Intravesical Adjuvant Electromotive Mitomycin-C

In laboratory and clinical studies, intravesical electromotive drug administration increased mitomycin bladder uptake, improving clinical efficacy in high-risk non-muscle invasive urothelial bladder cancer. The investigators' aim was to compare transurethral resection of bladder tumor and adjuvant intravesical electromotive mitomycin with transurethral resection and adjuvant intravesical passive diffusion mitomycin and transurethral resection alone in patients with primary stage pTa-pT1 and grade G1-G2 urothelial bladder cancer Patients will be randomly assigned to: transurethral resection alone, transurethral resection and adjuvant intravesical 40 mg passive diffusion mitomycin dissolved in 50 ml sterile water infused over 60 minutes once a week for 6 weeks, or transurethral resection and adjuvant intravesical 40 mg electromotive mitomycin dissolved in 100 ml sterile water with 23 mA pulsed electric current for 30 minutes once a week for 6 weeks. Patients in the intravesical adjuvant electromotive and passive diffusion mitomycin groups who are disease-free 3 months after induction treatment, will be scheduled to receive monthly intravesical instillation for 10 months, with the same dose and methods of infusion as initial assigned treatment. All patients will be assessed for safety. The investigators' primary endpoints are recurrence rate and disease-free interval. Analyses will be done by intention to treat.

Sex

All

Minimum age

18 Years

Maximum age

90 Years

Inclusion Criteria:

* histologically proven primary stage pTa-pT1 urothelial bladder cancer,
* adequate bone-marrow reserve (ie, white-blood-cell count ≥4000 × 10⁶ cells per L; platelet count ≥120 × 10⁹/L),
* normal renal function (ie, serum creatinine ≤123·76 μmol/L),
* normal liver function (ie, serum glutamic-oxaloacetic aminotransferase ≤42 U/L, serum glutamic-pyruvic aminotransferase ≤48 U/L, and total bilirubin ≤22 μmol/L),
* Eastern Cooperative Oncology Group performance status between 0 and 2.

Exclusion Criteria:

* non-urothelial carcinomas of the bladder;
* previous or concomitant grade G3 urothelial and/or carcinoma in situ of the bladder;
* urothelial carcinoma of the upper urinary tract and urethra, or both;
* previous intravesical treatment with chemotherapeutic and immunotherapeutic drugs;
* known allergy to mitomycin;
* bladder capacity less than 200 mL;
* untreated urinary-tract
* infection; severe systemic infection (ie, sepsis);
* treatment with immunosuppressive drugs;
* urethral strictures that would prevent endoscopic procedures and catheterisation;
* previous radiotherapy to the pelvis;
* other concurrent chemo therapy, radio therapy, and treatment with biological response modifiers;
* other malignant diseases within 5 years of trial registration (except for adequately treated basal-cell or squamous-cell skin cancer, in situ cervical cancer);
* pregnancy;
* any factors that would preclude study participation.