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Brief Title: Trial of Mitomycin C During Nephroureterectomy for Urothelial Carcinoma

A Single Arm Phase II Trial of the Intraoperative Intravesical Instillation of Mitomycin C During Nephroureterectomy for Urothelial Carcinoma of the Upper Urinary Tract


  • Org Study ID: UF-GU-001
  • Secondary ID: OCR18677, IRB201802090
  • NTC ID: NCT03658304
  • Sponsor: University of Florida


Results of previous studies suggest that the timing of intravesical mitomycin C
administration may impact bladder tumor recurrence rate following radical nephroureterectomy.
This is the first study of its kind to attempt to identify the importance of timing of
mitomycin C administration relative to bladder tumor recurrence rate following radical
nephroureterectomy.This study will investigate the one year bladder tumor recurrence rate in
patients with urothelial carcinoma of the upper urinary tract following intraoperative
administration of mitomycin C during a nephroureterectomy, as well as the time to bladder
tumor recurrence in this patient population.

  • Overall Status
  • Start Date
    December 5, 2018
  • Phase
    Phase 2
  • Study Type


Primary Outcome 1 - Measure: Bladder tumor recurrence rate

Primary Outcome 1 - Timeframe: 1 year


  • Urothelial Carcinoma


Inclusion Criteria:

- Both males and females ≥ eighteen years of age

- Clinical diagnosis of urothelial carcinoma of the renal pelvis and/or ureter. Clinical
diagnosis of urothelial carcinoma may be based upon radiographic, pathologic or
cytological findings alone or in combination with one another. No other histology is

- The TNM stage of the subject's disease (using the American Joint Committee on Cancer
[AJCC] Cancer Staging Manual, 8th Edition) must be Tis, Ta, T1, T2, or T3, N0, M0.
Subjects may have either a high-grade or low-grade tumor.

- ECOG performance status of 0-2

- Written informed consent obtained from the subject and the ability for the subject to
comply with all the study-related procedures.

- Women of childbearing potential (WOCBP) must be using an adequate method of
contraception to avoid pregnancy prior to and for at least 3 months after mitomycin C
instillation to minimize the risk of pregnancy. Prior to study enrollment, women of
childbearing potential must be advised of the importance of avoiding pregnancy during
trial participation and the potential risk factors for an unintentional pregnancy.

- Males with female partners of child-bearing potential must agree to use
physician-approved contraceptive methods (e.g., abstinence, condoms, vasectomy) should
avoid conceiving children prior to and for 3 months following mitomycin C instillation

- Subjects must have hemoglobin ≥ 9 g/dL and a platelet count ≥ 100,000/μL.

Exclusion Criteria:

- Active urothelial carcinoma of the bladder within 12 months prior to enrollment

- History of adverse reaction to mitomycin C

- Evidence of regional or metastatic disease.

- History of radical cystectomy

- Planned radical cystectomy at the time of nephroureterectomy

- Females or males of childbearing potential who are unwilling or unable to use an
acceptable method to avoid pregnancy prior to and for at least 3 months after
mitomycin C instillation.

- Females who are pregnant or breastfeeding.

- History of any other disease, metabolic dysfunction, physical examination finding, or
clinical laboratory finding giving reasonable suspicion of a disease or condition that
contraindicates the use of protocol therapy or that might affect the interpretation of
the results of the study or that puts the subject at high risk for treatment
complications, in the opinion of the treating physician.

- Prisoners or subjects who are involuntarily incarcerated.

- Subjects who are compulsorily detained for treatment of either a psychiatric or
physical illness.

- Subjects demonstrating an inability to comply with the study and/or follow-up

Gender: All

Minimum Age: 99 Years

Maximum Age: 18 Years

Healthy Volunteers: No


Name: Paul Crispen, MD

Role: Principal Investigator

Affiliation: University of Florida

Overall Contact

Name: Paul Crispen, MD

Phone: (352) 273-8128

Email: PMO@cancer.ufl.edu


Facility Status Contact
Facility: University of Florida
Gainesville, Florida 32608
United States
Status: Recruiting Contact:
Diane Richardson