NCT06113367

Brief Summary

Upper-tract urothelial carcinoma (UTUC) is a rare tumor. Standard treatment of localized disease is most often radical nephroureterectomy. In advanced/metastatic disease, treatments follow the standards for urothelial carcinoma including platinum-based chemotherapy and anti-PD(L)1 (Programmed death (ligand) 1) immunotherapy, with no regard as to the primary disease site (bladder or upper tract). Given the rarity of UTUC, efficacy data in the UTUC subgroup of advanced urothelial carcinoma is scarce. UTUC show distinct pahological and molecular features, including higher prevalence of microsatellite instability and of abnormalities in the FGFR (fibroblast growth factor receptors) gene family. These specific features may impact outcomes of immunotherapy in advanced/metastatic UTUC.

Trial Health

35
At Risk

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
350

participants targeted

Target at P75+ for all trials

Timeline
Completed

Started Nov 2023

Shorter than P25 for all trials

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

First Submitted

Initial submission to the registry

October 27, 2023

Completed
5 days until next milestone

Study Start

First participant enrolled

November 1, 2023

Completed
1 day until next milestone

First Posted

Study publicly available on registry

November 2, 2023

Completed
4 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

February 28, 2024

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

February 28, 2024

Completed
Last Updated

November 2, 2023

Status Verified

October 1, 2023

Enrollment Period

4 months

First QC Date

October 27, 2023

Last Update Submit

October 27, 2023

Conditions

Outcome Measures

Primary Outcomes (1)

  • Overall survival on anti-PD-(L)1 immunotherapy

    2 years after immunotherapy initiation

Secondary Outcomes (9)

  • Best Objective Radiologic Response

    Up to 7 years maximum

  • Overall survival

    5 years after immunotherapy initiation

  • Progression free survival

    6 months after immunotherapy initiation

  • Progression free survival

    1 year after immunotherapy initiation

  • Progression free survival

    2 years after immunotherapy initiation

  • +4 more secondary outcomes

Study Arms (1)

Patients with advanced/metastatic UTUC treated with second-line anti-PD-(L)1 immunotherapy

Other: Evaluation of anti-PD-(L)1 immunotherapy efficacy

Interventions

Non Applicable, research on data

Patients with advanced/metastatic UTUC treated with second-line anti-PD-(L)1 immunotherapy

Eligibility Criteria

Age18 Years - 100 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

Patients with advanced/metastatic UTUC treated with second-line anti-PD-(L)1 immunotherapy

You may qualify if:

  • Age 18 and more
  • Diagnosis of urothelial carcinoma (with or without variant histology)
  • Advanced/metastatic disease not amenable to local treatment with curative intent
  • Treatment with an anti-PD-(L)1 monoclonal antibody initiated between 2016 and 2022

You may not qualify if:

  • Patient's opposition to this research
  • Urothelial carcinoma of bladder or urethral primary site
  • Non-urothelial tumor
  • Maintenance immunotherapy initiated without disease progression

Contact the study team to confirm eligibility.

Sponsors & Collaborators

MeSH Terms

Conditions

Carcinoma, Transitional Cell

Condition Hierarchy (Ancestors)

CarcinomaNeoplasms, Glandular and EpithelialNeoplasms by Histologic TypeNeoplasms

Central Study Contacts

Clément Dumont, Dr

CONTACT

Jérôme Lambert, Pr

CONTACT

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
RETROSPECTIVE
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

October 27, 2023

First Posted

November 2, 2023

Study Start

November 1, 2023

Primary Completion

February 28, 2024

Study Completion

February 28, 2024

Last Updated

November 2, 2023

Record last verified: 2023-10