Clinical trial • Phase III • Oncology

DURVALUMAB for Urothelial carcinoma | Bladder cancer

Phase III trial of DURVALUMAB for Urothelial carcinoma | Bladder cancer.

Overview

Trial Therapeutic Area
Oncology
Trial Disease
Urothelial carcinoma | Bladder cancer
Trial Stage
Phase III
Drug Modality
Monoclonal antibody | Small molecule

Key dates

Initial CTIS Submission Date
03-06-2024
First CTIS Authorization Date
28-06-2024

Trial design

Randomised, open-label, three arms: (1) durvalumab in combination with standard-of-care (soc) chemotherapy (soc: cisplatin + gemcitabine; if cisplatin-ineligible, carboplatin + gemcitabine) every 3 weeks for 6 cycles; durvalumab administered every 3 weeks concurrent with chemotherapy then durvalumab monotherapy every 4 weeks. (2) durvalumab in combination with tremelimumab + soc chemotherapy (same soc regimens: cisplatin + gemcitabine or carboplatin + gemcitabine) every 3 weeks for 6 cycles. (3) soc chemotherapy alone (cisplatin + gemcitabine or carboplatin + gemcitabine). dose amounts are not specified in the record.-controlled Phase III trial across 43 sites in Spain, Hungary, Italy and others.

Randomised
Yes
Open Label
Yes
Comparator
Three arms: (1) Durvalumab in combination with standard-of-care (SoC) chemotherapy (SoC: cisplatin + gemcitabine; if cisplatin-ineligible, carboplatin + gemcitabine) every 3 weeks for 6 cycles; durvalumab administered every 3 weeks concurrent with chemotherapy then durvalumab monotherapy every 4 weeks. (2) Durvalumab in combination with Tremelimumab + SoC chemotherapy (same SoC regimens: cisplatin + gemcitabine or carboplatin + gemcitabine) every 3 weeks for 6 cycles. (3) SoC chemotherapy alone (cisplatin + gemcitabine or carboplatin + gemcitabine). Dose amounts are not specified in the record.
Biomarker Stratified
True, biomarker: PD-L1 expression (high PD-L1 expression population specified)
Target Sample Size
921

Eligibility

Recruits 921 Vulnerable population selected: True (record field 'isVulnerablePopulationSelected' = true). The trial enrols adults; informed consent is obtained via country-specific adult subject information and informed consent forms (ICFs) and addenda (multiple country ICFs are provided). No assent or minor/child consent procedures are described in the record..

Pregnancy Exclusion
Evidence of post-menopausal status, or negative urinary or serum pregnancy test for female pre-menopausal patients.
Vulnerable Population
Vulnerable population selected: True (record field 'isVulnerablePopulationSelected' = true). The trial enrols adults; informed consent is obtained via country-specific adult subject information and informed consent forms (ICFs) and addenda (multiple country ICFs are provided). No assent or minor/child consent procedures are described in the record.

Inclusion criteria

  • {"criterion_text":"- Patients with histologically or cytologically documented, unresectable, locally advanced or metastatic transitional cell carcinoma (transitional cell and mixed transitional/non-transitional cell histologies) of the urothelium (including renal pelvis, ureters, urinary bladder, and urethra)"}
  • {"criterion_text":"- Patients who have not been previously treated with first-line chemotherapy. Patients who have received prior definitive chemoradiation, adjuvant or neoadjuvant treatment for locally advanced disease are eligible provided that progression to locally advanced or metastatic disease has occurred >12 months from the last therapy [for chemoradiation and adjuvant treatment] or >12 months from the last surgery [for neoadjuvant treatment]."}
  • {"criterion_text":"- At least 1 lesion, not previously irradiated, that qualifies as a RECIST 1.1 target lesion at baseline."}
  • {"criterion_text":"- World Health Organization (WHO)/Eastern Cooperative Oncology Group (ECOG) performance status (PS) of 0 or 1 at enrolment"}
  • {"criterion_text":"- Adequate organ and marrow function as defined in the protocol"}
  • {"criterion_text":"- Life expectancy ≥12 weeks in the opinion of the investigator"}
  • {"criterion_text":"- Evidence of post-menopausal status, or negative urinary or serum pregnancy test for female pre-menopausal patients."}

Exclusion criteria

  • {"criterion_text":"- Prior exposure to immune-mediated therapy (with exclusion of Bacillus Calmette Guerin), including but not limited to, other anti-CTLA-4, anti-PD-1, anti-PD L1, or anti-PD-L2 antibodies, except therapeutic anticancer vaccines, which are permitted. Prior local intervesical chemotherapy or immunotherapy is allowed if completed at least 28 days prior to the initiation of study treatment."}
  • {"criterion_text":"- No severe concomitant condition that requires immunosuppression medication"}
  • {"criterion_text":"- Untreated central nervous system (CNS) metastases and/or carcinomatous meningitis"}
  • {"criterion_text":"- Patients who may be eligible for or are being considered for radical resection during the course of the study."}
  • {"criterion_text":"- Any medical contraindications to platinum (cisplatin or carboplatin) based doublet chemotherapy and/or known allergy or hypersensitivity to any of the study drugs or any of the study drug excipients"}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Overall Survival (OS)","definition_or_measurement_approach":"Not specified in the record"}

Secondary endpoints

  • {"endpoint_text":"- Progression Free Survival (PFS)","definition_or_measurement_approach":"Not specified in the record"}
  • {"endpoint_text":"- Overall Survival (OS)","definition_or_measurement_approach":"Not specified in the record"}
  • {"endpoint_text":"- Alive and Progression Free Patients at 12 Months (APF12)","definition_or_measurement_approach":"Not specified in the record"}
  • {"endpoint_text":"- Overall Response Rate (ORR)","definition_or_measurement_approach":"Not specified in the record"}
  • {"endpoint_text":"- Disease Control Rate (DCR)","definition_or_measurement_approach":"Not specified in the record"}
  • {"endpoint_text":"- Duration of Response (DoR)","definition_or_measurement_approach":"Not specified in the record"}
  • {"endpoint_text":"- Time from Randomization to Second Progression PFS (PFS2)","definition_or_measurement_approach":"Not specified in the record"}
  • {"endpoint_text":"- Safety","definition_or_measurement_approach":"Not specified in the record"}
  • {"endpoint_text":"- Disease related symptoms","definition_or_measurement_approach":"Not specified in the record"}

Recruitment

Planned Sample Size
921
Recruitment Window Months
23
Consent Approach
Informed consent obtained via adult subject information and informed consent forms (ICFs). Country-specific ICFs and addenda are provided (documents for multiple countries/languages are listed, including adult ICFs, pregnant partner ICFs, genetics/biological sample addenda and ICF addenda). Consent is provided by the adult participants; no assent process for minors is described in the record.

Geography

Total Number Of Sites
43
Total Number Of Participants
353

Spain

Earliest CTIS Part Ii Submission Date
14-06-2024
Latest Decision Or Authorization Date
17-01-2025
Processing Time Days
217
Number Of Sites
10
Number Of Participants
75

Sites

Site Name
Hospital Universitario Lucus Augusti
Department Name
Oncology
Principal Investigator Name
Sergio Vazquez Estevez
Principal Investigator Email
sergio.vazquez.estevez@sergas.es
Contact Person Name
Sergio Vazquez Estevez
Site Name
Hospital Del Mar
Department Name
Oncology
Principal Investigator Name
Alejo Rodríguez-Vida
Principal Investigator Email
arodriguezvida@parcdesalutmar.cat
Contact Person Name
Alejo Rodríguez-Vida
Site Name
Hospital Universitario Ramon Y Cajal
Department Name
Oncology
Principal Investigator Name
Teresa Alonso Gordoa
Principal Investigator Email
talonsogordoa@gmail.com
Contact Person Name
Teresa Alonso Gordoa
Contact Person Email
talonsogordoa@gmail.com
Site Name
Institut Catala D'oncologia
Department Name
Oncology
Principal Investigator Name
Xavier García del Muro Solans
Principal Investigator Email
garciadelmuro@iconcologia.net
Contact Person Name
Xavier García del Muro Solans
Contact Person Email
garciadelmuro@iconcologia.net
Site Name
University Hospital Virgen Del Rocio S.L.
Department Name
Oncology
Principal Investigator Name
Begoña Pérez Valderrama
Principal Investigator Email
bpvalderrama@gmail.com
Contact Person Name
Begoña Pérez Valderrama
Contact Person Email
bpvalderrama@gmail.com
Site Name
Hospital Clinico San Carlos
Department Name
Oncology
Principal Investigator Name
Javier Puente Vázquez
Principal Investigator Email
javier.puente@salud.madrid.org
Contact Person Name
Javier Puente Vázquez
Contact Person Email
javier.puente@salud.madrid.org
Site Name
Hospital Universitario Marques De Valdecilla
Department Name
Oncology
Principal Investigator Name
Ignacio Durán Martínez
Principal Investigator Email
ignacioduranmartinez@gmail.com
Contact Person Name
Ignacio Durán Martínez
Contact Person Email
ignacioduranmartinez@gmail.com
Site Name
Hospital Universitari Vall D Hebron
Department Name
Oncology
Principal Investigator Name
Rafael Morales Barrera
Principal Investigator Email
rmorales@vhio.net
Contact Person Name
Rafael Morales Barrera
Contact Person Email
rmorales@vhio.net
Site Name
Hospital General Universitario Gregorio Maranon
Department Name
Oncology
Principal Investigator Name
José Ángel Arranz Arija
Principal Investigator Email
jarranza.oncomed@gmail.com
Contact Person Name
José Ángel Arranz Arija
Contact Person Email
jarranza.oncomed@gmail.com
Site Name
Hospital Universitario Virgen De La Victoria
Department Name
Oncology
Principal Investigator Name
Lucia Oliva Fernandez
Principal Investigator Email
luciaolifer3@gmail.com
Contact Person Name
Lucia Oliva Fernandez
Contact Person Email
luciaolifer3@gmail.com

Hungary

Earliest CTIS Part Ii Submission Date
14-06-2024
Latest Decision Or Authorization Date
19-06-2025
Processing Time Days
370
Number Of Sites
6
Number Of Participants
53

Sites

Site Name
Gyor-Moson-Sopron Varmegyei Petz Aladar Egyetemi Oktato Korhaz
Department Name
Onkoradiológiai Osztály
Principal Investigator Name
András Szigeti
Principal Investigator Email
drszigetia2@gmail.com
Contact Person Name
András Szigeti
Contact Person Email
drszigetia2@gmail.com
Site Name
Budapesti Uzsoki Utcai Korhaz
Department Name
Onkoradiológiai Osztály
Principal Investigator Name
Róbert Farkas
Principal Investigator Email
robert.farkas7222@gmail.com
Contact Person Name
Róbert Farkas
Contact Person Email
robert.farkas7222@gmail.com
Site Name
Bacs-Kiskun Varmegyei Oktatokorhaz
Department Name
Onkoradiológiai Központ
Principal Investigator Name
Zsolt Horváth
Principal Investigator Email
horvathzso.study@kmk.hu
Contact Person Name
Zsolt Horváth
Contact Person Email
horvathzso.study@kmk.hu
Site Name
Orszagos Onkologiai Intezet
Department Name
Urogenitális Tumorok és Klinikai Farmakológiai Osztály "Kemoterápia C"
Principal Investigator Name
Lajos Géczi
Principal Investigator Email
gelajos@oncol.hu
Contact Person Name
Lajos Géczi
Contact Person Email
gelajos@oncol.hu
Site Name
Central Hospital Of Northern Pest Military Hospital
Department Name
Onkológiai Osztály
Principal Investigator Name
Zsuzsanna Pápai
Principal Investigator Email
trial.zspapai@gmail.com
Contact Person Name
Zsuzsanna Pápai
Contact Person Email
trial.zspapai@gmail.com
Site Name
Jasz-Nagykun-Szolnok Varmegyei Hetenyi Geza Korhaz-Rendelointezet
Department Name
Onkológiai Osztály
Principal Investigator Name
Anikó Ragályi
Principal Investigator Email
szolnok.onkologia@gmail.com
Contact Person Name
Anikó Ragályi
Contact Person Email
szolnok.onkologia@gmail.com

Italy

Earliest CTIS Part Ii Submission Date
14-06-2024
Latest Decision Or Authorization Date
27-06-2025
Processing Time Days
378
Number Of Sites
11
Number Of Participants
80

Sites

Site Name
IRCCS Istituto Nazionale Tumori Fondazione Pascale
Department Name
Dipartimento uro-ginecologico
Principal Investigator Name
Rosa Tambaro
Principal Investigator Email
r.tambaro@istitutotumori.na.it
Contact Person Name
Rosa Tambaro
Contact Person Email
r.tambaro@istitutotumori.na.it
Site Name
Fondazione IRCCS Istituto Nazionale Dei Tumori
Department Name
Oncologia Medica 2
Principal Investigator Name
Valentina Guadalupi
Principal Investigator Email
valentina.guadalupi@istitutotumori.mi.it
Contact Person Name
Valentina Guadalupi
Site Name
Azienda Ospedaliera S. Maria - Terni
Department Name
Oncologia Medica
Principal Investigator Name
Sergio Bracarda
Principal Investigator Email
s.bracarda@aospterni.it
Contact Person Name
Sergio Bracarda
Contact Person Email
s.bracarda@aospterni.it
Site Name
Azienda Ospedaliero-Universitaria San Luigi Gonzaga
Department Name
SCDU Oncologia Medica
Principal Investigator Name
Consuelo Buttigliero
Principal Investigator Email
consuelo.buttigliero@gmail.com
Contact Person Name
Consuelo Buttigliero
Contact Person Email
consuelo.buttigliero@gmail.com
Site Name
Fondazione Policlinico Universitario Agostino Gemelli IRCCS
Department Name
U.O.C. Oncologia
Principal Investigator Name
Giampaolo Tortora
Principal Investigator Email
giampaolo.tortora@policlinicogemelli.it
Contact Person Name
Giampaolo Tortora
Site Name
Azienda Ospedaliero Universitaria Parma
Department Name
Oncologia Medica
Principal Investigator Name
Sebastiano Buti
Principal Investigator Email
sbuti@ao.pr.it
Contact Person Name
Sebastiano Buti
Contact Person Email
sbuti@ao.pr.it
Site Name
Azienda Ospedaliera Universitaria Integrata Verona
Department Name
Oncologia
Principal Investigator Name
Andrea Zivi
Principal Investigator Email
andrea.zivi@aovr.veneto.it
Contact Person Name
Andrea Zivi
Contact Person Email
andrea.zivi@aovr.veneto.it
Site Name
Azienda Ospedaliera S Maria Di Terni
Department Name
S.C. ONCOLOGIA
Principal Investigator Name
Annalisa Guida
Principal Investigator Email
A.GUIDA@AOSPTERNI.IT
Contact Person Name
Annalisa Guida
Contact Person Email
A.GUIDA@AOSPTERNI.IT
Site Name
Ospedale San Donato
Department Name
U.O.C. Oncologia Medica
Principal Investigator Name
Alketa Hamzaj
Principal Investigator Email
alketa.hamzaj@uslsudest.toscana.it
Contact Person Name
Alketa Hamzaj
Site Name
Ospedale San Raffaele S.r.l.
Department Name
Oncologia Medica
Principal Investigator Name
Andrea Necchi
Principal Investigator Email
necchi.andrea@hsr.it
Contact Person Name
Andrea Necchi
Contact Person Email
necchi.andrea@hsr.it
Site Name
Fondazione Salvatore Maugeri Clinica Del Lavoro E Della Riabilitazione
Department Name
Oncologia
Principal Investigator Name
Andrea Premoli
Principal Investigator Email
andrea.premoli@icsmaugeri.it
Contact Person Name
Andrea Premoli
Contact Person Email
andrea.premoli@icsmaugeri.it

Czechia

Earliest CTIS Part Ii Submission Date
14-06-2024
Latest Decision Or Authorization Date
27-06-2025
Processing Time Days
378
Number Of Sites
5
Number Of Participants
20

Sites

Site Name
Fakultni Nemocnice Bulovka
Department Name
Ústav radiační onkologie
Principal Investigator Name
Petra Beran Holečková
Principal Investigator Email
petra.holeckova@bulovka.cz
Contact Person Name
Petra Beran Holečková
Contact Person Email
petra.holeckova@bulovka.cz
Site Name
Fakultni Thomayerova nemocnice
Department Name
Onkologická klinika
Principal Investigator Name
Tomáš Büchler
Principal Investigator Email
tomas.buchler@ftn.cz
Contact Person Name
Tomáš Büchler
Contact Person Email
tomas.buchler@ftn.cz
Site Name
Fakultni Nemocnice Hradec Kralove
Department Name
Klinika onkologie a radioterapie
Principal Investigator Name
Miroslav Hodek
Principal Investigator Email
miroslav.hodek@fnhk.cz
Contact Person Name
Miroslav Hodek
Contact Person Email
miroslav.hodek@fnhk.cz
Site Name
University Hospital Olomouc
Department Name
Onkologická klinika
Principal Investigator Name
Bohuslav Melichar
Principal Investigator Email
bohuslav.melichar@fnol.cz
Contact Person Name
Bohuslav Melichar
Contact Person Email
bohuslav.melichar@fnol.cz
Site Name
Fakultni Nemocnice U Sv Anny V Brne
Department Name
Oddělení chirurgické onkologie
Principal Investigator Name
Jana Katolická
Principal Investigator Email
jana.katolicka@fnusa.cz
Contact Person Name
Jana Katolická
Contact Person Email
jana.katolicka@fnusa.cz

Bulgaria

Earliest CTIS Part Ii Submission Date
14-06-2024
Latest Decision Or Authorization Date
19-08-2025
Processing Time Days
431
Number Of Sites
3
Number Of Participants
25

Sites

Site Name
MBAL Sveta Marina EAD
Department Name
Clinic of medical oncology
Principal Investigator Name
Eleonora Dimitrova-Gospodinova
Principal Investigator Email
edimitrova_doc@abv.bg
Contact Person Name
Eleonora Dimitrova-Gospodinova
Contact Person Email
edimitrova_doc@abv.bg
Site Name
University Multiprofile Hospital For Active Treatment St. Ivan Rilski EAD
Department Name
Department of medical oncology
Principal Investigator Name
Bozhil Robev
Principal Investigator Email
bostro@abv.bg
Contact Person Name
Bozhil Robev
Contact Person Email
bostro@abv.bg
Site Name
UMHAT Sofiamed OOD
Department Name
Department of medical oncology
Principal Investigator Name
Velko Minchev
Principal Investigator Email
v_minchev@abv.bg
Contact Person Name
Velko Minchev
Contact Person Email
v_minchev@abv.bg

Poland

Earliest CTIS Part Ii Submission Date
14-06-2024
Latest Decision Or Authorization Date
15-10-2025
Processing Time Days
488
Number Of Sites
8
Number Of Participants
100

Sites

Site Name
Med Polonia Sp. z o.o.
Principal Investigator Name
Rodryg Ramlau
Principal Investigator Email
rodrygramlau@gmail.com
Contact Person Name
Rodryg Ramlau
Contact Person Email
rodrygramlau@gmail.com
Site Name
Narodowy Instytut Onkologii Im. Marii Sklodowskiej-Curie Panstwowy Instytut Badawczy
Department Name
Klinika Nowotworow Ukladu Moczowego
Principal Investigator Name
Paweł Wiechno
Principal Investigator Email
wiechno@gmail.com
Contact Person Name
Paweł Wiechno
Contact Person Email
wiechno@gmail.com
Site Name
Szpital Kliniczny Ministerstwa Spraw Wewnetrznych I Administracji Z Warminsko-Mazurskim Centrum Onkologii W Olsztynie
Principal Investigator Name
Janusz Kocik
Principal Investigator Email
janusz.kocik@poliklinika.net
Contact Person Name
Janusz Kocik
Contact Person Email
janusz.kocik@poliklinika.net
Site Name
Szpital Wojewodzki Im. Mikolaja Kopernika W Koszalinie
Department Name
Oddzial Onkologii Klinicznej z Pododdzialem Chemioterapii Jednodniowej
Principal Investigator Name
Mariusz Kwiatkowski
Principal Investigator Email
mariusz.kwiatkowski@swk.med.pl
Contact Person Name
Mariusz Kwiatkowski
Contact Person Email
mariusz.kwiatkowski@swk.med.pl
Site Name
Uniwersyteckie Centrum Kliniczne
Department Name
Klinika Onkologii i Radioterapii
Principal Investigator Name
Renata Zaucha
Principal Investigator Email
rzaucha@gumed.edu.pl
Contact Person Name
Renata Zaucha
Contact Person Email
rzaucha@gumed.edu.pl
Site Name
Bialostockie Centrum Onkologii Im. Marii Sklodowskiej-Curie W Bialymstoku
Department Name
Oddział Onkologii Klinicznej im. Dr Ewy Pilickiej z Pododziałem Chemioterapii Dziennej
Principal Investigator Name
Elwira Matuszewska
Principal Investigator Email
ematuszewska@onkologia.bialystok.pl
Contact Person Name
Elwira Matuszewska
Site Name
Samodzielny Publiczny Zaklad Opieki Zdrowotnej Szpital Uniwersytecki W Krakowie
Department Name
Oddzial Kliniczny Onkologii
Principal Investigator Name
Piotr Wysocki
Principal Investigator Email
piotr.wysocki@uj.edu.pl
Contact Person Name
Piotr Wysocki
Contact Person Email
piotr.wysocki@uj.edu.pl
Site Name
Kliniki Neuroradiochirurgii Sp. z o.o.
Principal Investigator Name
Tadeusz Pieńkowski
Principal Investigator Email
tadeusz.pienkowski@cskmswia.pl
Contact Person Name
Tadeusz Pieńkowski
Contact Person Email
tadeusz.pienkowski@cskmswia.pl

Sponsor

Primary sponsor

Full Name
AstraZeneca AB
Organisation Type
Pharmaceutical company
Country Of Registered Address
Sweden

Investigational products

Investigational Product Name
IMFINZI 50 mg/mL concentrate for solution for infusion.
Active Substance
DURVALUMAB
Modality
Monoclonal antibody
Routes Of Administration
INTRAVENOUS
Route
INTRAVENOUS
Authorisation Status
Authorised (marketingAuthorisationNumber: EU/1/18/1322/001)
Frequency
Every 3 weeks concurrent with chemotherapy for combination period; then durvalumab monotherapy every 4 weeks (as described in study arms)
Investigational Product Name
IMJUDO 20 mg/ml concentrate for solution for infusion.
Active Substance
TREMELIMUMAB
Modality
Monoclonal antibody
Routes Of Administration
INTRAVENOUS
Route
INTRAVENOUS
Authorisation Status
Authorised (marketingAuthorisationNumber: EU/1/22/1713/001)
Combination Treatment
Yes

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