← Back to Search

Monoclonal Antibodies

Avelumab + AVB-S6-500 for Bladder Cancer (COAXIN Trial)

Phase 1
Waitlist Available
Led By Abhishek Tripathi, MD
Research Sponsored by University of Oklahoma
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Progressed after treatment with at least 1 prior platinum-containing regimen, (e.g., received at least 2 cycles of cisplatin or carboplatin-based regimen) for inoperable locally advanced unresectable or metastatic urothelial carcinoma, OR
Age ≥18 years
Timeline
Screening 3 weeks
Treatment Varies
Follow Up up to 2 years
Awards & highlights

COAXIN Trial Summary

This trial is testing a new cancer treatment combining avelumab and AVB-S6-500 to see if it is safe and effective for patients with advanced urothelial carcinoma.

Who is the study for?
Adults over 18 with advanced urothelial cancer that's inoperable or has spread, and who have already had platinum-based chemo but the cancer got worse. They must be able to perform daily activities with some limitations (ECOG ≤2), provide a tumor sample, and agree to contraception. Excluded are those on recent anticancer drugs, steroids, or with certain other health issues like untreated brain metastases or active infections.Check my eligibility
What is being tested?
The trial is testing the safety and effects of combining two treatments: Avelumab (an immunotherapy drug) and AVB-S6-500 (a new therapy) for patients whose bladder cancer has worsened after chemotherapy. The goal is to see if this combination helps more than current treatments.See study design
What are the potential side effects?
Possible side effects include immune-related reactions such as inflammation in various organs, infusion reactions similar to allergic responses during treatment administration, fatigue, potential blood disorders, increased risk of infections due to immune system suppression.

COAXIN Trial Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
Select...
My cancer progressed after platinum-based treatment.
Select...
I am 18 years old or older.
Select...
I cannot have cisplatin chemotherapy due to my health condition.
Select...
I chose not to undergo platinum-based chemotherapy after discussing it with my doctor.
Select...
My cancer is advanced and cannot be surgically removed, or it has spread beyond its original location.
Select...
I can take care of myself but might not be able to do heavy physical work.

COAXIN Trial Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~up to 2 years
This trial's timeline: 3 weeks for screening, Varies for treatment, and up to 2 years for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
Safety and Tolerability
Secondary outcome measures
Clinical Benefit Rate
Duration of Response
Investigator assessed Objective Response Rate
+2 more

Side effects data

From 2020 Phase 2 trial • 19 Patients • NCT03006848
17%
Musculoskeletal and connective tissue disorders
11%
Injury, poisoning and procedural complications
6%
Cardiac disorders
6%
Immune system disorders
6%
Investigations
6%
Infections and infestations
6%
Metabolism and nutrition disorders
6%
Nervous system disorders
6%
General disorders and administration site conditions
6%
Gastrointestinal disorders
6%
Endocrine disorders
6%
Respiratory, thoracic and mediastinal disorders
6%
Blood and lymphatic system disorders
6%
Neoplasms benign, malignant and unspecified
6%
Renal and urinary disorders
6%
Skin and subcutaneous tissue disorders
100%
80%
60%
40%
20%
0%
Study treatment Arm
Avelumab

COAXIN Trial Design

1Treatment groups
Experimental Treatment
Group I: Avelumab + AVB-S6-500Experimental Treatment2 Interventions
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Avelumab
2018
Completed Phase 2
~2450
AVB-S6-500
2018
Completed Phase 1
~100

Find a Location

Who is running the clinical trial?

University of OklahomaLead Sponsor
455 Previous Clinical Trials
97,591 Total Patients Enrolled
Aravive, Inc.Industry Sponsor
8 Previous Clinical Trials
605 Total Patients Enrolled
EMD SeronoIndustry Sponsor
143 Previous Clinical Trials
27,182 Total Patients Enrolled

Media Library

AVB-S6-500 (Monoclonal Antibodies) Clinical Trial Eligibility Overview. Trial Name: NCT04004442 — Phase 1
Bladder Cancer Research Study Groups: Avelumab + AVB-S6-500
Bladder Cancer Clinical Trial 2023: AVB-S6-500 Highlights & Side Effects. Trial Name: NCT04004442 — Phase 1
AVB-S6-500 (Monoclonal Antibodies) 2023 Treatment Timeline for Medical Study. Trial Name: NCT04004442 — Phase 1

Frequently Asked Questions

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

Has the FDA sanctioned AVB-S6-500 for use in medical treatment?

"Our team's assessment puts the safety of AVB-S6-500 at a low score of 1, as this is an initial Phase 1 trial which has limited data regarding its efficacy and security."

Answered by AI

Are there other scientific investigations utilizing AVB-S6-500?

"Currently, there are 111 active studies in relation to AVB-S6-500 with 10 trials at the critical Phase 3. Barcelona and South dakota host most of these clinical tests; however, investigations concerning AVB-S6-500 can also be found in 3678 separate locations."

Answered by AI

What is the ultimate goal of this experiment?

"The main objective of this trial over a two-year period is to measure the incidence of dose limiting toxicities. Secondary metrics include overall survival, clinical benefit rate and progression free survival; all calculated respectively as the time between enrollment and death or date of last contact (or end of study), proportion of patients with response or stable disease on treatment, and interval from enrollment until disease deterioration, expiration or final contact (or dropout/end)."

Answered by AI

Is recruitment still taking place for this research endeavor?

"Clinicialtrials.gov discloses that this research is not presently recruiting patients, despite having been initially posted on February 17th 2020 and recently edited November 21st 2022. Notwithstanding, there are 2,629 other studies actively looking for volunteers at the present moment."

Answered by AI

Is this research a pioneering endeavor?

"Since 2014, AVB-S6-500 has remained an area of focus for research. After the inaugural 204 patient trial sponsored by EMD Serono Research & Development Institute, Inc., Phase 2 approval was granted. Currently there are 111 active studies in 1024 cities and 52 countries worldwide dedicated to this medication."

Answered by AI

How many participants have registered for this investigation?

"This trial has ceased recruitment and was last updated on November 21st 2022. If you are exploring alternatives, there is a total of 2518 clinical trials recruiting patients with transitional cell carcinoma and 111 for the AVB-S6-500 medication currently in progress."

Answered by AI
~4 spots leftby Apr 2025