Clinical trial Recruiting at 1 site Observational Ages 65 and up

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 typeObservational
Ages65 Years and up
SexAll
Enrollment180 (estimated)
SponsorDana-Farber Cancer Institute
Academic / other
Drugs / interventionsenfortumab, pembrolizumab, chemotherapy, immunotherapy
Locations1 site (Boston, Massachusetts)
StatusRecruiting
StartedMarch 5, 2024
Main results expectedJuly 1, 2027
Study endsJanuary 1, 2028
Registry record updatedFebruary 17, 2026
Trial IDNCT06138561 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

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.