Actively Recruiting

Age: 65Years +
All Genders
ID06138561

Management of Cisplatin-Ineligible Patients With Metastatic Bladder Cancer and The Role of Geriatric Assessments

Led by Dana-Farber Cancer Institute · Updated on 2026-02-17

180

Participants Needed

1

Research Sites

26 weeks

Total Duration

On this page

Sponsors

D

Dana-Farber Cancer Institute

Lead Sponsor

N

National Comprehensive Cancer Network

Collaborating Sponsor

AI-Summary

What this Trial Is About

Researchers are studying how best to treat older adults with advanced bladder cancer who may not tolerate all chemotherapy drugs. This study focuses on patients deemed ineligible for cisplatin treatment and evaluates the role of the Geriatric-8 survey in predicting treatment outcomes. The study also looks at how different treatments affect quality of life in this older, at-risk population. Participants receive standard non-cisplatin therapies such as carboplatin-based chemotherapy, enfortumab vedotin plus pembrolizumab, or immunotherapy. The study involves baseline and regular follow-up visits over 8 months, including questionnaires about quality of life and adverse events. Optional follow-up phone calls occur every 6 months for up to 3 years. During participation, patients complete surveys at baseline and every 3 weeks by phone or in office. Researchers monitor patient-reported side effects, quality of life, treatment changes, and acute care visits. The main outcomes measured include quality of life and adverse events over 8 months, with longer-term monitoring of survival and other health measures up to 3 years.

CONDITIONS

Brief Title

Management of Cisplatin-Ineligible Patients With Metastatic Bladder Cancer and The Role of Geriatric Assessments

Who Can Participate

Age: 65Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Age 65 years or older (enrollment of patients age 65-70 limited to 20% of total participants)
  • Diagnosed with unresectable or metastatic bladder cancer with confirmed urothelial carcinoma
  • Determined to be cisplatin-ineligible by primary oncologist
  • Receiving chemotherapy, immunotherapy, or combination therapy for bladder cancer
  • Able and willing to provide informed consent and complete surveys in English or Spanish, alone or with assistance
Not Eligible

You will not qualify if you...

  • Choosing not to undergo cancer-directed therapy
  • Receiving care outside Dana-Farber Cancer Institute or its affiliate sites
  • Having advanced cognitive impairment or inability to complete surveys
  • Currently receiving any other investigational agents for this condition

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person or telephone)

Monitoring

Duration - Up to 8 months

Participants complete questionnaires every 3 weeks to assess quality of life, adverse events, and geriatric assessments while receiving standard non-cisplatin therapies.

Surveys every 3 weeks by telephone or in-office visit

Long-term Monitoring

Duration - Up to 3 years

Participants may have optional follow-up phone calls every 6 months to assess overall survival and long-term outcomes.

Optional phone calls every 6 months

Trial Site Locations

Total: 1 location

1

Dana-Farber Cancer Institute

Boston, Massachusetts, United States, 02215

Actively Recruiting

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Research Team

J

Joaquim Bellmunt, MD, PhD

How is the study designed?

Study Type

OBSERVATIONAL

Masking

N/A

Allocation

N/A

Model

N/A

Primary Purpose

N/A

Number of Arms

1

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Published Research Related To This Trial

Development of the National Cancer Institute's patient-reported outcomes version of the common terminology criteria for adverse events (PRO-CTCAE).

Ethan Basch, Bryce B Reeve, Sandra A Mitchell...

https://pubmed.ncbi.nlm.nih.gov/25265940

Patient-reported outcomes item selection for bladder cancer patients in chemo- or immunotherapy.

Gry Assam Taarnhøj, Henriette Lindberg, Christoffer Johansen...

https://pubmed.ncbi.nlm.nih.gov/31440865

Reliability, validity, and change thresholds of the NCCN/FACT Bladder Symptom Index (NFBlSI-18) in patients with advanced urothelial cancer.

John D Peipert, Jane Chang, Si Li...

https://pubmed.ncbi.nlm.nih.gov/37823532