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Trial Title: Intravesical Mitomycin C After Diagnostic Ureteroscopy for Upper Tract Urothelial Carcinoma

NCT ID: NCT05979909

Condition: Urothelial Carcinoma Ureter
Urothelial Cancer of Renal Pelvis

Conditions: Official terms:
Carcinoma
Carcinoma, Transitional Cell
Mitomycins
Mitomycin

Study type: Interventional

Study phase: Phase 1

Overall status: Not yet recruiting

Study design:

Allocation: Randomized

Intervention model: Parallel Assignment

Primary purpose: Prevention

Masking: None (Open Label)

Intervention:

Intervention type: Drug
Intervention name: Mitomycin C
Description: Mitomycin (40 mg in 40 mL of sterile water) will be administered through a Foley catheter, which will be clamped for two hours.
Arm group label: Intravesical mitomycin C (MMC)

Summary: The objective of this pilot study is to determine the feasibility of conducting a phase III randomized trial of intravesical mitomycin C (MMC) for prevention of intravesical recurrence (IVR) after diagnostic ureteroscopy for suspected upper tract urothelial carcinoma (UTUC). In the current study, 40 patients will be randomized to receive MMC or no intervention and will be followed for two years to determine the incidence of adverse events and IVR.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - Suspected upper tract urothelial carcinoma (UTUC) - Diagnostic ureteroscopy required - Tumor suggestive of upper tract urothelial carcinoma (UTUC) found on ureteroscopy Exclusion Criteria: - Prior or concomitant urothelial carcinoma of the bladder - History of UTUC - Ureteroscopy within the preceding six months - Untreated urinary tract infection - Suspected or confirmed perforation of the upper or lower urinary tract - Lower urinary tract fistula - Leukopenia or thrombocytopenia - ECOG performance status 2 or greater - Known hypersensitivity to mitomycin C - Pregnancy or breastfeeding - Lack of capacity to consent

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Start date: September 2023

Completion date: September 2027

Lead sponsor:
Agency: McMaster University
Agency class: Other

Source: McMaster University

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05979909

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