Actively Recruiting

Phase 2
Age: 18Years - 75Years
All Genders
NCT04861584

Neoadjuvant Toripalimab in Combination with Gemcitabine and Cisplatin Therapy in Local Advanced Bladder Cancer Subjects

Led by Zhujiang Hospital · Updated on 2024-12-04

41

Participants Needed

1

Research Sites

304 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

This is a pre-surgical study involving subjects with local advanced bladder cancer, who are candidates for neoadjuvant therapy. It is a single-arm phase II portion.

CONDITIONS

Official Title

Neoadjuvant Toripalimab in Combination with Gemcitabine and Cisplatin Therapy in Local Advanced Bladder Cancer Subjects

Who Can Participate

Age: 18Years - 75Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Patients between 18 and 75 years old on day of signing informed consent, regardless of gender
  • ECOG performance status of 0 or 1 with expected survival over 6 months
  • Pathologically confirmed locally advanced bladder urothelial carcinoma (cT2-T4a, N0-1, M0) according to AJCC 2017
  • Planned radical cystectomy surgery
  • At least one measurable lesion of 10 mm or more by spiral CT scan per RECIST1.1
  • No prior anti-tumor systemic treatment since diagnosis
  • Adequate blood counts: WBC 64 4.0 x 10^9/L; platelets 64 90 x 10^9/L; hemoglobin 64 90 g/L (transfusion allowed to meet standard)
  • Adequate blood biochemistry within 2 weeks before treatment: creatinine 64 1.5 x ULN or creatinine clearance 60 mL/min; total bilirubin 64 1.5 x ULN; albumin 64 30 g/L; ALT and AST 64 3.0 x ULN; TSH 64 1.5 x ULN
  • Female patients with fertility must have a negative pregnancy test within 7 days before enrollment and agree to use contraception during and for 8 weeks after treatment
  • Agree to provide tumor tissue samples and follow scheduled visits until clinical recurrence or progression
  • Provide voluntary informed consent
Not Eligible

You will not qualify if you...

  • Prior treatment with anti-PD1, anti-PDL1, anti-CTLA-4 antibodies, or systemic chemotherapy (bladder infusion chemotherapy excluded)
  • Bladder BCG infusion therapy within 4 weeks before study entry
  • Prior radiotherapy to the bladder
  • History of any active autoimmune disease
  • Need for immunosuppressive drugs or corticosteroids exceeding prednisone 10 mg/day within 2 weeks before study drug use
  • Presence of other malignant tumors
  • Allergy history to antibody drugs
  • History of HIV infection
  • Active infections including active tuberculosis
  • Severe heart disease or NYHA class 3 or 4 heart failure
  • Kidney transplant recipients

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 1 location

1

Zhujiang Hospital

Guangzhou, Guangdong, China, 510282

Actively Recruiting

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Research Team

A

Abai Xu, doctor

CONTACT

P

Peng Xu Xu, doctor

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NA

Model

SINGLE_GROUP

Primary Purpose

TREATMENT

Number of Arms

1

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