Consolidative Local Therapy (CLT) in Oligo-metastatic Urothelial Carcinoma
NCT07048457 · Status: RECRUITING · Phase: PHASE2 · Type: INTERVENTIONAL · Enrollment: 32
Last updated 2025-12-04
Summary
This study investigates the therapeutic benefit of consolidative local therapy with extirpative surgery for participants with locally advanced or oligo-metastatic urothelial carcinoma that have disease control with enfortumab vedotin-based systemic therapy and surgically resectable or previously radiated metastatic sites.
Conditions
- Locally Advanced Urothelial Carcinoma
- Oligo-metastaic Urothelial Carcinoma
Interventions
- PROCEDURE
-
Radical cystectomy
The intervention in this clinical trial consists of definitive surgical management through radical cystectomy with bilateral pelvic lymph node dissection (PLND), urinary diversion, and metastasectomy of surgically resectable or previously radiated metastatic disease. Surgical approach may be either open or robotic, based on surgeon discretion and patient-specific factors. The PLND will be performed in a standard oncologic fashion, including dissection of the common iliac, external iliac, internal iliac, and obturator nodal basins bilaterally. In cases where metastatic lymph nodes are identified beyond these regions, the lymph node dissection may be extended to achieve gross resection of involved nodal disease within the abdomen or retroperitoneum.
Sponsors & Collaborators
-
Medical College of Virginia Foundation
collaborator UNKNOWN -
Yale University
lead OTHER
Principal Investigators
-
Fed Ghali, MD · Yale University
Study Design
- Allocation
- NA
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2025-11-26
- Primary Completion
- 2028-11-30
- Completion
- 2028-11-30
Countries
- United States
Study Locations
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