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OncoMatch/Clinical Trials/NCT06388720

The Clinical Effectiveness and Safety of Intravesical Mitomycin-C and Gemcitabine Sequential Therapy

Is NCT06388720 recruiting? Yes, currently enrolling (May 2026). This Phase 2 trial studies multiple treatments including Mitomycin-C and gemcitabine for bladder cancer.

Phase 2RecruitingNational Cancer Center, KoreaNCT06388720Data as of May 2026

Treatment: Mitomycin-C · gemcitabineThe aim of this study is to evaluate the effectiveness and safety of mitomycin-c and gemcitabine sequential instillation in BCG unresponsive high risk non-muscle invasive bladder cancer patients.

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Extracted eligibility criteria

Cancer type

Urothelial Carcinoma

Disease stage

Required: Stage HIGH-GRADE TA, CIS, TA, LOW GRADE, AND MULTIPLE RECURRENCES OF MORE THAN 3 CM (EAU guidelines)

Excluded: Stage MUSCLE-INVASIVE

Grade: high-grade, low grade (with multiple recurrences >3cm)

high-risk non-muscle infiltration (T1, high-grade Ta and/or CIS) bladder transition cell cancer. ... high-risk NMIBC, Ta, low grade, and multiple recurrences of more than 3 cm are included.

Prior therapy

Must have received: BCG therapy — bladder

Patients with high risk NMIBC who received proper BCG treatment but did not respond to BCG

Cannot have received: systemic cytotoxic chemotherapy

Exception: for other cancers within 3 years

In the case of receiving systemic cytotoxic chemotherapy for other cancers within 3 years

Cannot have received: radiation therapy

Exception: pelvic radiation for other cancers within 3 years

history of pelvic radiation therapy for other cancers within 3 years

Cannot have received: Mitomycin-c or gemcitabine (intravesical) (mitomycin-c, gemcitabine)

Exception: cases used for the purpose of injection therapy of anticancer drugs in the early bladder cancer

history of receiving Mitomycin-c or gemcitabine in the bladder within 3 years. The exception is cases used for the purpose of injection therapy of anticancer drugs in the early bladder cancer

Cannot have received: intravesical chemotherapy

After post-cystoscopy/TURBT, the patient received intravesical chemotherapy prior to the start of trial treatment

Lab requirements

Blood counts

Thrombocytopenia, coagulopathy or bleeding tendency patient; severe myelosuppression

Kidney function

Dysfunction of kidney (GFP≤30)

Liver function

Dysfunction of liver (GFP≤30)

Thrombocytopenia, coagulopathy or bleeding tendency patient. Dysfunction of liver or kidney (GFP≤30). If patient undergo severe myelosuppression

Structured fields extracted by AI. May contain errors — verify against the official protocol.

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