Improve Checkpoint-blockade Response in Advanced Urothelial Cancer

NCT03871036 · Status: COMPLETED · Phase: PHASE1/PHASE2 · Type: INTERVENTIONAL · Enrollment: 53

Last updated 2025-03-06

No results posted yet for this study

Summary

This trial will include metastatic urothelial carcinoma patients who progressed during or after treatment with anti-PD(L)1 therapy and have been treated by a platinum-containing regimen, or are cisplatin-ineligible. Patients will receive either paclitaxel in combination with durvalumab (anti-PDL-1) and a single dose (300 mg) of tremelimumab (anti-CTLA4), or paclitaxel with only a high dose of tremelimumab (750 mg). Tremelimumab (750 mg), without paclitaxel will be used as a comparison arm.

A run-in safety phase will be followed by a non-comparative 3-arm randomized study with a Simon's 2-stage optimal design.

Conditions

Interventions

DRUG

Tremelimumab

See experimental arm description for more details.

DRUG

Durvalumab

See experimental arm description for more details.

DRUG

Paclitaxel

See experimental arm description for more details.

Sponsors & Collaborators

  • AstraZeneca

    collaborator INDUSTRY
  • The Netherlands Cancer Institute

    lead OTHER

Principal Investigators

  • Michiel MS van der Heijden, MD, PhD · NKI-AvL

Study Design

Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Model
PARALLEL

Eligibility

Min Age
18 Years
Sex
ALL
Healthy Volunteers
No

Timeline & Regulatory

Start
2019-05-01
Primary Completion
2023-09-07
Completion
2025-01-15

Countries

  • Netherlands

Study Locations

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Entities

Read the full study record

This page highlights key information. For complete eligibility criteria, study locations, investigator contacts, and the full protocol, visit the original record on ClinicalTrials.gov.

View NCT03871036 on ClinicalTrials.gov