Modern Immunotherapy in BCG-Unresponsive, BCG-Relapsing and High Risk BCG-Naive Non-Muscle Invasive Urothelial Carcinoma of the Bladder

PHASE1/PHASE2RecruitingINTERVENTIONAL
Enrollment

55

Participants

Timeline

Start Date

November 21, 2017

Primary Completion Date

December 31, 2025

Study Completion Date

December 31, 2026

Conditions
Urothelial CarcinomaBladder Cancer
Interventions
DRUG

Durvalumab (Cohort 1-3)

Durvalumab 1120 mg intravenously Day 1 every 21 days x 8 cycles.

RADIATION

External Beam Radiotherapy (EBRT)

EBRT 6 Gy x 3; Cycle 1 Day 1, 3, and 5

BIOLOGICAL

Bacillus Calmette-Guérin (BCG)

"Dose level 0 (starting dose) = Full-dose~Dose level-1 = 1/3rd-dose BCG. Dose level -1 is expected to be utilized during the phase II portion of the study due to the ongoing and persistent shortage of BCG in the US."

DRUG

Gemcitabine

Gemcitabine 1000 mg intravesical weekly (+/- 2 days) x 6 doses

DRUG

Docetaxel

Docetaxel 37.5 mg intravesical weekly (+/- 2 days) x 6 doses.

BIOLOGICAL

Tremelimumab

Tremelimumab 75 mg intravenously Day 1 (+/- 2 days) every 28 days x 4 cycles.

DRUG

Durvalumab (Cohort 4/5)

Durvalumab 1500 mg intravenously Day 1 (+/- 2 days) every 28 days x 6 cycles.

OTHER

To be determined

Other regimens to be determined

Trial Locations (12)

10032

RECRUITING

Columbia University Irving Medical Center, New York

19111

RECRUITING

Fox Chase Cancer Center, Philadelphia

21231

RECRUITING

Johns Hopkins University: Sidney Kimmel Comprehensive Cancer Center, Baltimore

27599

ACTIVE_NOT_RECRUITING

University of North Carolina at Chapel Hill, Chapel Hill

46202

RECRUITING

Indiana University Melvin and Bren Simon Cancer Center, Indianapolis

52242

RECRUITING

University of Iowa Hospitals and Clinics, Iowa City

60612

WITHDRAWN

Rush University Medical Cneter, Chicago

63110

RECRUITING

Washington University School of Medicine, St Louis

68198

RECRUITING

University of Nebraska Medical Center, Omaha

85032

TERMINATED

BCG Oncology, Phoenix

94305

WITHDRAWN

Stanford University, Stanford

02215

WITHDRAWN

Dana-Farber Cancer Institute, Boston

All Listed Sponsors
collaborator

AstraZeneca

INDUSTRY

collaborator

Hoosier Cancer Research Network

OTHER

lead

Noah Hahn, M.D.

OTHER