinary tract tumors;

- Patients who had distant metastases by imaging studies;

- Patients with uncontrolled infection; underlying disease that was severe or life-threatening;

- Patients who were lactating;

- ECOG perform status ≥ 2;

- Patients who are suffering from auto immune diseases or patients who need to accept glucocorticoid treatment;

- Patients who are pregnant or nursing;

- Patients with active tuberculosis (highly positive skin tests allowed if no active disease);

- Patients with disease that would preclude general anesthesia;

- Patients with active intractable or uncontrollable infection.

Ishod

Primarne mjere ishoda

1. progression-free survival(PFS) [1 month]

Sekundarne mjere ishoda

1. overall survival(OS) [1 month]

Ostale mjere ishoda

1. age [1 week]

by years

2. gender [1 week]

men or women

3. Performance status [1 week]

WHO standard

4. number of sites of extranodal involvement [1 week]

evaluated by CT scan

5. Stage at diagnosis [1 week]

Tumor Node Metastasis (TNM) stage, Tumor:CIS,T1,T2,T3,T4 according to the depth of tumor invasion. Lymph node involvement: N0,N1,N2. Metastasis: M0,M1

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