Recruiting PHASE1, PHASE2 Advanced Bladder Cancer

New treatment option for Advanced Bladder Cancer

Official title Enfortumab Vedotin With Radiation for Locally Advanced Bladder Cancer (CONSOLIDATE)

ClinicalTrials.gov ID: NCT06434350

What this study is testing

What is Enfortumab Vedotin?

Enfortumab Vedotin is an investigational medicine, given as an infusion into a vein, being studied as a potential treatment for advanced bladder cancer.

Plain-language explanation of the investigational treatment - it is being studied and is not an approved or proven therapy. The study team can confirm the details.

What it's testing
To learn if the combination of enfortumab vedotin plus radiation therapy could help to control the disease.
  • Phase 2: a mid-size study of how well it works

A plain-language read of the study's public ClinicalTrials.gov listing. The study team confirms the details.

Who can take part

Ages 18 and older

You may be able to join if

  • Pathologically confirmed diagnosis of urothelial carcinoma of the bladder including patients with T4N0 and T1-4N2-3 disease. Participants with mixed...
  • Be ≥ 18 years of age on the day of signing informed consent.
  • ECOG performance status 0-2. NOTE: If participants is unable to walk due to paralysis, but is mobile in a wheelchair, participants is ambulatory for...
  • The participant has the following baseline laboratory data:
  • Hemoglobin ≥ 9 g/dL

You likely can't join if

  • Has a diagnosis of active scleroderma, lupus, ulcerative colitis, or other rheumatologic disease which in the opinion of the treating radiation...
  • Has known psychiatric or substance abuse disorders that would interfere with cooperation with the requirements of the trial as determined by the...
  • Distant metastatic disease beyond lymph node metastases, which by the discretion of the treating physician cannot be treated definitively in a...
  • Has history of prior pelvic radiation therapy
  • Has ongoing clinically significant toxicity (Grade 2 or higher with exception of alopecia) associated with prior systemic therapy
  • History of uncontrolled diabetes mellitus within 3 months of enrollment. Uncontrolled diabetes is defined as hemoglobin A1c (HbA1c) ≥ 8% or HbA1c...
See the full eligibility criteria
Who can join
  • Pathologically confirmed diagnosis of urothelial carcinoma of the bladder including patients with T4N0 and T1-4N2-3 disease. Participants with mixed urothelial carcinoma of bladder will also be included.
  • Be ≥ 18 years of age on the day of signing informed consent.
  • ECOG performance status 0-2. NOTE: If participants is unable to walk due to paralysis, but is mobile in a wheelchair, participants is ambulatory for the purpose of assessing their performance status.
  • The participant has the following baseline laboratory data:
  • Hemoglobin ≥ 9 g/dL
  • Platelet count ≥ 100 x 109 g/dL
  • Creatinine clearance (CrCl) ≥ 30 mL/min as estimated per institutional standards (glomerular filtration rate [GFR] can also be used instead of CrCl)
  • Absolute neutrophil count (ANC) ≥ 1500/mm3
  • Male participants must consistently use highly effective methods of birth control starting at screening and continue throughout study period and for at least 6 months after radiation completion
  • Female participants must consistently use highly effective methods of birth control starting at screening and continue throughout the study period and for at least 6 months after radiation completion
  • Candidate for definitive local therapy to active disease per the discretion of the treating physicians.
What rules you out
  • Has a diagnosis of active scleroderma, lupus, ulcerative colitis, or other rheumatologic disease which in the opinion of the treating radiation oncologist precludes safe radiation therapy.
  • Has known psychiatric or substance abuse disorders that would interfere with cooperation with the requirements of the trial as determined by the treating physician and/or member of the study team.
  • Distant metastatic disease beyond lymph node metastases, which by the discretion of the treating physician cannot be treated definitively in a radiation field
  • Has history of prior pelvic radiation therapy
  • Has ongoing clinically significant toxicity (Grade 2 or higher with exception of alopecia) associated with prior systemic therapy
  • History of uncontrolled diabetes mellitus within 3 months of enrollment. Uncontrolled diabetes is defined as hemoglobin A1c (HbA1c) ≥ 8% or HbA1c between 7 and \< 8% with associated diabetes symptoms (polyuria or...
  • Has estimated life expectancy of less than 12 weeks
  • Has preexisting sensory or motor neuropathy Grade ≥ 2
  • Participants receiving ongoing systemic intravenous antimicrobial treatment for active infection at time of randomization
  • Participants have a known history of hepatitis B (defined as HBsAg reactive) or known active hepatitis C virus (defined as HCV RNA [qualitative] is detected) infection. No testing for hepatitis B and hepatitis C is...
  • Has a known history of human immunodeficiency virus (HIV) infection. Testing is not required unless mandated by the local health authority.
  • Has conditions requiring high doses of steroids (\>10 mg/day of prednisone or equivalent) or other immunosuppressive medications are excluded. Inhaled or topical steroids are permitted in the absence of active...
  • Has a history of idiopathic pulmonary fibrosis, organizing pneumonia, drug-induced pneumonitis, idiopathic pneumonitis, or evidence of active pneumonitis on screening chest CT scan.
  • Has received a prior allogeneic stem cell or solid organ transplant.
  • Has active tuberculosis As the CORe system in MDACC is set up as a one-step enrollment process, the above inclusion criteria will be assessed prior to CORe enrollment. Following CORe enrollment, the below exclusion...
  • Female participants of childbearing potential should have a negative urine or serum pregnancy within 6 weeks prior to study registration up to the first fraction of radiation.
  • Note: If the urine test is positive or cannot be confirmed as negative, a serum pregnancy test will be required.

The study team makes the final eligibility decision.

Where it's taking place

  • Houston, Texas, United States

Questions & answers

Do participants get paid in this trial?

This listing doesn't specify compensation. Many trials still reimburse travel or offer a stipend, so it's worth asking the study team when you connect.

Is it free to join, and do I need insurance?

Searching and applying through BridgeMD is free. In clinical trials the study-related treatment and visits are generally provided at no cost to you. You usually don't need insurance to take part - confirm specifics with the study team.

How long does this study last?

The listing doesn't state an exact length. The study team walks you through the schedule and number of visits before you decide to enroll.

Who can join this trial?

This study is enrolling all sexes, 18 years and older. The study team makes the final eligibility decision.

Where is this trial taking place?

Study sites include Houston, Texas, United States. Enter your location above to see the nearest site and check your eligibility.

Explore other conditions

BridgeMD is an information and trial-matching tool - not medical advice, and not the study sponsor. Details come from ClinicalTrials.gov; the study team decides eligibility.