Clinical trial Recruiting at 1 site Phase 2 Interventional Ages 18 and up

Combining Clostridium Butyricum with PD1 inhibitors for bladder cancer treatment

Official title: Study on the Efficacy of Neoadjuvant or Adjuvant Therapy Based on PD1 Inhibitors Combined With Clostridium Butyricum Supplementation for Urothelial Carcinoma

Run by The First Affiliated Hospital with Nanjing Medical University · NCT06696742 · Data updated 2026-11-12

This study is testing if adding Clostridium butyricum to PD1 inhibitors can help improve treatment results for bladder cancer patients.

More Bladder (Urothelial, Transitional Cell) Cancer trials

Quick facts

PhasePhase 2
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment60 (estimated)
SponsorThe First Affiliated Hospital with Nanjing Medical University
Academic / other
Drugs / interventionschemotherapy, immunotherapy
Locations1 site (Nanjing, Jiangsu)
StatusRecruiting
StartedFebruary 1, 2024
Main results expectedFebruary 1, 2029
Study endsFebruary 1, 2029
Registry record updatedNovember 20, 2024
Trial IDNCT06696742 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates include patients with T2-T4aN0M0 bladder cancer for neoadjuvant therapy or those with postoperative pathological stage T3-T4 and/or positive lymph node metastasis for adjuvant therapy.

Probably not a fit

Patients who have previously received systemic chemotherapy or immunotherapy, or those with active autoimmune diseases requiring systemic treatment, may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This study investigates the effectiveness of Clostridium butyricum in enhancing the response to anti-PD1 therapy in patients with bladder cancer. It is divided into two parts: one focusing on patients receiving neoadjuvant therapy to assess if Clostridium butyricum improves treatment efficacy after three cycles, and the other examining its impact on prognosis in patients undergoing adjuvant therapy. The study aims to provide insights into improving treatment outcomes for bladder cancer patients who currently have limited options.

Why it matters

Potential benefit: If successful, this approach could significantly improve treatment responses and survival rates for bladder cancer patients.

How similar studies have gone: While the combination of Clostridium butyricum with PD1 inhibitors is a novel approach, similar studies exploring immunotherapy enhancements have shown promising results.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

For Neoadjuvant therapy:

* T2-T4aN0M0 bladder patients

For Adjuvant therapy:

* Postoperative pathological stage T3-T4 and/or lymph node metastasis were positive.

Exclusion Criteria:

* The researchers evaluated the patients who could not tolerate radical surgery;
* Previously received systemic chemotherapy or immunotherapy;
* There are active autoimmune diseases requiring systemic treatment or other diseases requiring long-term use of a large number of hormones and other immunosuppressants;
* Have had major surgery or major trauma within 28 days before joining the group;
* Vaccinated with live vaccine within 28 days before joining the group.

Where it's running

  • The First Affiliated Hospital of Nanjing Medical University
    Nanjing, Jiangsu, China
    Recruiting

Study contacts

  • Principal investigator: Qiang Lu — The First Affiliated Hospital with Nanjing Medical University
  • Study coordinator: Xiao Yang
  • Email: yangxiao2915@163.com
  • Phone: +8613951813528

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.