Management of Cisplatin-Ineligible Patients With Metastatic Bladder Cancer and The Role of Geriatric Assessments
Part of paid clinical trials in Boston, Massachusetts.
- Sponsor
- Dana-Farber Cancer Institute
- Study ID
- NCT06138561
- Status
- Recruiting
Conditions
- Bladder Cancer
- Metastatic Bladder Cancer
- Unresectable Bladder Carcinoma
- Urothelial Carcinoma
Eligibility Criteria
- Sex
- ALL
- Age
- 65 Years - N/A
- Healthy Volunteers
- Not accepted
Interventions
- Geriatric-8 Survey — BEHAVIORALA screening tool to evaluate frailty and at-risk participants by covering multiple domains that contribute to frailty, including mobility, functional status, pharmacologic burden, and underlying psychologic burden. A total score ranges from 0 to 17 with participants scoring \> 14 points are more likely to be fit, or having a better health status, while those scoring 0 - 14 would benefit from further comprehensive geriatric assessment.
- National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy Bladder Symptom Index-18 (FBISI-18) — BEHAVIORALPatient reported, sixteen question survey focused on evaluation of quality of life in patients with bladder cancer.
- Patient-Reported Outcomes version of the Common Terminology Criteria for Adverse Events (PRO-CTCAE®) — BEHAVIORALPatient-reported questionnaire that evaluates cancer-specific toxicity, developed based upon Common Terminology Criteria for Adverse Events.
Study Details
The goal of this study is to better understand how to best treat participants with advanced bladder cancer who may not be able to tolerate all of the chemotherapy drugs that have been shown to be effective. In this study, investigators are assessing the role of the survey, the Geriatric-8, and its ability to predict outcomes in older participants undergoing cancer treatments. Additionally, investigators are evaluating the differential impact of treatments on quality of life in an older and at risk population.
Key Dates
- Start date
- Mar 5, 2024
- Status verified
- Feb 2026
- Primary completion
- Jul 1, 2027
- Completion
- Jan 1, 2028
Study Design
- Enrollment
- 180 participants (estimated)
Arms
- Arm: Cisplatin-Ineligible Metastatic Bladder CancerParticipants receiving standard of care non-cisplatin based therapy (carboplatin-based chemotherapy, enfortumab vedotin plus pembrolizumab or immunotherapy) and will complete study procedures as outlined below: * Baseline visit with questionnaires. * Complete surveys every 3 weeks by telephone or by in-office visit for 8 months. * Optional follow-up phone calls every 6 months for up to 3 years.
Primary Outcome Measure
Quality of life in frail and at-risk patients with advanced bladder cancer deemed cisplatin-ineligible [ Time Frame: 8 months ]
Central Contacts
- Joaquim Bellmunt, MD, PhD617-632-2010
Locations (1)
| Facility | City | State | ZIP | Site coordinators |
|---|---|---|---|---|
| Dana-Farber Cancer Institute | Boston | Massachusetts | 02215 | Joaquim Bellmunt, MD, PhD (PRINCIPAL_INVESTIGATOR) |
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