Understanding treatment for older patients with advanced bladder cancer
Official title: Management of Cisplatin-Ineligible Patients With Metastatic Bladder Cancer and The Role of Geriatric Assessments
Run by Dana-Farber Cancer Institute · NCT06138561 · Data updated 2026-11-12
This study is testing a new way to help older patients with advanced bladder cancer who can't take certain chemotherapy drugs by using a survey to see how well treatments work and how they affect their quality of life.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 65 Years and up |
| Sex | All |
| Enrollment | 180 (estimated) |
| Sponsor | Dana-Farber Cancer Institute Academic / other |
| Drugs / interventions | enfortumab, pembrolizumab, chemotherapy, immunotherapy |
| Locations | 1 site (Boston, Massachusetts) |
| Status | Recruiting |
| Started | March 5, 2024 |
| Main results expected | July 1, 2027 |
| Study ends | January 1, 2028 |
| Registry record updated | February 17, 2026 |
| Trial ID | NCT06138561 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are individuals aged 65 and older with unresectable or metastatic bladder cancer who are deemed cisplatin-ineligible.
✕Probably not a fit
Patients who choose not to undergo cancer-directed therapy or have advanced cognitive impairment 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 observational study aims to improve treatment strategies for older patients with metastatic bladder cancer who are ineligible for cisplatin-based chemotherapy. Investigators will assess the effectiveness of the Geriatric-8 survey in predicting treatment outcomes and quality of life for these patients. The study will involve screening for eligibility and collecting patient-reported outcomes over a period of up to 8 months, with approximately 180 participants expected to enroll. The research is supported by the National Comprehensive Cancer Network and EMD Serono.
Why it matters
Potential benefit: If successful, this study could lead to more tailored and effective treatment options for older patients with advanced bladder cancer.
How similar studies have gone: While this approach is focused on geriatric assessments in bladder cancer, similar studies have shown promise in improving treatment outcomes for older cancer patients.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Age ≥65-years-old (study will limit total enrollment of patients between ages 65-70 to 20% of the total study population) * Unresectable or metastatic bladder cancer with histologically proven urothelial carcinoma. Any component of variant histology is allowed * Cisplatin-ineligible as determined by the subject's primary oncologist * Receiving treatment with chemotherapy (+/- immunotherapy maintenance), enfortumab vedotin-pembrolizumab combination therapy or immunotherapy alone * Ability to understand and the willingness to sign a written informed consent document and to complete patient reported outcomes that will be in English or Spanish either alone or with assistance of study researcher or family Exclusion Criteria: * Subjects who elect to not undergo cancer-directed therapy * Subjects obtaining their care outside of DFCI or DFCI affiliate sites * Advanced cognitive impairment or inability to complete surveys * Participants who are receiving any other investigational agents for this condition (if appropriate only).
Where it's running
-
Dana-Farber Cancer Institute
Boston, Massachusetts, United States Recruiting
Study contacts
- Principal investigator: Joaquim Bellmunt, MD, PhD — Dana-Farber Cancer Institute
- Study coordinator: Joaquim Bellmunt, MD, PhD
- Email: Joaquim_bellmunt@dfci.harvard.edu
- Phone: 617-632-2010
Similar studies
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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.