Overview
Sponsor-declared trial summary
Patients with histologically or cytologically documented muscle-invasive transitional cell carcinoma (TCC) of the bladder
To assess efficacy of investigational product in patients with MIBC using pCR and EFS
Key facts
- Sponsor
- AstraZeneca AB
- Participant type
- Patients
- Age range
- 18-64 years, 65+ years
- Gender
- Male and Female
- Therapeutic area
- Diseases [C] - Neoplasms [C04]
- Trial duration
- 11 Feb 2019 → ongoing
- Decision date (initial)
- 2024-02-26
- Transition trial
- Yes
- Low-intervention
- No
- Rare-disease indication
- No
- Vulnerable population
- Yes
- Funding sources
- AstraZeneca AB, Sweden
External identifiers
- EU CT number
- 2023-510015-19-00
- EudraCT number
- 2018-001811-59
- ClinicalTrials.gov
- NCT03732677
Trial design
CTIS Part I — objectives, methods, condition coding
Main objective
Scope: Therapy, Pharmacokinetic, Safety
To assess efficacy of investigational product in patients with MIBC using pCR and EFS
Secondary objectives 1
- To assess efficacy and safety of investigational product in patients with MIBC using the following: EFS, pCR, EFS24 Proportion of patients who achieve
Conditions and MedDRA coding
Patients with histologically or cytologically documented muscle-invasive transitional cell carcinoma (TCC) of the bladder
Study design 1 period
| # | Title | Allocation | Blinding | Roles blinded | Arms |
|---|---|---|---|---|---|
| 1 | n/a n/a
|
Randomised Controlled | None | Neoadjuvant And Adjuvant :Arm 1: ARM 1:Durvalumab + G+ C Q3W x 4 cycles(neoadjuvant) and Durvalumab Q4wx 8 (Adjuvant) -ARM 2: G+C Q3W(neoadjuvant) and No adjuvant treatment ((Adjuvant) Neoadjuvant And Adjuvant :Arm 2: ARM 2: G+C Q3W(neoadjuvant) and No adjuvant treatment ((Adjuvant) |
Regulatory references
- Scientific advice from competent authorities
- European Medicines Agency, Food And Drug Administration
- Plan to share IPD
- No
Eligibility criteria
Principal inclusion / exclusion criteria as submitted by sponsor
Inclusion criteria 1
- Patient resectable 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 at enrollment.Availability of tumor sample prior to study entry; Must have a life expectancy of at least 12 weeks at randomization.
Exclusion criteria 1
- Evidence of lymph node (N2-N3) involvement or metastatic (M1) disease at the time of screening.Contra-indication to any of the study drugs;Requires immunosuppression medication for a concomitant condition;Active or prior documented autoimmune or inflammatory disorders
Endpoints
Primary and secondary outcome measures (English text)
Primary endpoints 1
- pCR;EFS
Secondary endpoints 1
- EFS, pCR, EFS24 Proportion of patients who achieve
Investigational products
Investigational medicinal products (IMPs), comparators, placebo, auxiliary
Test 1
SUB176342 · Substance
- Active substance
- Durvalumab
- Pharmaceutical form
- CONCENTRATE FOR SOLUTION FOR INFUSION
- Route of administration
- INTRAVENOUS
- Max daily dose
- 0 mg milligram(s)
- Max total dose
- 1500 mg milligram(s)
- Max treatment duration
- 8 Month(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
Comparator 3
SUB07892MIG · Substance
- Active substance
- Gemcitabine
- Pharmaceutical form
- CONCENTRATE FOR SOLUTION FOR INFUSION
- Route of administration
- INTRAVENOUS
- Max daily dose
- 00 mg milligram(s)
- Max total dose
- 00 mg milligram(s)
- Max treatment duration
- 12 Month(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SUB07892MIG · Substance
- Active substance
- Gemcitabine
- Pharmaceutical form
- POWDER FOR SOLUTION FOR INFUSION
- Route of administration
- INTRAVENOUS
- Max daily dose
- 00 mg milligram(s)
- Max total dose
- 00 mg milligram(s)
- Max treatment duration
- 12 Month(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SUB07483MIG · Substance
- Active substance
- Cisplatin
- Pharmaceutical form
- CONCENTRATE FOR SOLUTION FOR INFUSION
- Route of administration
- INTRAVENOUS
- Max daily dose
- 00 mg milligram(s)
- Max total dose
- 00 mg milligram(s)
- Max treatment duration
- 12 Month(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
Auxiliary 2
SUB02681MIG · Substance
- Active substance
- Infliximab
- Pharmaceutical form
- POWDER FOR CONCENTRATE FOR SOLUTION FOR INFUSION
- Route of administration
- INTRAVENOUS INFUSION
- Max daily dose
- 00 mg milligram(s)
- Max total dose
- 00 mg milligram(s)
- Max treatment duration
- 12 Month(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SUB03360MIG · Substance
- Active substance
- Mycophenolate Mofetil
- Pharmaceutical form
- CAPSULE
- Route of administration
- ORAL
- Max daily dose
- 00 mg milligram(s)
- Max total dose
- 00 mg milligram(s)
- Max treatment duration
- 12 Month(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
Sponsors and contacts
Sponsor organisations, regulatory contacts, third parties
AstraZeneca AB
- Sponsor organisation
- AstraZeneca AB
- Address
- -
- City
- Sodertalje
- Postcode
- 151 85
- Country
- Sweden
Scientific contact point
- Organisation
- AstraZeneca AB
- Contact name
- AstraZeneca Clinical Study Information Center
Public contact point
- Organisation
- AstraZeneca AB
- Contact name
- AstraZeneca Clinical Study Information Center
Locations
8 EU/EEA countries · 57 investigational sites
By country
| Country | MS status | Planned subjects | Sites |
|---|---|---|---|
| Belgium | Ongoing, recruitment ended | 20 | 6 |
| Czechia | Ongoing, recruitment ended | 33 | 5 |
| France | Ongoing, recruitment ended | 37 | 7 |
| Germany | Ongoing, recruitment ended | 62 | 11 |
| Italy | Ongoing, recruitment ended | 51 | 8 |
| Netherlands | Ongoing, recruitment ended | 35 | 3 |
| Poland | Ongoing, recruitment ended | 88 | 9 |
| Spain | Ongoing, recruitment ended | 77 | 8 |
| Rest of world
United Kingdom, Taiwan, Australia, Philippines, Russian Federation, Japan, Israel, United States, Brazil, Chile, Turkey, Canada, Vietnam, Korea, Republic of
|
— | 652 | — |
Investigational sites
Country notifications
Trial-start, recruitment-start, end and early-termination notifications submitted per Member State
| Country | Trial start | Trial end | Recruitment start | Recruitment end | Early termination |
|---|---|---|---|---|---|
| Belgium | 2019-06-27 | 2019-07-25 | 2021-07-30 | ||
| Czechia | 2019-04-02 | 2019-04-08 | 2021-05-05 | ||
| France | 2019-04-30 | 2019-05-02 | 2021-06-30 | ||
| Germany | 2019-09-10 | 2019-11-07 | 2021-07-27 | ||
| Italy | 2019-11-15 | 2019-12-12 | 2021-07-30 | ||
| Netherlands | 2019-04-23 | 2019-05-01 | 2021-07-02 | ||
| Poland | 2019-02-11 | 2019-02-12 | 2021-07-30 | ||
| Spain | 2019-06-20 | 2019-06-20 | 2021-07-30 |
Results and documents
Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial
Documents 70 files
Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.
| Type | Title | Version |
|---|---|---|
| Clinical study report (for publication) | d933rc00001-16-1-01-protocol-and-protocol-amendments-red | 1 |
| Clinical study report (for publication) | d933rc00001-16-1-02-sample-case-report-form-part-a-red | 1 |
| Clinical study report (for publication) | d933rc00001-16-1-02-sample-case-report-form-part-b-red | 1 |
| Clinical study report (for publication) | d933rc00001-16-1-02-sample-case-report-form-part-c-red | 1 |
| Clinical study report (for publication) | d933rc00001-16-1-09-statistical-methods-and-analysis-red | 1 |
| Clinical study report (for publication) | d933rc00001-clinical-study-report-interim-red | 1 |
| Clinical study report (for publication) | d933rc00001-csr-errata-list-red | 1 |
| Clinical study report (for publication) | d933rc00001-csr-section-narratives-part-a-red | 1 |
| Clinical study report (for publication) | d933rc00001-csr-section-narratives-part-b-red | 1 |
| Clinical study report (for publication) | d933rc00001-csr-section-narratives-part-c-red | 1 |
| Clinical study report (for publication) | d933rc00001-csr-section-narratives-part-d-red | 1 |
| Clinical study report (for publication) | d933rc00001-csr-section-narratives-part-e-red | 1 |
| Clinical study report (for publication) | d933rc00001-csr-section-tables-figures-ia1-pcr-rep-red | 1 |
| Clinical study report (for publication) | d933rc00001-csr-section-tables-figures-iemt-0215-red | 1 |
| Clinical study report (for publication) | d933rc00001-csr-section-tables-figures-iemt-red | 1 |
| Clinical study report (for publication) | d933rc00001-csr-section-tables-figures-red | 1 |
| Protocol (for publication) | D1_Protocol 2023-510015-19-00_redacted | 7 |
| Protocol (for publication) | D1_Toxicity Management Guidelines EN 2023-510015-19-00 | 2 |
| Protocol (for publication) | D1_Toxicity Management Guidelines EN 2023-510015-19-00 SOC | n/a |
| Protocol (for publication) | D1_Toxicity Management Guidelines EN 2023-510015-19-00 Tracked Changes | 21 |
| Protocol (for publication) | D1_Toxicity Management Guidelines Summary of Changes | NA |
| Protocol (for publication) | D1_Toxicity Management Guidelines Tracked Changes | NA |
| Recruitment arrangements (for publication) | CTIS Blank Document for Transition Trials | n/a |
| Recruitment arrangements (for publication) | CTIS Blank Document for Transition Trials | n/a |
| Recruitment arrangements (for publication) | CTIS Blank Document for Transition Trials | n/a |
| Recruitment arrangements (for publication) | CTIS Blank Document for Transition Trials | n/a |
| Recruitment arrangements (for publication) | CTIS Blank Document for Transition Trials | n/a |
| Recruitment arrangements (for publication) | CTIS Blank Document for Transition Trials | n/a |
| Recruitment arrangements (for publication) | CTIS Blank Document for Transition Trials | n/a |
| Recruitment arrangements (for publication) | CTIS Blank Document for Transition Trials | n/a |
| Subject information and informed consent form (for publication) | L1_ SIS and ICF Adult PL_Redacted | 7 |
| Subject information and informed consent form (for publication) | L1_ SIS and ICF pregnant partners PL | 4 |
| Subject information and informed consent form (for publication) | L1_ SIS and ICF_Adult Subject_Redacted_ES | 9 |
| Subject information and informed consent form (for publication) | L1_ SIS and ICF_Adult-Sub-study_GER_redacted | 1.3 |
| Subject information and informed consent form (for publication) | L1_ SIS and ICF_Pregnant Partner_ES | 3 |
| Subject information and informed consent form (for publication) | L1_ SIS and ICF-Adult_GER_redacted | 5 |
| Subject information and informed consent form (for publication) | L1_ SIS and ICF-optional-genetic-GER_clean | 1.2 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Addendum to Informed consent form EUCTR | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Adults_DP | 2 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Adults_redacted | 6 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Main adult subject redacted | 6 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Main NL Addendum_redacted | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Main NL site 5001_redacted | 9 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Main NL_redacted | 9 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Main_BE Dutch_redacted | 8 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Main_BE English_redacted | 8 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Main_BE French_redacted | 8 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Pregnant Partner | 3 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Addendum to ICF Handling of Personal Data | 3 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Addendum to ICF_Patients in FU without Progression_redacted | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Biological Samples Research Addendum to Informed Consent Form | 3 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Genetic Research Addendum to Informed Consent Form | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Study Information and Consent Form for Adults_redacted | 7 |
| Subject information and informed consent form (for publication) | Subject Information and Informed Consent Form Placeholder | 1 |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SmPC Cisplatin | n/a |
| Summary of Product Characteristics (SmPC) (for publication) | Gemcitabine_SmPC Summary of changes | 1 |
| Summary of Product Characteristics (SmPC) (for publication) | SmPC Gemcitabine | n/a |
| Synopsis of the protocol (for publication) | D1_Protocol Synopsis Lay Language_NL Dutch | 1 |
| Synopsis of the protocol (for publication) | D1_Protocol Synopsis_BE Dutch_redacted | 7.0 |
| Synopsis of the protocol (for publication) | D1_Protocol Synopsis_BE French_redacted | 7.0 |
| Synopsis of the protocol (for publication) | D1_Protocol Synopsis_BE German_redacted | 7.0 |
| Synopsis of the protocol (for publication) | D1_Protocol Synopsis_CZ_D933RC00001_2022-502430-13-00_redacted | 1 |
| Synopsis of the protocol (for publication) | D1_Protocol Synopsis_ES_Lay language | 1 |
| Synopsis of the protocol (for publication) | D1_Protocol Synopsis_IT_Lay language_2023-510015-19-00 | 1 |
| Synopsis of the protocol (for publication) | D1_Protocol Synopsis_Lay Language_FR_FRA 2023-510015-19-00 | 1 |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis_lay language_PL | 1 |
| Synopsis of the protocol (for publication) | D1_Protocol Synopsis_Lay Language-EN 2023-510015-19-00 | 1 |
| Synopsis of the protocol (for publication) | D1_Protocol Synopsis_redacted | 7 |
| Synopsis of the protocol (for publication) | D1_Protocol Synopsis_redacted | 7 |
| Synopsis of the protocol (for publication) | D1_Protocol Synopsis_redacted | 1 |
Application history
19 submissions — initial application plus substantial / non-substantial modifications
| # | Type | Code | Submitted | Reference MS | Conclusion | Decision date |
|---|---|---|---|---|---|---|
| 1 | INITIAL | IN | 2023-12-19 | Czechia | Acceptable 2024-02-23
|
2024-02-26 |
| 2 | SUBSTANTIAL MODIFICATION | SM-1 | 2024-03-08 | Czechia | Acceptable 2024-06-12
|
2024-06-12 |
| 3 | SUBSTANTIAL MODIFICATION | SM-2 | 2024-07-12 | Acceptable | 2024-08-26 | |
| 4 | SUBSTANTIAL MODIFICATION | SM-3 | 2024-07-12 | Acceptable | 2024-08-23 | |
| 5 | SUBSTANTIAL MODIFICATION | SM-4 | 2024-07-12 | Acceptable | 2024-07-17 | |
| 6 | SUBSTANTIAL MODIFICATION | SM-5 | 2024-07-12 | Acceptable | 2024-08-26 | |
| 7 | SUBSTANTIAL MODIFICATION | SM-6 | 2024-07-12 | Czechia | Acceptable | 2024-09-05 |
| 8 | SUBSTANTIAL MODIFICATION | SM-7 | 2024-07-12 | Acceptable | 2024-09-19 | |
| 9 | SUBSTANTIAL MODIFICATION | SM-8 | 2024-07-12 | Acceptable | 2024-09-27 | |
| 10 | SUBSTANTIAL MODIFICATION | SM-9 | 2024-07-12 | Acceptable | 2024-09-09 | |
| 11 | SUBSTANTIAL MODIFICATION | SM-10 | 2024-10-26 | Czechia | Acceptable 2025-02-12
|
2025-02-13 |
| 12 | SUBSTANTIAL MODIFICATION | SM-11 | 2025-02-28 | Acceptable | 2025-04-03 | |
| 13 | SUBSTANTIAL MODIFICATION | SM-12 | 2025-02-28 | Acceptable | 2025-03-28 | |
| 14 | SUBSTANTIAL MODIFICATION | SM-13 | 2025-06-03 | Czechia | Acceptable 2025-09-04
|
2025-09-05 |
| 15 | NON SUBSTANTIAL MODIFICATION | NSM-1 | 2025-09-09 | Czechia | Acceptable 2025-09-04
|
2025-09-09 |
| 16 | NON SUBSTANTIAL MODIFICATION | NSM-2 | 2025-09-11 | Acceptable 2025-09-04
|
2025-09-11 | |
| 17 | SUBSTANTIAL MODIFICATION | SM-14 | 2025-09-19 | Acceptable | 2025-10-29 | |
| 18 | NON SUBSTANTIAL MODIFICATION | NSM-3 | 2025-11-03 | Acceptable | 2025-11-03 | |
| 19 | NON SUBSTANTIAL MODIFICATION | NSM-4 | 2026-01-15 | Czechia | Acceptable | 2026-01-15 |