← Back to Search

Checkpoint Inhibitor

Radiation Therapy + Durvalumab ± Tremelimumab for Bladder Cancer

Phase 2
Waitlist Available
Led By Albert Chang
Research Sponsored by Jonsson Comprehensive Cancer Center
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Patients must be ineligible for or refuse cisplatin-based chemotherapy. Cisplatin ineligibility is defined as meeting 1 of the following criteria: Creatinine clearance (calculated or measured) < 60 mL/min, Common Terminology Criteria for Adverse Events (CTCAE) grade >= 2 audiometric hearing loss, CTCAE grade 2 or higher peripheral neuropathy, New York Heart Association class III heart failure, Any other criteria deemed by the investigator to make the patient unsuitable for cisplatin-based chemotherapy. Note: The reason for cisplatin ineligibility must be documented. Patients may refuse cisplatin-based chemotherapy after an informed discussion of the risks and benefits, and the reason for refusal must be documented.
Serum creatinine clearance (CL) > 30 mL/min by the Cockcroft-Gault formula or by 24-hour urine collection for determination of creatinine clearance.
Timeline
Screening 3 weeks
Treatment Varies
Follow Up up to 3 years
Awards & highlights

Study Summary

This trial is testing radiation therapy with or without two different drugs to treat bladder cancer.

Who is the study for?
This trial is for adults with bladder cancer that can't be surgically removed, has spread locally or to other body parts. They should have a life expectancy of at least 12 weeks and cannot take cisplatin-based chemotherapy. Participants must not have had certain treatments before, like immunosuppressants or abdominal radiation, and women must not be pregnant.Check my eligibility
What is being tested?
The study tests the effectiveness of radiation therapy combined with durvalumab (a monoclonal antibody) alone or alongside tremelimumab in treating advanced bladder cancer. The goal is to see if adding tremelimumab improves outcomes compared to just durvalumab and radiation.See study design
What are the potential side effects?
Possible side effects include immune-related reactions affecting organs, fatigue, infusion reactions similar to allergic responses, digestive issues such as colitis, skin rashes, hormonal imbalances like thyroid disorders, and an increased risk of infections.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
Select...
I cannot or choose not to receive cisplatin-based chemotherapy due to health reasons or personal choice.
Select...
My kidney function, measured by creatinine clearance, is good.
Select...
I have a tumor that can be measured and has not been treated with radiation.
Select...
I am fully active or can carry out light work.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~up to 3 years
This trial's timeline: 3 weeks for screening, Varies for treatment, and up to 3 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
Incidence of adverse events assessed by Common Terminology Criteria for Adverse Events (CTCAE) version (v.) 4.03 criteria (Safety lead-in cohort)
Progression- free survival (PFS) assessed by Response Evaluation Criteria in Solid Tumors (RECIST) v 1.1 (Expansion cohort)
Secondary outcome measures
Abscopal response (in patients with metastatic disease) determined by RECIST v 1.1 with response (PR and CR) sites away from the primary irradiated tumor
Disease-specific survival
Duration of response
+5 more
Other outcome measures
Change in circulating and tumor-infiltrating T-cell receptor (TCR) repertoire
Circulating immune cell subsets assessed via flow cytometry in peripheral blood mononuclear cell
Gene signature biomarker
+1 more

Trial Design

2Treatment groups
Experimental Treatment
Group I: Regimen B (radiation therapy, durvalumab, tremelimumab)Experimental Treatment3 Interventions
Participants receive tremelimumab IV over 60 minutes on day 1 for up to 2 courses and durvalumab IV over 60 minutes on day 1. Treatment repeats every 28 days for up to 13 courses in the absence of disease progression of unacceptable toxicity. Participants also receive undergo EBRT for 5 fractions beginning on day 8 of course 1.
Group II: Regimen A (radiation therapy and durvalumab)Experimental Treatment2 Interventions
Participants receive durvalumab IV over 60 minutes on day 1. Treatment repeats every 28 days for up to 13 courses in the absence of disease progression or unacceptable toxicity. Participants also undergo EBRT for 5 fractions beginning on day 8 of course 1.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Durvalumab
2017
Completed Phase 2
~3870
External Beam Radiation Therapy
2006
Completed Phase 3
~3070
Tremelimumab
2017
Completed Phase 2
~3380

Find a Location

Who is running the clinical trial?

Jonsson Comprehensive Cancer CenterLead Sponsor
359 Previous Clinical Trials
26,062 Total Patients Enrolled
AstraZenecaIndustry Sponsor
4,259 Previous Clinical Trials
288,593,889 Total Patients Enrolled
Albert ChangPrincipal InvestigatorUCLA / Jonsson Comprehensive Cancer Center

Media Library

Durvalumab (Checkpoint Inhibitor) Clinical Trial Eligibility Overview. Trial Name: NCT03601455 — Phase 2

Frequently Asked Questions

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

What conditions has Tremelimumab been demonstrated to be efficacious in treating?

"Tremelimumab is an effective treatment option for individuals battling unresectable stage III non-small cell lung cancer, untreaded metastatic urothelial carcinoma and other forms of the disease."

Answered by AI

What is the primary goal of this medical study?

"This clinical trial has the primary objective of assessing progression-free survival (PFS) as per Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1 over a 90 day period after the last dose of the investigational product is administered. Secondary outcomes include overall survival, overall response rate (ORR), and abscopal response for patients with metastatic disease, all determined by RECIST v 1.1. Further analysis will use two-sample proportion tests to ascertain if there is any meaningful difference between arms when accounting for stratification design using Cochran-Mantel-Haenszel methodology."

Answered by AI

What evidence exists that demonstrates Tremelimumab's efficacy in medical applications?

"At present, 340 independent trials are actively exploring Tremelimumab with 52 of those studies at Phase 3. Of the 13083 trial sites looking into this drug, many are centered in Cordoba, Texas."

Answered by AI

Has Tremelimumab received federal authorization for use?

"Our team at Power gauged the safety of tremelimumab to be a 2, given its Phase 2 status. There is some evidence that it may pose no risk but there has yet to be any proof for efficacy."

Answered by AI

What is the scope of enrollment for this research project?

"This medical trial is presently not recruiting new patients. The investigation was first opened on October 26th 2018 and has been updated most recently on December 2nd 2021. If you are looking for alternative studies, 321 clinical trials are actively enrolling individuals with urinary bladder cancer while 340 ongoing investigations seek to include participants in a study of Tremelimumab."

Answered by AI

Is this a novel experiment in medical research?

"Presently, Tremelimumab is being tested in 340 clinical trials spread across 58 countries and 1327 cities. AstraZeneca sponsored the first study for this drug back in 2007 which included 37 patients and concluded its Phase 2 approval process. Subsequently, 138 studies have been completed over the last 14 years."

Answered by AI

Are individuals currently able to enlist in this clinical trial?

"According to clinicaltrials.gov, the recruitment period for this study has ended, as it was last updated on the 2nd of December 2021. Initially posted on October 26th 2018, 661 other trials are now actively searching for participants instead."

Answered by AI
~2 spots leftby Jan 2025