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NCT07747740RecruitingPhase 2

Sequential Gemcitabine Plus Docetaxel Versus Gemcitabine Plus Mitomycin C for BCG-Unresponsive Non-Muscle-Invasive Bladder Cancer

A Prospective, Randomized, Open-Label, Phase II Trial Comparing Sequential Intravesical Gemcitabine Plus Docetaxel With Sequential Intravesical Gemcitabine Plus Mitomycin C in Patients With BCG-Unresponsive Non-Muscle-Invasive Bladder Cancer

Source: ClinicalTrials.gov · Last updated 5 Aug 2026

Brief summary (registry, in English)

This prospective, randomized, open-label, phase II clinical trial compares two sequential intravesical chemotherapy regimens in patients with bacillus Calmette-Guérin (BCG)-unresponsive high-grade non-muscle-invasive bladder cancer (NMIBC) following complete transurethral resection of bladder tumor (TURBT). Participants are randomized in a 1:1 ratio to receive sequential intravesical gemcitabine plus docetaxel or sequential intravesical gemcitabine plus mitomycin C. The primary objective is to compare 12-month event-free survival between treatment groups. Secondary objectives include evaluation of cystectomy-free survival, progression-free survival, treatment safety, tolerability, and patient-reported quality of life.

Status (registry)
Recruiting
Phase (registry)
Phase 2
Study type
Interventional
Enrollment
228 (estimated)
First submitted
31 Jul 2026
Start date
9 Jul 2026
Primary completion date
30 Dec 2029
Lead sponsor
Blokhin's Russian Cancer Research Center
NCT number
NCT07747740

What you commit to

  • Study type: Interventional · Phase 2
  • Planned participants: 228
  • From 9 Jul 2026 to the primary completion date, 30 Dec 2029
  • 1 site in 1 country
  • Visits and tests: ask the trial team, the registry does not list them

Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.

Who cannot take part

Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.

Prior treatment

  • Previous hypersensitivity to gemcitabine, docetaxel, mitomycin C, or formulation components.
  • Concurrent participation in another interventional clinical trial.

Other illness

  • Active uncontrolled urinary tract infection.
  • Any serious uncontrolled medical condition that, in the investigator's opinion, would interfere with study participation or interpretation of results.

Other

  • Muscle-invasive (≥T2), locally advanced, or metastatic urothelial carcinoma.
  • Upper urinary tract urothelial carcinoma requiring treatment.
  • Pregnancy or breastfeeding.

Who the study is looking for

  • Age ≥18 years.
  • Histologically confirmed BCG-unresponsive non-muscle-invasive urothelial bladder cancer (NMIBC).
  • Complete transurethral resection of bladder tumor (TURBT) before study treatment.
  • Intermediate- or high-risk NMIBC according to current clinical guidelines.
  • Candidate for intravesical chemotherapy.
  • ECOG performance status 0-2.
  • Adequate hematologic, renal, and hepatic function.
  • Written informed consent.

Age in the registry: 18 years to - · Sex: All · Does not accept healthy volunteers

Full criteria on ClinicalTrials.gov

Sites (1)

Sites in registry order. Pick your city on the disease page to sort them by distance.

SiteCityCountrySite status
N.N.Blokhin National Medical Research Center of Oncology
Coordinator of this site? Confirm its status
MoscowRussiaRecruiting

This page is information, not medical advice. Discuss any trial with your doctor.