Treatment Of Metastatic Bladder cancer at the time Of biochemical reLApse following radical cystectomy - TOMBOLA

Aarhus Universitetshospital0 sites282 target enrollmentMay 27, 2024

Conditionsrothelial cancer Therapeutic area: Diseases [C] - Male Urogenital Diseases [C12]Therapeutic area: Diseases [C] - Female Urogenital Diseases and Pregnancy Complications [C13]

Overview

Phase: Phase 1
Intervention: Not specified
Conditions: rothelial cancer
Sponsor: Aarhus Universitetshospital
Enrollment: 282
Status: Active, not recruiting
Last Updated: last year

Overview Investigators Eligibility Criteria Outcomes Similar Trials

Overview

Brief Summary

No summary available.

Registry

who.int

Start Date

May 27, 2024

End Date

TBD

Last Updated

last year

Study Type

Interventional clinical trial of medicinal product

Sex

All

Investigators

Sponsor

Aarhus Universitetshospital

Eligibility Criteria

Inclusion Criteria

•\=18 years of age at the time of signing the Informed Consent Form, For male Study Subjects: agreement to remain abstinent (refrain from heterosexual intercourse) or use a condom, and agreement to refrain from donating sperm, Signed Informed Consent Form, ECOG PS 0 or 1, Is, according to the Investigator’s judgement, able to comply with the trial protocol, Ability to understand the Participant Information Sheet orally and in writing, Preoperative PET/CT of thorax, abdomen, and pelvis with no suspicion of organ metastases or lymph node metastasis\* above the aortic bifurcation, Study Subjects planned to undergo radical cystectomy due to histopathological or clinical documented muscle invasive urothelial carcinoma (including subtypes) stage cT2\-4a in the urinary bladder following NAC\*\* in cisplatin\-fit Study Subjects

Exclusion Criteria

•Other histology of BC than urothelial carcinoma – mixed tumours with urothelial features are allowed, Concomitant invasive cancer within 5 years other than non\-melanoma skin cancer and prostate cancer without metastasis, Known contraindication to immunotherapy, A history of autoimmune disease. Study Subjects with vitiligo, type I diabetes mellitus, residual hypothyroidism due to autoimmune condition only requiring hormone replacement, psoriasis not requiring systemic treatment, or conditions not expected to recur in the absence of an external trigger are permitted to enroll. Subjects with a condition requiring systemic treatment with either corticosteroids (\> 10 mg daily prednisone equivalents) or other immunosuppressive medications within 14 days of study drug administration. Inhaled or topical steroids and adrenal replacement doses \> 10 mg daily prednisone equivalents are permitted in the absence of active autoimmune disease, Study Subjects who meet any of the following criteria will be excluded from study entry: o History of idiopathic pulmonary fibrosis, organizing pneumonia (e.g., bronchiolitis obliterans), drug\-induced pneumonitis, or idiopathic pneumonitis, or evidence of active pneumonitis on screening chest computed tomography (CT) scan o Treatment with systemic immunostimulatory agents (including, but not limited to, interferon and interleukin 2 \[IL\-2]) within 4 weeks or 5 drug elimination half\-lives (whichever is longer) prior to initiation of study treatment, HIV positive, History of pneumonitis (History of radiation pneumonitis in the radiation field (fibrosis) is permitted., Hepatitis B or hepatitis C infection, Subjects who have received a live, attenuated vaccine within 28 days prior to enrolment