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Carcinoma, Transitional Cell clinical trials

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NCT ID: NCT04878250 Not yet recruiting - Bladder Cancer Clinical Trials

Preoperative Bintrafusp Alfa in Operable Urothelial Carcinoma of the Bladder

PEBBLE
Start date: June 2021
Phase: Phase 2
Study type: Interventional

PEBBLE is an open-label, international, multicentre, window of opportunity phase II trial that aims to evaluate the effects of short-term preoperative therapy with bintrafusp alfa in patients with histologically confirmed urothelial carcinoma requiring radical surgery with bilateral pelvic lymph node dissection. Eligible patients will receive 4 doses of bintrafusp alfa (1200mg flat dose) at 14 day intervals before undergoing radical surgery. Patients will attend study visits at 6, 12 and 24 weeks following their surgery. After the 24-week post-surgical visit, patients will enter a follow up phase during which they will be contacted annually for 2 years after their surgery to collect survival and disease status data. The efficacy of bintrafusp alfa will be assessed on CT/MRI scan images and tumour tissue samples collected at baseline and after treatment with bintrafusp alfa.

NCT ID: NCT04636515 Not yet recruiting - Clinical trials for Locally Advanced or Metastatic Urothelial Cell Carcinoma

A Phase Ⅱ Study of F520 in Patients With Urothelial Carcinoma

Start date: January 2021
Phase: Phase 2
Study type: Interventional

This is a multicenter, Phase 2 study to evaluate the efficacy and safety of the anti- programmed cell death-1(PD-1) monoclonal antibody F520 in participants with locally advanced or metastatic Urothelial Cancer (UC).

NCT ID: NCT04568304 Not yet recruiting - Clinical trials for Locally Advanced or Metastatic Urothelial Carcinoma

A Study Evaluating Toripalimab Injection Combined With Standard Chemotherapy as a First-line Treatment for Locally Advanced or Metastatic Urothelial Carcinoma

Start date: November 30, 2020
Phase: Phase 3
Study type: Interventional

The study is being conducted to evaluate the efficacy and safety of Toripalimab Injection in combination with chemotherapy compared to placebo in combination with chemotherapy in subjects with PD-L1-positive unresectable locally advanced or metastatic urothelial carcinoma who have received no previous systemic therapy.

NCT ID: NCT04339933 Not yet recruiting - Bladder Cancer Clinical Trials

Detection of FGFR Gene Mutations in the Tumor Tissue and Urine of Patients With Urothelial Carcinoma

Start date: May 1, 2022
Phase:
Study type: Observational

This study aims to compare the correlation between FGFR mutations found in bladder cancer tissues and urine to develop a companion diagnostic method for predicting the effect of FGFR inhibitors using urine samples of the patients with urothelial cancer.

NCT ID: NCT04295967 Not yet recruiting - Clinical trials for Urothelial Carcinoma

Vasculogenic Mimicry in Urothelial Carcinoma

Start date: May 2020
Phase:
Study type: Observational

In this study, the investigators aim at: 1. Evaluate the presence of vasculogenic mimicry in urothelial carcinomas by CD31-PAS double staining. 2. Correlate the presence of vasculogenic mimicry with the clinicopathologic features as age, sex, TNM stage, pathological grade, recurrence, carcinoma in situ, lymphovascular emboli, lymph node metastasis, necrosis, surgical margin, multifocality and tumor size in urothelial carcinoma.

NCT ID: NCT04255771 Not yet recruiting - Chemotherapy Effect Clinical Trials

A Study of Postoperative Adjuvant Chemotherapy for Upper Urinary Urothelial Carcinoma With Lymphovascular Invasion

Start date: March 1, 2020
Phase: Phase 3
Study type: Interventional

This project is to explore the effect of adjuvant chemotherapy on total tumor survival time, progression-free survival time, and recurrence-free survival time in patients with pTanyN0M0 upper urinary urothelial carcinoma with lymphatic vascular invasion (LVI) through a prospective case-control study.

NCT ID: NCT04223063 Not yet recruiting - Bladder Cancer Clinical Trials

Exercise-based Pre-habilitation in Bladder Cancer Patients Prior to Radical Cystectomy: a Feasibility Study

Start date: March 2020
Phase: N/A
Study type: Interventional

The purpose of this study is to explore the feasibility and efficacy of a 12-week, home-based exercise program in bladder cancer patients undergoing curative intent neoadjuvant chemotherapy and RC.

NCT ID: NCT04211012 Not yet recruiting - Clinical trials for Urothelial Carcinoma

A Study on Toripalimab Plus Nab-Paclitaxel With or Without Cisplatin as First-line Treatment of Urothelial Carcinoma

Start date: November 30, 2020
Phase: Phase 2
Study type: Interventional

This is a single-center, open-label,phase II study designed to evaluate the efficacy and safety of Toripalimab plus nab-paclitaxel with or without cisplatin as first-line treatment of unresectable locally advanced or metastatic urothelial carcinoma.Each enrolled Patient will receive Toripalimab plus nab-paclitaxel with or without cisplatin until progressive disease or intolerable toxicity occurs, then enter a survival follow-up period. Nab-paclitaxel with or without cisplatin will be administered for up to 6 cycles, and Toripalimab up to 2 years.

NCT ID: NCT04064190 Not yet recruiting - Clinical trials for Advanced Urothelial Carcinoma

Vactosertib With Durvalumab in Urothelial Carcinoma Failing Checkpoint Inhibition

Start date: October 15, 2021
Phase: Phase 2
Study type: Interventional

This is Phase 2, open label, non randomized single arm study to determine whether the administration of vactosertib with durvalumab will provide meaningful increases in the Overall Response Rate (ORR) in patients with urothelial cancers that fail to achieve a response with anti-PD-1/PD-L1 based regimens

NCT ID: NCT03577132 Not yet recruiting - Clinical trials for Urothelial Carcinoma

The Efficacy of Neoadjuvant Atezolizumab Treatment in Patients With Advanced Urothelial Bladder Cancer

Start date: August 1, 2018
Phase: N/A
Study type: Interventional

Recently, promising evidences that blocking PD-1 and PD-L1 is an efficacious way to treat advanced stage bladder cancer patients. Atezolimumab is the first PD-L1 inhibitor approved by US FDA for advanced UBC in June 2014. These novel agents will become the standard therapy for unhopeful UBC patients who fail to respond to cisplatin-based chemotherapy and finally, the first-line treatment would be changed from cisplatin-based chemotherapy to immune check point inhibitors for advanced UBC, particularly neoadjuvant setting. Additionally, along with enormous analysis of genomic landscape of bladder cancer, a consensus was reached regarding the existence of a group of Basal-Squamous-like tumors - designated BASQ - characterized the high expression of KRT5/6 and KRT14 and low/undetectable expression of FOXA1 and GATA3. This novel molecular classification can improve the identification of optimal patient population for different treatment modalities. Specifically, luminal type and basal type may have different treatment response and prognosis after initial definitive treatment, such as neoadjuvant treatments. However, there is no evidence for this topic, particularly the clinical efficacy of neoadjuvant PD-L1 inhibitors according to the BASQ classification in patients with advanced urothelial bladder cancer.