Actively Recruiting

Phase Not Applicable
Age: 18Years +
All Genders
NCT07413523

Randomized Trial of stAndard of Care With or Without Metastases-directed Stereotactic Body Radiation Therapy in Patients Affected by Oligometastatic uRothelial carcinomA

Led by Istituto Clinico Humanitas · Updated on 2026-04-30

44

Participants Needed

1

Research Sites

206 weeks

Total Duration

On this page

Sponsors

I

Istituto Clinico Humanitas

Lead Sponsor

V

Varian, a Siemens Healthineers Company

Collaborating Sponsor

AI-Summary

What this Trial Is About

Bladder cancer is the most common type of urothelial cancer. When the disease has spread to other parts of the body (metastatic disease), the prognosis is often poor, because there are only a few effective treatment options available. At the moment, standard treatment mainly includes systemic therapies, such as chemotherapy and immunotherapy (immune checkpoint inhibitors). These treatments act on the whole body. However, the use of local treatments, such as stereotactic radiotherapy, has not been well studied in bladder cancer. Stereotactic radiotherapy is a type of radiation treatment that delivers very high doses of radiation to the tumor in a small number of treatment sessions. This technique is already widely used to treat a limited number of metastases (called oligometastases) from other types of cancer. The aim of this study is to understand whether stereotactic radiotherapy is also effective and safe for treating oligometastases coming from bladder cancer.

CONDITIONS

Official Title

Randomized Trial of stAndard of Care With or Without Metastases-directed Stereotactic Body Radiation Therapy in Patients Affected by Oligometastatic uRothelial carcinomA

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Age > 18 years
  • WHO performance status ≤ 2
  • Pathologically confirmed urothelial carcinoma
  • Stage IV disease confirmed by imaging
  • Maximum of 3 extracranial metastases
  • Scheduled to receive first or second line standard systemic therapy
  • Adequate liver function
  • Adequate bone marrow function
  • Provided written informed consent
Not Eligible

You will not qualify if you...

  • Unable to provide informed consent
  • Previous radiation therapy on the same target lesions
  • Pregnant or breastfeeding
  • Prior malignancy within the last 5 years except certain treated skin or cervical cancers or localized prostate cancer without progression
  • Mental conditions preventing understanding of the study
  • WHO performance status ≥ 3

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

IRCCS Humanitas Research Hospital

Rozzano, Milan, Italy, 20089

Actively Recruiting

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Research Team

M

Marta Scorsetti, MD, Radiation oncologist

CONTACT

C

Ciro Franzese, MD, Radiation oncologist

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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