A Study of Nivolumab Plus Bempegaldesleukin (bempeg/NKTR-214) vsNivolumab Alone vs Standard of Care in Participants With Bladder CancerThat Has Invaded Into the Muscle Wall of the Bladder and Who Cannot getCisplatin, a Type of Medicine Given to Treat Bladder Cancer.

Phase 1

Conditions: Muscle-Invasive Bladder Cancer
MedDRA version: 20.0Level: PTClassification code 10005003Term: Bladder cancerSystem Organ Class: 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Therapeutic area: Diseases [C] - Cancer [C04]

Registration Number: EUCTR2018-002676-40-IT

Lead Sponsor: BRISTOL-MYERS SQUIBB INTERNATIONAL CORPORATIO

Brief Summary: Not available

Detailed Description: Not available

Recruitment & Eligibility

Status: Authorised-recruitment may be ongoing or finished

Sex: All

Target Recruitment: 720

Inclusion Criteria

- MIBC, clinical stage T2-T4a, N0, M0, diagnosed at transurethral
resection of bladder tumor (TURBT) and confirmed by radiographic
imaging.
- Must be deemed eligible for RC by urologist, and must agree to undergo
RC. For arms A and B, participants must agree to undergo RC after
completion of neoadjuvant therapy.
- Eastern Cooperative Oncology Group (ECOG) performance status
0 or 1
- Cisplatin-ineligible participants will be defined by any one of the
following criteria:
i) Impaired renal function (glomerular filtration rate [GFR] = 30 but
< 60 mL/min)
ii) GFR should be assessed by direct measurement (ie, creatinine
clearance) or, if not available, by calculation from serum/plasma
creatinine (Cockcroft-Gault formula)
iii) Common Terminology Criteria for Adverse Events (CTCAE)
version 5, = Grade 2 hearing loss (assessed per local SOC).
iv) CTCAE version 5, = Grade 2 peripheral neuropathy.
- Documented Left Ventricular Ejection Fraction (LVEF) more than 45%
- Women and men must agree to follow specific methods of
contraception, if applicable.
Are the trial subjects under 18? no
Number of subjects for this age range:
F.1.2 Adults (18-64 years) yes
F.1.2.1 Number of subjects for this age range 216
F.1.3 Elderly (>=65 years) yes
F.1.3.1 Number of subjects for this age range 504

Exclusion Criteria

- Clinical evidence of pathologic lymph node (LN) or metastatic bladder
cancer.
- Prior systemic therapy, radiation therapy, or surgery for bladder cancer
other than TURBT or biopsies is not permitted.
Prior Bacillus Calmette-Guerin (BCG) or other intravesicular treatment of
non-muscle invasive bladder cancer (NMIBC) is permitted if completed
at least 6 weeks prior to initiating study treatment.
- Evidence of urothelial carcinoma (UC) in upper urinary tracts (ureters
or renal pelvis) or history of previous MIBC.
- History of pulmonary embolism (PE), deep vein thrombosis (DVT), or
prior clinically significant venous or non-CVA(cerebrovascular
accident)/TIA (Transient ischemic attack) arterial thromboembolic
event.
Other protocol defined inclusion/exclusion criteria could apply.

Study & Design

Study Type: Interventional clinical trial of medicinal product

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method

Secondary Outcome Measures

Name	Time	Method

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