NCT03993249

Brief Summary

The purpose of this study is to investigate the effect synchronous use of nivolumab in addition to chemoradiotherapy in patients withnon-metastatic MIBC who are not candidates for radical cystectomy

Trial Health

43
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
78

participants targeted

Target at P50-P75 for phase_2

Timeline
Completed

Started May 2019

Typical duration for phase_2

Geographic Reach
1 country

1 active site

Status
unknown

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

May 28, 2019

Completed
7 days until next milestone

First Submitted

Initial submission to the registry

June 4, 2019

Completed
16 days until next milestone

First Posted

Study publicly available on registry

June 20, 2019

Completed
3.1 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 1, 2022

Completed
1.3 years until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2023

Completed
Last Updated

March 23, 2022

Status Verified

March 1, 2022

Enrollment Period

3.2 years

First QC Date

June 4, 2019

Last Update Submit

March 22, 2022

Conditions

Outcome Measures

Primary Outcomes (1)

  • Locoregional control rate

    To compare locoregional control rate at 2-years between patients with MIBC receiving or not receiving nivolumab in addition to chemoradiotherapy

    2 years

Secondary Outcomes (4)

  • Incidence Rate of treatment-related adverse event (safety and tolerability)

    2 years

  • Bladder cancer failure-free (BCFF) rates

    2 years

  • Median overall survival (OS)

    2 years

  • Assessment of the effect of the combined treatment on the quality of life

    2 years

Study Arms (2)

Chemoradiotherapy

OTHER

standard of care chemo-radiotherapy

Other: chemoradiotherapy

Combination

EXPERIMENTAL

standard of care chemo-radiotherapy + Nivolumab

Biological: NivolumabOther: chemoradiotherapy

Interventions

NivolumabBIOLOGICAL

standard of care chemoradiotherapy + Nivolumab

Combination

standard of care chemoradiotherapy

ChemoradiotherapyCombination

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Histologically proven, muscle-invasive carcinoma of the bladder, cT2-T4aN0M0
  • Urothelial, squamous or glandular histology according to WHO 2016 classification (Fig 1)
  • Undergone a vigorous TURB
  • Not candidates for radical cystectomy.
  • PS:0-1
  • age \>18 years old
  • Adequate bone marrow function
  • Adequate renal function

You may not qualify if:

  • Histology other than transitional-cell, squamous or adenocarcinoma
  • Prior malignancy active within the previous 3 years except for locally curable cancers that have been apparently cured, such as basal or squamous cell skin cancer, prostate cancer cervix or breast.
  • Previous systemic chemotherapy or prior biologic agents within 4 weeks, or intravesical Bacillus Calmette-Guerin (BCG) within 6 weeks of the first dose of study treatment.
  • Prior treatment with any PD-1 or PDL-1 inhibitor or anti CTLA4 agent
  • Previous pelvic radiation therapy.
  • Patients with inherited syndromes associated with hypersensitivity to ionizing radiation
  • Any serious or uncontrolled medical disorder that, in the opinion of the investigator, may increase the risk associated with study participation
  • Any history of inflammatory bowel disease and or history of abdominal fistula
  • Previous allergy to any of the study drugs

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Hellenic GenitoUrinary Cancer Group

Athens, Attica, 11527, Greece

RECRUITING

MeSH Terms

Conditions

Urinary Bladder Neoplasms

Interventions

NivolumabChemoradiotherapy

Condition Hierarchy (Ancestors)

Urologic NeoplasmsUrogenital NeoplasmsNeoplasms by SiteNeoplasmsFemale Urogenital DiseasesFemale Urogenital Diseases and Pregnancy ComplicationsUrogenital DiseasesUrinary Bladder DiseasesUrologic DiseasesMale Urogenital Diseases

Intervention Hierarchy (Ancestors)

Antibodies, Monoclonal, HumanizedAntibodies, MonoclonalAntibodiesImmunoglobulinsImmunoproteinsBlood ProteinsProteinsAmino Acids, Peptides, and ProteinsSerum GlobulinsGlobulinsCombined Modality TherapyTherapeuticsDrug TherapyRadiotherapy

Central Study Contacts

Vasiliki Magoula, MSc

CONTACT

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Model Details: randomized controlled
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

June 4, 2019

First Posted

June 20, 2019

Study Start

May 28, 2019

Primary Completion

August 1, 2022

Study Completion

December 1, 2023

Last Updated

March 23, 2022

Record last verified: 2022-03

Data Sharing

IPD Sharing
Will not share

Locations