New treatments for muscle-invasive bladder cancer
Official title: Understanding Tumor and Immune Dynamics and Predicting Response to Various Perioperative Therapies in Patients With Muscle-invasive Bladder Cancer
Run by IRCCS San Raffaele · NCT06341478 · Data updated 2026-11-12
This study is testing new treatments for muscle-invasive bladder cancer in patients who can't take standard chemotherapy to see if a combination of two drugs can help improve their outcomes.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 153 (estimated) |
| Sponsor | IRCCS San Raffaele Academic / other |
| Drugs / interventions | pembrolizumab, Sacituzumab, chemotherapy, immunotherapy |
| Locations | 1 site (Milan, Mi) |
| Status | Recruiting |
| Started | March 15, 2024 |
| Main results expected | March 15, 2026 |
| Study ends | March 15, 2027 |
| Registry record updated | April 2, 2024 |
| Trial ID | NCT06341478 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates include patients with histopathologically-confirmed urothelial carcinoma and clinical stage T2-T4N0M0 MIBC.
✕Probably not a fit
Patients who refuse to participate in the related studies or lack available baseline tumor and blood samples 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 clinical trial investigates various neoadjuvant therapies for patients with muscle-invasive bladder cancer (MIBC) who cannot receive or refuse cisplatin-based chemotherapy. It aims to evaluate the effectiveness of antibody-drug conjugates, specifically Sacituzumab govitecan, alone and in combination with pembrolizumab, to improve patient outcomes. The study also focuses on developing a biomarker program to better understand the biology of MIBC and identify which patients may benefit from these therapies. Participants will be those enrolled in related clinical trials or candidates for radical cystectomy.
Why it matters
Potential benefit: If successful, this study could provide new effective treatment options for patients with MIBC who currently have limited choices.
How similar studies have gone: Previous studies have shown promising results with single-agent immunotherapy in similar patient populations, indicating potential for success with these new approaches.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Inclusion in NureCombo (NCT04876313), SURE-01 (NCT05226117), and SURE-02 (NCT05535218) clinical trials or candidates to radical cystectomy as per routine clinical practice. 2\. Histopathologically-confirmed urothelial carcinoma (UC). 3. Eastern Cooperative Oncology Group (ECOG) performance status 0-1. 4. Clinical stage T2-T4N0M0, muscle-invasive bladder cancer (MIBC) Exclusion Criteria: 1. Refusal to partecipate to the above studies 2. Unavailability of baseline tumor and blood samples
Where it's running
-
IRCCS Ospedale San Raffaele
Milan, Mi, Italy Recruiting
Study contacts
- Study coordinator: Andrea Necchi, MD
- Email: necchi.andrea@hsr.it
- Phone: +390226435789
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Bladder cancer: test a biomarker-guided plan after neoadjuvant therapy
This phase 2 study tests a biomarker- and response-guided plan to preserve the bladder in patients with muscle-invasive bladder cancer after neoadjuvant therapy.
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Urinary Cell-Free DNA Test for Urothelial Cancer Origin
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BL-M07D1: T-bren vs standard platinum chemo for HER2-expressing metastatic urothelial cancer after anti-PD-(L)1 therapy
This trial tests whether T-bren can help people with HER2-expressing metastatic urothelial cancer who progressed after anti-PD-(L)1 therapy, compared with standard platinum-based chemotherapy.
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Sac-TMT and pembrolizumab with chemoradiation for bladder muscle invasion
This trial tests whether adding Sac-TMT and pembrolizumab to chemoradiation helps people with muscle-invasive bladder cancer live longer without the cancer growing or returning.
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Researchers are using patient tumor tissue and blood to grow personalized 3D, vascularized tumoroids with autologous immune cells to help tailor treatments for kidney, bladder, and prostate cancers.
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.