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出境医 / 临床实验 / Flemish Databank for Urothelial Cancer

Flemish Databank for Urothelial Cancer

Study Description
Brief Summary:
The goal of the Flemish Databank for Urothelial Cancer is to collect clinical and pathological data of patients treated for urothelial cancer (UC).

Condition or disease
Urinary Bladder Neoplasms

Detailed Description:

The goal of this study is to enable the prospective collection of demographic, clinical, pathological and follow-up data of UC patients after signing informed consent. The specific usage of these prospectively collected clinical data will be described in future trials.

Templates for data collection, which also include clinical outcome parameters and quality indicators, were developed in InfoPath™ as an electronic case report form (eCRF) and were implemented within our hospital's electronic patient file system (called Klinisch Werkstation (KWS), which runs in different Flemish hospitals). These eCRFs have been developed based on the recommendations of the European Association of Urology (EAU) guidelines and the Canadian Urological Association (CUA) white paper. Three separate eCRFs were developed for the management of non-muscle-invasive bladder cancer (NMIBC) patients: surgery report, bladder instillation form, and multidisciplinary team (MDT) form. With the scientific output parameters and quality indicators based on the current knowledge, patient flow-charts for the diagnosis of bladder cancer, and management of low-, intermediate- and high-risk NMIBCs have been developed.

This databank will be first used to externally validate the European Organization for Research and Treatment of Cancer (EORTC) and the Club Urologico Español de Tratamiento Oncologico (CUETO) nomograms for recurrence and progression in patients with NMIBC who have been treated according to the state of the art and prospectively followed up. In-depth analysis of the data generated in this registry will give us the opportunity to define improvements in patient follow-up protocol. Moreover, based on this dataset, we aim to develop a risk calculator for disease recurrence and progression, which will be readily available for Flemish hospitals to use.

Study Design
Layout table for study information
Study Type : Observational
Estimated Enrollment : 5000 participants
Observational Model: Cohort
Time Perspective: Prospective
Official Title: Flemish Prospective Clinical and Pathological Database for Urothelial Cancer
Actual Study Start Date : August 2013
Estimated Primary Completion Date : March 2024
Estimated Study Completion Date : March 2029
Arms and Interventions
Group/Cohort
UC patients

Patients diagnosed with primary or recurrent non-muscle-invasive bladder (NMIBC) cancer.

No experimental intervention will be administered. NMIBC patients will be diagnosed, treated and followed up according to guidelines-based institutional routines.

The clinical (demographic, operative and follow-up) and pathological data of the patients will be collected in a complete anonymous way.

Outcome Measures
Primary Outcome Measures :
  1. Progression to MIBC [ Time Frame: 10 years ]
    Histopathologically proven muscle-invasive bladder cancer (at least T2 disease) in pathological evaluation of the TURBT specimen


Secondary Outcome Measures :
  1. Recurrence of NMIBC [ Time Frame: 5 years ]
    Clinically (cystoscopically and/or radiologically) proven re-occurence of non-muscle-invasive bladder cancer (Tis, Ta or T1 disease)


Eligibility Criteria
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Ages Eligible for Study:   18 Years to 90 Years   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Sampling Method:   Probability Sample
Study Population
Patients treated at University Hospitals Leuven for urothelial cancer that fit the aforementioned inclusion and exclusion criteria.
Criteria

Inclusion Criteria:

  • who are aged between 18-90,
  • who are of male or female sex,
  • who give their informed consent to collect their clinical and pathological data,
  • who are planned to undergo TURBT for BC,
  • who are planned to undergo (salvage) radical cystectomy with or without an extended pelvic lymph node dissection,
  • who are planned to undergo tumor biopsy (from primary or metastatic tumor),
  • who are planned to undergo radical nephroureterectomy ± partial cystectomy or segmental ureterectomy, with or without a lymph node dissection,
  • who are planned to undergo endoscopic tumor biopsy or resection,
  • from whom metastases will be surgically removed.

Exclusion Criteria:

  • patients who do not give their informed consent to collect their clinical and pathological data,
  • patients who withdraw their informed consent to use their clinical and pathological data,
  • patients who refuse the planned treatment,
  • women who are pregnant or have suspicion of pregnancy.
Contacts and Locations

Contacts
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Contact: Murat Akand, MD +3216346687 murat.akand@uzleuven.be
Contact: Tim Muilwijk, MD +3216346104 tim.muilwijk@uzleuven.be

Locations
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Belgium
University Hospitals Leuven Recruiting
Leuven, Vlaams-Brabant, Belgium, 3000
Contact: Murat Akand, MD    +3216346687    murat.akand@uzleuven.be   
Principal Investigator: Steven Joniau, MD, PhD         
Principal Investigator: Frank Van Der Aa, MD, PhD         
Sub-Investigator: Murat Akand, MD         
Sub-Investigator: Tim Muilwijk, MD         
Sponsors and Collaborators
Universitaire Ziekenhuizen Leuven
KU Leuven
Investigators
Layout table for investigator information
Principal Investigator: Steven Joniau, MD, PhD Assistant Professor
Principal Investigator: Frank Van Der Aa, MD, PhD Assistant Professor
Tracking Information
First Submitted Date June 3, 2019
First Posted Date June 4, 2019
Last Update Posted Date November 19, 2019
Actual Study Start Date August 2013
Estimated Primary Completion Date March 2024   (Final data collection date for primary outcome measure)
Current Primary Outcome Measures
 (submitted: June 3, 2019)
Progression to MIBC [ Time Frame: 10 years ]
Histopathologically proven muscle-invasive bladder cancer (at least T2 disease) in pathological evaluation of the TURBT specimen
Original Primary Outcome Measures Same as current
Change History
Current Secondary Outcome Measures
 (submitted: June 3, 2019)
Recurrence of NMIBC [ Time Frame: 5 years ]
Clinically (cystoscopically and/or radiologically) proven re-occurence of non-muscle-invasive bladder cancer (Tis, Ta or T1 disease)
Original Secondary Outcome Measures Same as current
Current Other Pre-specified Outcome Measures Not Provided
Original Other Pre-specified Outcome Measures Not Provided
 
Descriptive Information
Brief Title Flemish Databank for Urothelial Cancer
Official Title Flemish Prospective Clinical and Pathological Database for Urothelial Cancer
Brief Summary The goal of the Flemish Databank for Urothelial Cancer is to collect clinical and pathological data of patients treated for urothelial cancer (UC).
Detailed Description

The goal of this study is to enable the prospective collection of demographic, clinical, pathological and follow-up data of UC patients after signing informed consent. The specific usage of these prospectively collected clinical data will be described in future trials.

Templates for data collection, which also include clinical outcome parameters and quality indicators, were developed in InfoPath™ as an electronic case report form (eCRF) and were implemented within our hospital's electronic patient file system (called Klinisch Werkstation (KWS), which runs in different Flemish hospitals). These eCRFs have been developed based on the recommendations of the European Association of Urology (EAU) guidelines and the Canadian Urological Association (CUA) white paper. Three separate eCRFs were developed for the management of non-muscle-invasive bladder cancer (NMIBC) patients: surgery report, bladder instillation form, and multidisciplinary team (MDT) form. With the scientific output parameters and quality indicators based on the current knowledge, patient flow-charts for the diagnosis of bladder cancer, and management of low-, intermediate- and high-risk NMIBCs have been developed.

This databank will be first used to externally validate the European Organization for Research and Treatment of Cancer (EORTC) and the Club Urologico Español de Tratamiento Oncologico (CUETO) nomograms for recurrence and progression in patients with NMIBC who have been treated according to the state of the art and prospectively followed up. In-depth analysis of the data generated in this registry will give us the opportunity to define improvements in patient follow-up protocol. Moreover, based on this dataset, we aim to develop a risk calculator for disease recurrence and progression, which will be readily available for Flemish hospitals to use.

Study Type Observational
Study Design Observational Model: Cohort
Time Perspective: Prospective
Target Follow-Up Duration Not Provided
Biospecimen Not Provided
Sampling Method Probability Sample
Study Population Patients treated at University Hospitals Leuven for urothelial cancer that fit the aforementioned inclusion and exclusion criteria.
Condition Urinary Bladder Neoplasms
Intervention Not Provided
Study Groups/Cohorts UC patients

Patients diagnosed with primary or recurrent non-muscle-invasive bladder (NMIBC) cancer.

No experimental intervention will be administered. NMIBC patients will be diagnosed, treated and followed up according to guidelines-based institutional routines.

The clinical (demographic, operative and follow-up) and pathological data of the patients will be collected in a complete anonymous way.

Publications * Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruitment Information
Recruitment Status Recruiting
Estimated Enrollment
 (submitted: June 3, 2019)
5000
Original Estimated Enrollment Same as current
Estimated Study Completion Date March 2029
Estimated Primary Completion Date March 2024   (Final data collection date for primary outcome measure)
Eligibility Criteria

Inclusion Criteria:

  • who are aged between 18-90,
  • who are of male or female sex,
  • who give their informed consent to collect their clinical and pathological data,
  • who are planned to undergo TURBT for BC,
  • who are planned to undergo (salvage) radical cystectomy with or without an extended pelvic lymph node dissection,
  • who are planned to undergo tumor biopsy (from primary or metastatic tumor),
  • who are planned to undergo radical nephroureterectomy ± partial cystectomy or segmental ureterectomy, with or without a lymph node dissection,
  • who are planned to undergo endoscopic tumor biopsy or resection,
  • from whom metastases will be surgically removed.

Exclusion Criteria:

  • patients who do not give their informed consent to collect their clinical and pathological data,
  • patients who withdraw their informed consent to use their clinical and pathological data,
  • patients who refuse the planned treatment,
  • women who are pregnant or have suspicion of pregnancy.
Sex/Gender
Sexes Eligible for Study: All
Ages 18 Years to 90 Years   (Adult, Older Adult)
Accepts Healthy Volunteers No
Contacts
Contact: Murat Akand, MD +3216346687 murat.akand@uzleuven.be
Contact: Tim Muilwijk, MD +3216346104 tim.muilwijk@uzleuven.be
Listed Location Countries Belgium
Removed Location Countries  
 
Administrative Information
NCT Number NCT03973671
Other Study ID Numbers S55725
Has Data Monitoring Committee No
U.S. FDA-regulated Product
Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
IPD Sharing Statement
Plan to Share IPD: No
Responsible Party Universitaire Ziekenhuizen Leuven
Study Sponsor Universitaire Ziekenhuizen Leuven
Collaborators KU Leuven
Investigators
Principal Investigator: Steven Joniau, MD, PhD Assistant Professor
Principal Investigator: Frank Van Der Aa, MD, PhD Assistant Professor
PRS Account Universitaire Ziekenhuizen Leuven
Verification Date February 2019

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