Perioperative Durvalumab With Neoadjuvant ddMVAC or Gemcitabine/Cisplatin in Patients With Muscle-invasive Bladder Cancer (NIAGARA-2)

NCT ID: NCT06960577

Last Updated: 2025-12-17

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

PHASE3

Total Enrollment

150 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-05-15

Study Completion Date

2028-10-31

Brief Summary

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The Phase IIIb NIAGARA-2 study aims to expand on the data from the Phase III NIAGARA study by investigating perioperative durvalumab in combination with investigator-selected cisplatin-based neoadjuvant chemotherapy (either ddMVAC or gemcitabine/cisplatin) in a clinical practice setting.

Detailed Description

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Not provided

Conditions

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Urinary Bladder Neoplasms Immune Checkpoint Inhibitors Methotrexate Vinblastine Doxorubicin Cisplatin Gemcitabine

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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ddMVAC cohort

Durvalumab + chemotherapy

Group Type EXPERIMENTAL

Durvalumab

Intervention Type DRUG

Anti- PD-L1 Antibody.

Methotrexate

Intervention Type DRUG

Chemotherapy agent.

Vinblastine

Intervention Type DRUG

Chemotherapy agent

Doxorubicin

Intervention Type DRUG

Chemotherapy agent

Cisplatin

Intervention Type DRUG

Chemotherapy agent

gem/cis cohort

Durvalumab + chemotherapy

Group Type EXPERIMENTAL

Durvalumab

Intervention Type DRUG

Anti- PD-L1 Antibody

Gemcitabine

Intervention Type DRUG

Chemotherapy agent

Cisplatin

Intervention Type DRUG

Chemotherapy agent

Interventions

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Durvalumab

Anti- PD-L1 Antibody

Intervention Type DRUG

Gemcitabine

Chemotherapy agent

Intervention Type DRUG

Cisplatin

Chemotherapy agent

Intervention Type DRUG

Durvalumab

Anti- PD-L1 Antibody.

Intervention Type DRUG

Methotrexate

Chemotherapy agent.

Intervention Type DRUG

Vinblastine

Chemotherapy agent

Intervention Type DRUG

Doxorubicin

Chemotherapy agent

Intervention Type DRUG

Cisplatin

Chemotherapy agent

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Participants with clinical tumour stage T2-T4aN0/1M0 or T1N1M0 with transitional or mixed transitional cell histology
* Patients must be planning to undergo radical cystectomy
* Patients who have not received prior systemic chemotherapy or immunotherapy for treatment of muscle-invasive bladder cancer
* ECOG performance status of 0 or 1
* Minimum life expectancy of 12 weeks at first dose of study medication

Exclusion Criteria

* Evidence of lymph node (N2-N3) or metastatic (M1) disease
* Inoperable tumour(s) with fixation to the pelvic wall on clinical examination
* Prior exposure to immune-mediated therapy including, but not limited to, other anti CTLA-4, anti-PD 1, anti-PD L1 and anti-PD-L2 antibodies, excluding Bacillus Calmette-Guérin
* Current or prior use of immunosuppressive medication within 14 days before the first dose of durvalumab
* Any concomitant medication known to be contraindicated to the chemotherapy (ddMVAC or gem/cis).
* Uncontrolled intercurrent illness.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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AstraZeneca

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Research Site

Chermside, , Australia

Site Status RECRUITING

Research Site

Elizabeth Vale, , Australia

Site Status RECRUITING

Research Site

Heidelberg, , Australia

Site Status RECRUITING

Research Site

Hong Kong, , Australia

Site Status RECRUITING

Research Site

Kogarah, , Australia

Site Status RECRUITING

Research Site

Macquarie University, , Australia

Site Status RECRUITING

Research Site

Murdoch, , Australia

Site Status RECRUITING

Research Site

Port Macquarie, , Australia

Site Status RECRUITING

Research Site

St Leonards, , Australia

Site Status RECRUITING

Research Site

Barretos, , Brazil

Site Status RECRUITING

Research Site

Porto Alegre, , Brazil

Site Status NOT_YET_RECRUITING

Research Site

Santo André, , Brazil

Site Status NOT_YET_RECRUITING

Research Site

São Paulo, , Brazil

Site Status NOT_YET_RECRUITING

Research Site

Hamilton, Ontario, Canada

Site Status RECRUITING

Research Site

London, Ontario, Canada

Site Status NOT_YET_RECRUITING

Research Site

Ottawa, Ontario, Canada

Site Status WITHDRAWN

Research Site

Québec, Quebec, Canada

Site Status RECRUITING

Research Site

Sherbrooke, Quebec, Canada

Site Status RECRUITING

Research Site

Angers, , France

Site Status NOT_YET_RECRUITING

Research Site

Angers, , France

Site Status NOT_YET_RECRUITING

Research Site

Bordeaux, , France

Site Status NOT_YET_RECRUITING

Research Site

Chambray-lès-Tours, , France

Site Status NOT_YET_RECRUITING

Research Site

Dijon, , France

Site Status NOT_YET_RECRUITING

Research Site

Lille, , France

Site Status NOT_YET_RECRUITING

Research Site

Lyon, , France

Site Status NOT_YET_RECRUITING

Research Site

Marseille, , France

Site Status NOT_YET_RECRUITING

Research Site

Montpellier, , France

Site Status NOT_YET_RECRUITING

Research Site

Nice, , France

Site Status NOT_YET_RECRUITING

Research Site

Nîmes, , France

Site Status NOT_YET_RECRUITING

Research Site

Paris, , France

Site Status NOT_YET_RECRUITING

Research Site

Paris, , France

Site Status NOT_YET_RECRUITING

Research Site

Pierre-Bénite, , France

Site Status NOT_YET_RECRUITING

Research Site

Poitiers, , France

Site Status NOT_YET_RECRUITING

Research Site

Quint-Fonsegrives, , France

Site Status NOT_YET_RECRUITING

Research Site

Rennes, , France

Site Status NOT_YET_RECRUITING

Research Site

Rouen, , France

Site Status NOT_YET_RECRUITING

Research Site

Strasbourg, , France

Site Status NOT_YET_RECRUITING

Research Site

Suresnes, , France

Site Status NOT_YET_RECRUITING

Research Site

Florence, , Italy

Site Status NOT_YET_RECRUITING

Research Site

Orbassano, , Italy

Site Status NOT_YET_RECRUITING

Research Site

Roma, , Italy

Site Status NOT_YET_RECRUITING

Research Site

Amsterdam, , Netherlands

Site Status NOT_YET_RECRUITING

Research Site

Nijmegen, , Netherlands

Site Status NOT_YET_RECRUITING

Research Site

Rotterdam, , Netherlands

Site Status NOT_YET_RECRUITING

Research Site

Barcelona, , Spain

Site Status NOT_YET_RECRUITING

Research Site

Barcelona, , Spain

Site Status NOT_YET_RECRUITING

Research Site

Barcelona, , Spain

Site Status NOT_YET_RECRUITING

Research Site

Barcelona, , Spain

Site Status NOT_YET_RECRUITING

Research Site

Girona, , Spain

Site Status NOT_YET_RECRUITING

Research Site

Las Palmas de Gran Canaria, , Spain

Site Status NOT_YET_RECRUITING

Research Site

Lugo, , Spain

Site Status NOT_YET_RECRUITING

Research Site

Madrid, , Spain

Site Status NOT_YET_RECRUITING

Research Site

Madrid, , Spain

Site Status NOT_YET_RECRUITING

Research Site

Santiago de Compostela, , Spain

Site Status NOT_YET_RECRUITING

Countries

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Australia Brazil Canada France Italy Netherlands Spain

Central Contacts

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AstraZeneca Clinical Study Information Center

Role: CONTACT

1-877-240-9479

Other Identifiers

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D933RC00002

Identifier Type: -

Identifier Source: org_study_id