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RECRUITING
NCT04588168
NA

Multi-parameter Magnetic Resonance Imaging Guides Precise Treatment of Urothelial Carcinoma

Sponsor: The First Affiliated Hospital with Nanjing Medical University

View on ClinicalTrials.gov

Summary

Purpose:To evaluate whether immediate multiparametric MRI evaluate the sensitivity of modified neoadjuvant chemotherapy early in patient with muscle invasive bladder cancer(MIBC). Rationale:Multiparametric MRI may help detect the early changes of bladder cancer receiving neoadjuvant chemotherapy.

Official title: Multi-parameter Magnetic Resonance Imaging for Early Evaluation of the Efficacy of Neoadjuvant Chemotherapy With Modified GC Regimen for Urothelial Carcinoma

Key Details

Gender

All

Age Range

18 Years - Any

Study Type

INTERVENTIONAL

Enrollment

100

Start Date

2018-01-01

Completion Date

2026-06

Last Updated

2020-10-19

Healthy Volunteers

No

Conditions

Interventions

DRUG

Chemotherapy

Patients with muscle invasive bladder cancer will receive modified gemcitabine-cisplatin neoadjuvant chemotherapy prior to radical cystectomy for a period of two months (three 21 day cycles) as part of standard clinical routine.

DIAGNOSTIC_TEST

Immediate Multiparametric MRI

Within 24 hours after the use of cisplatin during the first course of modified GC neoadjuvant chemotherapy, patient considered muscle invasive bladder cancer with baseline mpMRI will receive an immediate mpMRI scan.

PROCEDURE

Cystectomy and Lymphadenectomy

The patient with muscle invasive bladder cancer will undergo radical cystectomy and pelvic lymph node dissection followed by a urinary tract reconstruction.

DIAGNOSTIC_TEST

conventional Multiparametric MRI

After two and three course of neoadjuvant chemotherapy, patient considered muscle invasive bladder cancer with baseline mpMRI will receive a conventional mpMRI scan.

DIAGNOSTIC_TEST

Baseline Multiparametric MRI

Patient considered muscle invasive bladder cancer will receive a baseline mpMRI scan within one week before neoadjuvant chemotherapy.

Locations (1)

The first affiliated hospital of Nanjing Medical University

Nanjing, Jiangsu, China