Status:

RECRUITING

Erdafitinib Monotherapy or in Combination With Cetrelimab in Muscle-invasive Bladder Cancer Patients With Fibroblast Growth Factor Receptor (FGFR ) Gene Alterations

Lead Sponsor:

Spanish Oncology Genito-Urinary Group

Collaborating Sponsors:

Janssen-Cilag Ltd.

Pivotal S.L.

Conditions:

Muscle-invasive Bladder Cancer

Eligibility:

All Genders

18+ years

Phase:

PHASE2

Brief Summary

Erdafitinib (ERDA) alone or in combination with cetrelimab (CET) as neoadjuvant treatment (prior to surgery) in subjects with muscle-invasive bladder cancer (MIBC) whose tumours express Fibroblast Gro...

Detailed Description

The aim of the study is to assess the antitumor activity measured as ypT0 rate, defined as no evidence of residual disease based on pathological review of the surgical specimen (pCR) and tumour downst...

Eligibility Criteria

Inclusion

  • Written informed consent stating that he or she understands the purpose of the study and the procedures involved and agrees to participate in the study.
  • Histologically confirmed diagnosis of MIBC (Stage T2-4a N0/N1 M0) obtained via a diagnostic or maximal Transurethral Resection of Bladder Tumor (TURBT) performed no later than 3 months prior to start the screening visit.
  • Pure or predominant (≥50%) urotelial Cancer (UC) histology as determined at the local site.
  • Age ≥ 18 years.
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0-1
  • Decline or ineligible ("unfit") for cisplatin-based chemotherapy
  • Presence of a selected FGFR alteration on analysis of tumour biopsy
  • Adequate organ function
  • No other malignancy
  • Willingness to avoid pregnancy or fathering children

Exclusion

  • Clinical evidence of N2-N3 tumours or metastatic bladder cancer.
  • Has tumour with any neuroendocrine or small cell component.
  • Patients who are not considered fit for cystectomy or reject cystectomy.
  • Prior FGFR-targeted or an immune checkpoint inhibitor (antiPD1/PDL1 )systemic therapy.
  • Prior systemic therapy, radiation therapy, or surgery for bladder cancer

Key Trial Info

Start Date :

March 7 2023

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

October 1 2029

Estimated Enrollment :

90 Patients enrolled

Trial Details

Trial ID

NCT06511648

Start Date

March 7 2023

End Date

October 1 2029

Last Update

December 19 2025

Active Locations (23)

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Page 1 of 6 (23 locations)

1

CLCC Jean Perrin

Clermont-Ferrand, France, 63011

2

CLCC Léon Bérard

Lyon, France, 69008

3

Institut Mutualiste Montsouris

Paris, France, 75014

4

IUCT

Toulouse, France, 31059