Recruitment

Recruitment Status
Recruiting
Estimated Enrollment
Same as current

Summary

Conditions
  • Bladder Cancer
  • Bladder Cancer, Metastatic
Type
Interventional
Phase
Phase 2
Design
Allocation: N/AIntervention Model: Single Group AssignmentIntervention Model Description: Single country Investigator Initiated, Open-label, Single-arm, Non-randomized, Phase II studyMasking: None (Open Label)Primary Purpose: Diagnostic

Participation Requirements

Age
Between 18 years and 125 years
Gender
Both males and females

Description

The study aim at investigate the response rate and oncological outcome of systemic immunotherapy (PDL-1 inhibitor; atezolizumab) administered early at the time of biochemical relapse (circulating tumor DNA (ctDNA) positive) in patients who have undergone radical cystectomy because of muscle invasive...

The study aim at investigate the response rate and oncological outcome of systemic immunotherapy (PDL-1 inhibitor; atezolizumab) administered early at the time of biochemical relapse (circulating tumor DNA (ctDNA) positive) in patients who have undergone radical cystectomy because of muscle invasive bladder cancer. Biomarkers that predict response to systemic immunotherapy will be identified by comprehensive multi-omics analysis of primary tumors and metastatic lesions. Furthermore, we will determine if ctDNA levels during therapy can be used as a biomarker for early indication of therapy response. The hypotheses is that 1) early initiation of immunotherapy in high-risk (ctDNA positive) patients will result in better response rates and improved survival compared to later treatment following conventional imaging diagnosis of metastasis, and 2) biomarkers for predicting response can be identified and used for tailoring treatment regimens in the future to patients at high risk and at high likelihood of response.

Tracking Information

NCT #
NCT04138628
Collaborators
  • Aarhus University Hospital
  • Herlev Hospital
  • Rigshospitalet, Denmark
  • Odense University Hospital
  • Aalborg University Hospital
Investigators
Principal Investigator: Jørgen B Jensen, Professor Dept. Of Urology, Aarhus University Hospital, Denmark Study Chair: Lars Dyrskjøt, Professor Dept. Of Molecular Medicine (MOMA) Aarhus University Hospital, Denmark Principal Investigator: Mads Agerbæk, MD Dept. Of Oncology, Aarhus University Hospital, Denmark Study Chair: Karin Birkenkamp-Demtröder, Ass. professor Dept. Of Molecular Medicine (MOMA) Aarhus University Hospital, Denmark