The effect of intravesical thiotepa on tumour recurrence after endoscopic treatment of newly diagnosed superficial bladder cancer. A further report with long-term follow-up of a Medical Research Council randomized trial. Medical Research Council Working Party on Urological Cancer, Subgroup on Superficial Bladder Cancer

British Journal of Urology

Abstract

To determine the role, if any, of one and five installations of intravesical thiotepa in the treatment of newly diagnosed superficial bladder cancer. A multicentre randomized clinical trial was carried out involving 417 patients with newly diagnosed superficial bladder cancer. After transurethral resection the patients were randomized into one of three treatment arms: no thiotepa; one instillation of thiotepa at the time of resection; one instillation at time of resection and then at 3-monthly intervals for one year (giving a total of five instillations). In all treatment arms the dosage was 30 mg thiotepa in 50 ml saline. The main outcome measures were time to first superficial recurrence, recurrence rate (defined as the number of possible cystoscopies per annum) and failure-free interval rate (where failure was defined as the development of invasive disease, metastatic disease or death from bladder cancer). After a median follow-up of 8 years and 9 months analysis showed no evidence of a difference between the three groups with respect to time to first recurrence, recurrence rates or the failure-free interval rate. This analysis confirms that the thiotepa regimens tested cannot be recommended for use outside clinical trials f...Continue Reading

References

Aug 1, 1989·British Journal of Urology·B R Birch, S J Harland
Jan 1, 1984·The Journal of Urology·D F GreenP H Smith

Citations

Jul 1, 1998·Urologic Oncology·H B GrossmanT L Ratliff
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Oct 17, 2014·Journal of Huazhong University of Science and Technology. Medical Sciences = Hua Zhong Ke Ji Da Xue Xue Bao. Yi Xue Ying De Wen Ban = Huazhong Keji Daxue Xuebao. Yixue Yingdewen Ban·Teng LiMin Chen
Apr 2, 2013·The Urologic Clinics of North America·David C JohnsonMichael E Woods
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Related Concepts

Intravesical Injection
Malignant Neoplasm of Urinary Bladder
Carcinoma, Transitional Cell
Cystoscopic Surgical Procedures
Drug Administration Schedule
Neoplasm Recurrence, Local
Tespamin
Chemotherapy, Adjuvant

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