Perioperative Tislelizumab Combined With Nab-Paclitaxel for Muscle-invasive Urothelial Bladder Cancer: A Multicenter Study

NCT ID: NCT05328336

Last Updated: 2022-06-13

Basic Information

• Recruitment Status: RECRUITING
• Clinical Phase: PHASE2
• Total Enrollment: 74 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2021-11-11
• Study Completion Date: 2025-11-30

Brief Summary

This is a single-arm, open-label, multicenter clinical trial to investigate the safety and efficacy of tislelizumab when given in combination with nab-paclitaxel as perioperative treatment in patients with muscle-invasive bladder cancer (MIBC) prior to cystectomy or complete TURBT. Patients will receive perioperative treatment with tislelizumab in combination with nab-paclitaxel every 3 weeks for 3 treatment cycles over 9 weeks followed by radical cystectomy or complete TURBT.

Conditions

Muscle Invasive Bladder Cancer Urothelial Carcinoma

Study Design

• Allocation Method: NA
• Intervention Model: SINGLE_GROUP
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Study Groups

Experimental: Tislelizumab and Nab Paclitaxel

Experimental: Tislelizumab and Nab Paclitaxel Tislelizumab 200mg IV on day 1 in combination with nab paclitaxel 200mg IV on day 2 every 3 weeks for 3 cycles followed by surgery.

Group Type: EXPERIMENTAL

Tislelizumab Nab paclitaxel

Intervention Type: DRUG

Drug: Tislelizumab Tislelizumab 200mg will be administered on Day 1 every 3 weeks for 3 cycles

Other Names:

• BGB-A317 Drug: Nab paclitaxel Nab paclitaxel 200mg will

Interventions

Tislelizumab Nab paclitaxel

Drug: Tislelizumab Tislelizumab 200mg will be administered on Day 1 every 3 weeks for 3 cycles

Other Names:

• BGB-A317 Drug: Nab paclitaxel Nab paclitaxel 200mg will

Intervention Type: DRUG

Eligibility Criteria

Inclusion Criteria

1. Willing and able to provide written informed consent.

2. Ability to comply with the protocol.

3. Age ≥ 18 years.

4. Suitable and planned for complete transurethral resection of bladder tumor or radical cystectomy

5. At least one measurable lesion meeting RECISTv1.1 criteria prior to transurethral bladder tumor electrosurgery (MR/CT long diameter of ≥10 mm or short diameter of ≥15 mm of enlarged lymph node required for this measurable lesion according to RECISTv1.1)

6. Histopathologically confirmed urothelial carcinoma. Patients with mixed histologies are required to have a dominant (i.e. 50% at least) urothelial cell pattern.

7. Clinical stage T2-T4a NxM0 disease by CT (or MRI).

8. Expected survival time is greater than 12 weeks.

9. Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 1 or 2.

10. Agree to provide tissue examination specimens (used to detect PD-L1 expression, tumor mutation burden, etc.)

11. The organ function level must meet the following requirements:

• Hematological indicators: absolute neutrophil count ≥1.5×10^9/ L, platelet count ≥80×10^9/L, hemoglobin ≥6.0 g/dL (can be maintained by symptomatic treatment);
• Liver function: total bilirubin ≤ 1.5 times the upper limit of normal value, alanine aminotransferase and aspartate aminotransferase

≤ 2.5 times the upper limit of normal value, if there is intrahepatic transaminase ≤ 5 times the upper limit of normal value;

• Renal function: creatinine ≤ 2 times the upper limit of normal, and creatinine clearance ≥ 30 ml/min;

Exclusion Criteria

1. Receive live attenuated vaccines within 4 weeks before treatment or plan to receive live attenuated vaccines during the study period.

2. Active, known or suspected autoimmune diseases.

3. Known history of primary immunodeficiency.

4. Known history of allogeneic organ transplantation and allogeneic hematopoietic stem cell transplantation.

5. Female patients who are pregnant or breastfeeding.

6. Untreated acute or chronic active hepatitis B or C infection. In the case of patients receiving antiviral therapy, the doctor will judge whether they are eligible for enrollment according to the individual conditions of the patient while monitoring the virus copy number.

7. Have used immunosuppressive drugs in the past 4 weeks before starting treatment, excluding nasal spray and inhaled corticosteroids or physiological doses of systemic steroids (that is, prednisolone or equivalent physiological doses of no more than 10 mg/day) Other corticosteroids).

8. Those who are known or suspected to be allergic to tislelizumab and nab paclitaxel.

9. Have a clear history of active tuberculosis.

10. Have received PD-1/PD-L1/CTLA-4 antibody or other immunotherapy in the past.

11. Those who are participating in other clinical research.

12. Reproductive men or women who are likely to become pregnant have not taken reliable contraceptive measures.

13. Uncontrolled concurrent diseases include but are not limited to:

• HIV-infected persons (HIV antibody positive).
• Serious infections that are active or poorly clinically controlled.
• There are serious or uncontrollable systemic diseases (such as severe mental, neurological, epilepsy or dementia, unstable or uncompensated respiratory, cardiovascular, liver or kidney diseases, uncontrolled hypertension [ie refers to After drug treatment, it is still greater than or equal to CTCAE Grade 2 hypertension]) evidence.
• Active bleeding or new thrombotic disease.

• Minimum Eligible Age: 18 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Tianjin Medical University Second Hospital

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Locations

ianjin Medical University Second Hospital

Tianjin, Tianjin Municipality, China

Site Status: RECRUITING

Countries

China

Central Contacts

Hailong Hu, MD,PhD

Role: CONTACT

hhllove2004@163.com

+86-13662096232

Facility Contacts

Hailong Hu, MD,PhD

Role: primary

hhllove2004@163.com

+86-13662096232

Other Identifiers

TRUCE-11

Identifier Type: -

Identifier Source: org_study_id