Clinical trial NCT04537221: Nordic Cystectomy Study III - Transfusion
Official title: Nordic Cystectomy Study III - Prospective Validation of Transfusions as a Poor Prognostic Factor After Radical Cystectomy for Bladder Cancer
Study type: OBSERVATIONAL
Overall status: RECRUITING
Conditions: Bladder Cancer
Invasive Bladder Cancer
Lead sponsor: Turku University Hospital
Sponsor class: OTHER_GOV
Collaborators: name: Nordic Urothelial Cancer Group
First posted: 2020-09-03
Enrollment: 1700
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: CASE_CONTROL
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Adult patients with muscle-invasive bladder cancer undergoing radical cystectomy -surgery

Brief summary: Around 7200 cases of Muscle Invasive Bladder Cancer are diagnosed annually in the Nordic countries combined. Muscle Invasive Bladder Cancer is an aggressive disease and it is linked with high mortality rates. The golden standard of treatment is radical cystectomy (RC) (the surgical removal of the bladder) and radical removal of lymph nodes in the pelvis. In addition to surgical treatment, and especially in cases where the tumour invades tissues surrounding the bladder or lymph nodes, chemotherapy is recommended. Chemotherapy can be administered before or after surgery, in a neoadjuvant (NAC) or adjuvant setting (AC). Although most patients recover well from surgery, there are significant risks regarding radical cystectomy. The greatest challenges in planning the treatment are making individual risk assessments and prognosis for the treated patients. Neoadjuvant chemotherapy is also insufficiently used and it is hard to predict how the tumour responds to chemotherapy.

The purpose of this study is to collect prospective clinical data on radical cystectomy -patients in co-operation with other Nordic countries: Sweden, Denmark, Iceland and Norway. The collected data is used to validate existing prediction tools and discover novel tools for prediction of morbidity related to RC and prediction of oncological outcome after RC. The study is divided into three sub-studies. Transfusions during RC and the time of hospitalization after the surgery are associated poorer oncological outcome when compared to those patients who do not need transfusions. The third study focuses on the oncological outcomes in patients receiving blood transfusions. As there are some conflicting reports and the finding is not properly validated, we aim to validate the effect of transfusions on survival after RC.

The number of transfusions during RC and the time between surgery and discharge from hospital will be recorded. Patient cohort will be divided into patients receiving transfusions and not receiving transfusion. The primary end point is patients receiving transfusion and its effect on cancer specific mortality at 24 months. For patients receiving NAC, additional secondary end-point is complete response (pT0N0) rate at RC.


Eligibility criteria: Inclusion Criteria:

* Histologically confirmed urinary BC planned to be treated with RC with or without neoadjuvant chemotherapy.
* Histologically confirmed urinary BC planned to be treated with palliative cystectomy
* Signed informed consent
* Patient age \>18 years

Exclusion Criteria:

* RC for other reasons than BC
* Other forms of surgical treatment of BC than RC (e.g. bladder resection).
* Patient unwillingness to participate in the study for any reason (i.e. lack of signed consent).

Primary outcomes:
measure: Perioperative blood transfusion (PBT) effect on cancer specific mortality
timeFrame: 24 months
Secondary outcomes:
Other outcomes:
Locations:
city: Turku
country: Finland
facility: University Hospital of Turku, Hospital Distric of Southwest Finland
state: Southwest Finland
Study officials:
affiliation: Turku University Hospital
name: Peter Boström, MD, PhD
role: PRINCIPAL_INVESTIGATOR
References: