A Phase III, Randomized, Open-Label, Multi-Center, Global Study to Determine the Efficacy and Safety of Durvalumab in Combination With Gemcitabine+Cisplatin for Neoadjuvant Treatment Followed by Durvalumab Alone for Adjuvant Treatment in Patients With Muscle-Invasive Bladder Cancer.

ClinicalTrials.gov processed this data on November 27, 2024. Link to the current ClinicalTrials.gov record.

Recruitment Status

ACTIVE, NOT RECRUITING (See Contacts and Locations)
Verified November 2024 by AstraZeneca

Sponsor

AstraZeneca

Information Provided by (Responsible Party)

AstraZeneca

Clinicaltrials.gov Identifier

NCT03732677
Other Study ID Numbers: D933RC00001
First Submitted: October 5, 2018
First Posted: November 6, 2018
Last Update Posted: November 29, 2024
Last Verified: November 2024
History of Changes

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Study Description

Not Provided
Condition or Disease Intervention/Treatment
  • Muscle Invasive Bladder Cancer
  • Drug: Durvalumab
  • Drug: Cisplatin
  • Drug: Gemcitabine

Study Design

Study TypeInterventional
Actual Enrollment1063 participants
Design AllocationRandomized
Interventional ModelParallel Assignment
MaskingNone (Open Label)
Primary PurposeTreatment
Official TitleA Phase III, Randomized, Open-Label, Multi-Center, Global Study to Determine the Efficacy and Safety of Durvalumab in Combination With Gemcitabine+Cisplatin for Neoadjuvant Treatment Followed by Durvalumab Alone for Adjuvant Treatment in Patients With Muscle-Invasive Bladder Cancer.
Study Start DateNovember 16, 2018
Anticipated Primary Completion DateJune 30, 2025
Anticipated Study Completion DateJune 30, 2026

Groups and Cohorts

Group/ CohortIntervention/ Treatment
  • Arm 1
    • Chemotherapy + Durvalumab
  • Drug: Durvalumab
    • Anti- PD-L1 Antibody
  • Drug: Cisplatin
    • Drug: Gemcitabine
      • Arm 2
        • Chemotherapy alone
      • Drug: Cisplatin
        • Drug: Gemcitabine

          Outcome Measures

          Primary Outcome Measures

          1. Pathologic complete response (pCR) rates at time of cystectomy [Up to 6 months]
          2. Event-free survival (EFS) per central review defined as time from randomization to event [Up to 48 months]

          Secondary Outcome Measures

          1. Proportion of patients who achieve [Up to 6 months]
          2. EFS at 24 months (EFS24) defined as time from randomization to event [Up to 24 months]
          3. Proportion of patients who undergo cystectomy [Up to 6 months]
          4. Overall survival rate at 5 years [Up to 60 months]
          5. PFS2 defined as time from randomization to event following subsequent therapy [Up to 84 months]
          6. Safety and Tolerability as evaluated by adverse events occurring throughout the study [Up to 84 months]
          7. Immunogenicity of durvalumab when used in combination with gemcitabine/cisplatin as measured by presence of antidrug antibodies (ADA) [Up to 12 months]
          8. Overall Survival [Up to 84 months]
          9. Metastasis-free survival per investigator assessment or local biopsy review. [Up to 48 months]
          10. Disease-specific survival per investigator assessment or local biopsy review. [up to 48 months]
          11. Disease-free survival [Up to 48 months]

          Eligibility Criteria

          Ages Eligible for Study 18 Years to 130 Years (Adult, Older Adult)
          Sexes Eligible for Study All
          Accepts Healthy Volunteers No
          Inclusion Criteria
          • esectable muscle-invasive bladder cancer with clinical stage T2-T4aN0/1M0 with transitional and mixed transitional cell histology
          • Patients must be planning to undergo a radical cystectomy
          • Patients who have not received prior systemic chemotherapy or immunotherapy for treatment of MIBC
          • ECOG performance status of 0 or 1
          • Must have a life expectancy of at least 12 weeks at randomization
          • Exclusion:
          • Evidence of lymph node (N2-N3) or metastatic (M1) disease at time of screening.
          • Prior pelvic radiotherapy treatment within 2 years of randomization to study
          • Prior exposure to immune-mediated therapy (with exclusion of Bacillus-Calmette Guerin [BCG]), including but not limited to other anti-CTLA-4, anti-PD-1, anti PD-L1, or anti-PD-L2 antibodies.
          • Current or prior use of immunosuppressive medication within 14 days before the first dose of investigational product (IP). The following are exceptions to this criterion: Intranasal, inhaled, topical steroids, or local steroid injections (eg, intra articular injection); Systemic corticosteroids at physiologic doses not to exceed 10 mg/day of prednisone or its equivalent; Steroids as premedication for hypersensitivity reactions (eg, CT scan premedication)
          • Receipt of live attenuated vaccine within 30 days prior to the first dose of IP.
          • Uncontrolled intercurrent illness
          • Active infection including Tuberculosis, Hepatitis B, Hepatitis C, and H
          Exclusion Criteria
          • esectable muscle-invasive bladder cancer with clinical stage T2-T4aN0/1M0 with transitional and mixed transitional cell histology
          • Patients must be planning to undergo a radical cystectomy
          • Patients who have not received prior systemic chemotherapy or immunotherapy for treatment of MIBC
          • ECOG performance status of 0 or 1
          • Must have a life expectancy of at least 12 weeks at randomization
          • Exclusion:
          • Evidence of lymph node (N2-N3) or metastatic (M1) disease at time of screening.
          • Prior pelvic radiotherapy treatment within 2 years of randomization to study
          • Prior exposure to immune-mediated therapy (with exclusion of Bacillus-Calmette Guerin [BCG]), including but not limited to other anti-CTLA-4, anti-PD-1, anti PD-L1, or anti-PD-L2 antibodies.
          • Current or prior use of immunosuppressive medication within 14 days before the first dose of investigational product (IP). The following are exceptions to this criterion: Intranasal, inhaled, topical steroids, or local steroid injections (eg, intra articular injection); Systemic corticosteroids at physiologic doses not to exceed 10 mg/day of prednisone or its equivalent; Steroids as premedication for hypersensitivity reactions (eg, CT scan premedication)
          • Receipt of live attenuated vaccine within 30 days prior to the first dose of IP.
          • Uncontrolled intercurrent illness
          • Active infection including Tuberculosis, Hepatitis B, Hepatitis C, and Human Immunodeficiency

          Contacts and Locations

          Sponsors and Collaborators AstraZeneca
          Locations
          • Research Site | Birmingham, Alabama, United States, 35294
          • Research Site | Los Angeles, California, United States, 90095
          • Research Site | Palo Alto, California, United States, 94304
          • Research Site | New Haven, Connecticut, United States, 06520
          • Research Site | Chicago, Illinois, United States, 60611
          • Research Site | Geneva, Illinois, United States, 60134
          • Research Site | Iowa City, Iowa, United States, 52242
          • Research Site | Westwood, Kansas, United States, 66205
          • Research Site | Louisville, Kentucky, United States, 40202
          • Research Site | New Orleans, Louisiana, United States, 70112
          • Research Site | Towson, Maryland, United States, 21204
          • Research Site | Ann Arbor, Michigan, United States, 48109
          • Research Site | Detroit, Michigan, United States, 48201
          • Research Site | New York, New York, United States, 10029
          • Research Site | Rochester, New York, United States, 14642
          • Research Site | Bethlehem, Pennsylvania, United States, 18015
          • Research Site | Burlington, Vermont, United States, 05401
          • Research Site | Milwaukee, Wisconsin, United States, 53226
          • Research Site | Brisbane, Australia, 4122
          • Research Site | Elizabeth Vale, Australia, 5112
          • Research Site | Macquarie University, Australia, 2109
          • Research Site | Melbourne, Australia, 3004
          • Research Site | Murdoch, Australia, 6150
          • Research Site | South Brisbane, Australia, 4101
          • Research Site | Brugge, Belgium, 8000
          • Research Site | Charleroi, Belgium, 6000
          • Research Site | Kortrijk, Belgium, 8500
          • Research Site | Leuven, Belgium, 3000
          • Research Site | Liège, Belgium, 4000
          • Research Site | Roeselare, Belgium, 8800
          • Research Site | Barretos, Brazil, 14784-400
          • Research Site | Porto Alegre, Brazil, 90020-090
          • Research Site | Porto Alegre, Brazil, 90470-340
          • Research Site | Porto Alegre, Brazil, 90610-000
          • Research Site | Porto Alegre, Brazil, 91350-200
          • Research Site | Rio de Janeiro, Brazil, 20231-050
          • Research Site | Santa Maria, Brazil, 97015-450
          • Research Site | Sao Paulo, Brazil, 01323-903
          • Research Site | Sao Paulo, Brazil, 01509-900
          • Research Site | São José do Rio Preto, Brazil, 15090-000
          • Research Site | São Paulo, Brazil, 01246-000
          • Research Site | São Paulo, Brazil, 03102-002
          • Research Site | Edmonton, Alberta, Canada, T6G 1Z2
          • Research Site | Vancouver, British Columbia, Canada, V5Z 4E6
          • Research Site | London, Ontario, Canada, N6A 5W9
          • Research Site | Ottawa, Ontario, Canada, K1H 8L6
          • Research Site | Toronto, Ontario, Canada, M5G IX6
          • Research Site | Montreal, Quebec, Canada, H2X 0C2
          • Research Site | Sherbrooke, Quebec, Canada, J1H 5N4
          • Research Site | Antofagasta, Chile, 1267348
          • Research Site | Puerto Montt, Chile, 5480000
          • Research Site | Santiago, Chile, 7520349
          • Research Site | Temuco, Chile, 4810218
          • Research Site | Temuco, Chile, 4810469
          • Research Site | Viña del Mar, Chile, 2540488
          • Research Site | Brno, Czechia, 656 53
          • Research Site | Brno, Czechia, 656 91
          • Research Site | Hradec Kralove, Czechia, 500 05
          • Research Site | Olomouc, Czechia, 77900
          • Research Site | Praha 2, Czechia, 128 08
          • Research Site | Praha 8, Czechia, 180 81
          • Research Site | Praha, Czechia, 140 59
          • Research Site | Angers Cedex 01, France, 49033
          • Research Site | Dijon, France, 21079
          • Research Site | Grenoble Cedex 09, France, 38043
          • Research Site | Montpellier, France, 34070
          • Research Site | Nimes, France, 30029
          • Research Site | Pierre Benite, France, 69495
          • Research Site | Poitiers Cedex, France, 86021
          • Research Site | Rouen, France, F-76031 CE
          • Research Site | Bergisch Gladbach, Germany, 51465
          • Research Site | Bonn, Germany, 53127
          • Research Site | Erlangen, Germany, 91054
          • Research Site | Göttingen, Germany, 37075
          • Research Site | Herne, Germany, 44625
          • Research Site | Jena, Germany, 07747
          • Research Site | Köln, Germany, 50937
          • Research Site | Magdeburg, Germany, 39120
          • Research Site | Mannheim, Germany, 68167
          • Research Site | Münster, Germany, 48149
          • Research Site | Nürnberg, Germany, 90491
          • Research Site | Oldenburg, Germany, 23758
          • Research Site | Regensburg, Germany, 93053
          • Research Site | Ulm, Germany, 89081
          • Research Site | Würzburg, Germany, 97080
          • Research Site | Haifa, Israel, 31096
          • Research Site | Jerusalem, Israel, 91120
          • Research Site | Kfar Saba, Israel, 95847
          • Research Site | Petach-Tikva, Israel, 4941492
          • Research Site | Ramat Gan, Israel, 52621
          • Research Site | Bari, Italy, 70124
          • Research Site | Bologna, Italy, 40138
          • Research Site | Firenze, Italy, 50134
          • Research Site | Milano, Italy, 20132
          • Research Site | Milano, Italy, 20133
          • Research Site | Napoli, Italy, 80131
          • Research Site | Orbassano, Italy, 10043
          • Research Site | Pozzuoli, Italy, 80078
          • Research Site | Verona, Italy, 37126
          • Research Site | Bunkyo-ku, Japan, 113-8603
          • Research Site | Fukuoka-shi, Japan, 811-1347
          • Research Site | Fukuoka, Japan, 812-8582
          • Research Site | Hirosaki-shi, Japan, 036-8563
          • Research Site | Hiroshima-shi, Japan, 730-8518
          • Research Site | Kanazawa-shi, Japan, 920-8641
          • Research Site | Koto-ku, Japan, 135-8550
          • Research Site | Kumamoto-shi, Japan, 860-0008
          • Research Site | Miyazaki-city, Japan, 889-1692
          • Research Site | Nagasaki-shi, Japan, 852-8501
          • Research Site | Nagoya-shi, Japan, 466-8560
          • Research Site | Niigata-shi, Japan, 951-8520
          • Research Site | Osaka-shi, Japan, 541-8567
          • Research Site | Osaka-shi, Japan, 545-8586
          • Research Site | Osakasayama-shi, Japan, 589-8511
          • Research Site | Sendai-shi, Japan, 980-0872
          • Research Site | Toyama-shi, Japan, 930-0194
          • Research Site | Tsukuba-shi, Japan, 305-8576
          • Research Site | Yokohama-shi, Japan, 232-0024
          • Research Site | Yokohama-shi, Japan, 241-8515
          • Research Site | Daegu, Korea, Republic of, 41404
          • Research Site | Goyang-si, Korea, Republic of, 10408
          • Research Site | Gyeonggi-do, Korea, Republic of, 13620
          • Research Site | Incheon, Korea, Republic of, 21565
          • Research Site | Seoul, Korea, Republic of, 03080
          • Research Site | Seoul, Korea, Republic of, 05505
          • Research Site | Seoul, Korea, Republic of, 136-705
          • Research Site | Amsterdam, Netherlands, 1066 CX
          • Research Site | Amsterdam, Netherlands, 1081 HV
          • Research Site | Breda, Netherlands, 4818 CK
          • Research Site | Rotterdam, Netherlands, 3015 GD
          • Research Site | Baguio City, Philippines, 2600
          • Research Site | Cebu, Philippines, 6000
          • Research Site | Davao City, Philippines, 8000
          • Research Site | Makati, Philippines, 1229
          • Research Site | Manila, Philippines, 1015
          • Research Site | Quezon City, Philippines, 1101
          • Research Site | Quezon City, Philippines, 1104
          • Research Site | Bialystok, Poland, 15-027
          • Research Site | Gdańsk, Poland, 80-214
          • Research Site | Grudziądz, Poland, 86-300
          • Research Site | Koszalin, Poland, 75-581
          • Research Site | Kraków, Poland, 30-510
          • Research Site | Olsztyn, Poland, 10-228
          • Research Site | Ostrołęka, Poland, 07-410
          • Research Site | Poznan, Poland, 60-693
          • Research Site | Warszawa, Poland, 02-781
          • Research Site | Wroclaw, Poland, 53-413
          • Research Site | Krasnoyarsk, Russian Federation, 660133
          • Research Site | Moscow, Russian Federation, 105077
          • Research Site | Nizhniy Novgorod, Russian Federation, 603074
          • Research Site | Novosibirsk, Russian Federation, 630007
          • Research Site | Samara, Russian Federation, 443031
          • Research Site | St Petersburg, Russian Federation, 194044
          • Research Site | St. Petersburg, Russian Federation, 194017
          • Research Site | St. Petersburg, Russian Federation, 194354
          • Research Site | St. Petersburg, Russian Federation, 197022
          • Research Site | Ufa, Russian Federation, 450000
          • Research Site | Vologda, Russian Federation, 160012
          • Research Site | Badalona, Spain, 08916
          • Research Site | Barcelona, Spain, 08035
          • Research Site | Córdoba, Spain, 14004
          • Research Site | Las Palmas de Gran Canaria, Spain, 35016
          • Research Site | Madrid, Spain, 28007
          • Research Site | Madrid, Spain, 28041
          • Research Site | Santander, Spain, 39008
          • Research Site | Sevilla, Spain, 41013
          • Research Site | Kaohsiung, Taiwan, 807
          • Research Site | Taichung, Taiwan, 404
          • Research Site | Taichung, Taiwan, 40705
          • Research Site | Tainan, Taiwan, 704
          • Research Site | Tainan, Taiwan, 710
          • Research Site | Taipei City, Taiwan, 10050
          • Research Site | Taipei, Taiwan, 11217
          • Research Site | Taoyuan City, Taiwan, 333
          • Research Site | Ankara, Turkey, 06590
          • Research Site | Edirne, Turkey, 22030
          • Research Site | Istanbul, Turkey, 34030
          • Research Site | İstanbul, Turkey, 34457
          • Research Site | Izmir, Turkey,
          • Research Site | Karsiyaka, Turkey, 35575
          • Research Site | Edinburgh, United Kingdom, EH4 2XR
          • Research Site | London, United Kingdom, E1 1BB
          • Research Site | Nottingham, United Kingdom, NG5 1PB
          • Research Site | Sheffield, United Kingdom, S10 2SJ
          • Research Site | Wirral, United Kingdom, CH63 4JY
          • Research Site | Hanoi, Vietnam, 100000
          • Research Site | Ho Chi Minh, Vietnam, 700000
          • Research Site | Hochiminh, Vietnam, 70000

          More Information

          Additional Relevant MeSH Terms

          • Urinary Bladder Neoplasms
          • Urologic Neoplasms
          • Urogenital Neoplasms
          • Neoplasms by Site
          • Neoplasms
          • Female Urogenital Diseases
          • Female Urogenital Diseases and Pregnancy Complications
          • Urogenital Diseases
          • Urinary Bladder Diseases
          • Urologic Diseases
          • Male Urogenital Diseases