Use of Immediate Hyperthermic Intravesical Chemotherapy Following TURBT

  • participants needed
  • sponsor
    Chinese University of Hong Kong
Updated on 24 June 2021
Jeremy YC Teoh, MBBS
Primary Contact
Prince of Wales Hospital (4.4 mi away) Contact
transurethral resection
transurethral bladder excision
intravesical chemotherapy
transurethral resection of bladder tumour


This is a prospective single-arm pilot study investigating the safety and feasibility of giving hyperthermic intravesical chemotherapy immediately following transurethral resection of bladder tumour.


The Combat Bladder Recirculation System (BRS) is a CE marked device which has been used in over 200 sites in Europe. It is an aluminum heat exchanger that allows hyperthermic intravesical chemotherapy (HIVEC) at 430.2 degrees for patients with bladder cancer. Previous studies showed that the Combat BRS could warm the entire bladder wall to the target temperature with excellent safety parameters. The flow rates and pressure levels are kept low during the HIVEC treatment. A previous study has demonstrated the safety and tolerability of HIVEC as a maintenance therapy for patients with non-muscle-invasive bladder cancer (NMIBC), and two randomized controlled trials are underway to demonstrate its efficacy in terms of disease recurrence and progression. On the other hand, the use of HIVEC immediately following transurethral resection of bladder tumour (TURBT) remains largely unexplored. It is the investigators' current practice to give intravesical mitomycin C (MMC) to all patients who have endoscopically NMIBC with complete resection, provided that there are no bladder perforations being noted. In this study, the investigators shall evaluate the safety and feasibility of hyperthermia in addition to the current practice of intravesical MMC alone immediately following TURBT.

Condition urinary tract neoplasm, bladder cancer, bladder disorder, Fever, Chemotherapy Effect, Urothelial Cancer, Bladder Disorders, Bladder Carcinoma, Urologic Cancer, carcinoma of the bladder, pyrexia, hyperthermia, fevers, bladder tumor
Treatment Hyperthermic intravesical chemotherapy
Clinical Study IdentifierNCT03689478
SponsorChinese University of Hong Kong
Last Modified on24 June 2021

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