Gemcitabine and Carboplatin After Progression on Enfortumab Vedotin and Pembrolizumab in Advanced/Metastatic Urothelial Carcinoma
Part of paid clinical trials in Philadelphia, Pennsylvania.
- Sponsor
- Fox Chase Cancer Center
- Study ID
- NCT07043972
- Phase
- PHASE2
- Status
- Recruiting
Conditions
Eligibility Criteria
- Sex
- ALL
- Age
- 18 Years - N/A
- Healthy Volunteers
- Not accepted
Interventions
- Gemcitabine — DRUGIV over 30 minutes given on days 1 and 8 of a 21 day cycle
- Carboplatin — DRUGIV over 30 minutes given on day 1 of a 21 day cycle
Study Details
The goal of this clinical trial is to learn if a chemotherapy combination called gemcitabine and carboplatin (GC) works to treat advanced urothelial cancer in people who have already been treated with enfortumab vedotin and pembrolizumab (EVP). It will also learn about the efficacy and safety of GC in these patients. The main questions it aims to answer are: * Does GC shrink the cancer or stop it from growing? * What medical side effects do participants have while receiving GC? Researchers will study how GC affects survival, cancer control, and quality of life. They will also collect blood samples to look at health-related markers and cancer DNA in the blood. \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ Participants will: * Receive the GC chemotherapy (gemcitabine and cisplatin) after having been treated with EVP * Visit the clinic regularly for checkups, lab tests, and scans * Answer questions about their health, quality of life, and daily function * Provide blood samples for research This study may help researchers find better ways to treat advanced bladder and urinary tract cancer in the future-especially for older adults or those who have already tried other treatments.
Key Dates
- Start date
- Jul 9, 2025
- Status verified
- Jul 2025
- Primary completion
- Jan 1, 2030
- Completion
- Jan 1, 2031
Study Design
- Enrollment
- 55 participants (estimated)
- Allocation
- NA
- Intervention model
- SINGLE_GROUP
- Primary purpose
- TREATMENT
Arms
- Experimental: Gemcitabine plus carboplatinPatients will be treated with gemcitabine 1,000 mg/m2 administered over 30 minutes IV on days 1 and 8, followed by carboplatin area under the curve (AUC) 5 on day 1, every 3 weeks.
Primary Outcome Measure
Best overall response (Complete response (CR), partial response (PR), stable disease (SD), progressive disease (PD) to gemcitabine plus carboplatin defined per RECIST v 1.1 [ Time Frame: 3 years ]
Central Contacts
- Daniel Geynisman, MD(888) 369-2427
- Ryan Romasko, MBA(888) 369-2427
Locations (2)
| Facility | City | State | ZIP | Site coordinators |
|---|---|---|---|---|
| Fox Chase Cancer Center | Philadelphia | Pennsylvania | 19111 | Daniel Geynisman, MD (PRINCIPAL_INVESTIGATOR) |
| Temple University Hospital at Broad Street | Philadelphia | Pennsylvania | 19140 | Ryan Romasko, MBA Daniel Geynisman, MD (PRINCIPAL_INVESTIGATOR) |
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