Status:

UNKNOWN

Chemotherapy Combined With Tislelizumab as Bladder Sparing Option for Patients With Muscle Invasive Bladder Cancer

Lead Sponsor:

Ruijin Hospital

Conditions:

Muscle-Invasive Bladder Carcinoma

Eligibility:

All Genders

18-75 years

Phase:

PHASE2

Brief Summary

This study is designed prospectively to investigate the safety, efficacy and feasibility of cisplatin-based chemotherapy combined with tislelizumab as bladder sparing treatment for patients with muscl...

Detailed Description

The patients that meet the Inclusion and Exclusion Criteria will treat with 4 cycles of cisplatin-based chemotherapy combined with Tislelizumab (200mg per cycle) prior to cystectomy discussion. The pa...

Eligibility Criteria

Inclusion

  • ≥ 18 and ≤75 years old on day of signing informed consent
  • Signing informed consent
  • Patients with histologically confirmed muscle-invasive bladder cancer (cT2-T4, N0, M0) and with strong intent to bladder sparing(Patients with mixed histology, predominantly transitional cells, could be enrolled. )
  • Patients must be willing to provide a TURBT specimen during screening and prior to enrollment if adequate specimen (FFPE tissue block or 15 unstained slides) from initial TURBT documenting muscle-invasive urothelial bladder cancer is not available.
  • ECOG performance status of 0 or 1
  • Adequate organ and marrow function for cisplatin treatment
  • No received prior therapy with systemic chemotherapy or immunotherapy

Exclusion

  • Received prior therapies targeting PD-1, PD-L1, PD-L2, CTLA4, or any other antibody or drug specifically targeting T-cell co-stimulation or checkpoint pathways
  • Any approved anticancer therapy within 28 days before enrollment
  • Active leptomeningeal disease or uncontrolled, untreated brain metastasis
  • Participants with uncontrolled hypercalcemia
  • Participants with active autoimmune diseases or history of autoimmune diseases that may relapse
  • History of interstitial lung disease, noninfectious pneumonitis, or uncontrolled diseases
  • A known history of HIV infection
  • Prior allogeneic stem cell transplantation or organ transplantation
  • History of severe hypersensitivity reactions to other monoclonal antibodies
  • History of allergic reactions to cisplatin, carboplatin, or other platinum-containing compounds

Key Trial Info

Start Date :

July 1 2021

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

July 1 2023

Estimated Enrollment :

40 Patients enrolled

Trial Details

Trial ID

NCT04909775

Start Date

July 1 2021

End Date

July 1 2023

Last Update

June 2 2021

Active Locations (1)

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1

Ruijin Hospital, Shanghai Jiaotong University School of Medicine

Shanghai, Shanghai Municipality, China