Clinical Trials
Clinical trials are research studies that help doctors find new and better ways to prevent and treat cancer. Almost every cancer treatment that is saving lives today is the result of a clinical trial.
The Polsky Urologic Cancer Institute offers innovative clinical research trials that provide patients with access to the most advanced treatments for bladder, kidney, prostate and testis cancers. If you have been diagnosed with a urologic cancer, feel that you are at high risk of being diagnosed with a urologic cancer or if you are a survivor, ask your doctor if a clinical trial is right for you.
Search below to find clinical trials related to urologic cancer and visit the About Clinical Trials page on the Lurie Cancer Center website to learn more about oncology clinical trials.
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The effect of inflammatory bowel disease flares on serum prostate specific antigenThis study will measure PSA values in men with IBD before, during, and following a flare. In addition, the effect of any PSA increase will be analyzed and correlated to the location of the disease (rectal vs. other). Study findings may help men with IBD by identifying pitfalls in prostate … This study will measure PSA values in men with IBD before, during, and following a flare. In addition, the effect of any PSA increase will be analyzed and correlated to the location of the disease (rectal vs. other). Study findings may help men with IBD by identifying pitfalls in prostate cancer screening for this population and help to stratify and understand the effect IBD has on the prostatic milieu. By optimizing how men with IBD are screened for prostate cancer, future unnecessary healthcare encounters and expenditures may be reduced for this patient group. Eligibility CriteriaMen with a confirmed diagnosis of inflammatory bowel disease (IBD) between the ages of 40-69 years old. Keywords inflammatory bowel disease Copy Study URL to Clipboard Copy |
Randomized controlled trial assessing transperineal prostate biopsy to reduce infection complicationsProstate cancer is the most commonly diagnosed malignancy in U.S. men. There are approximately 1 million prostate biopsy performed annually in the U.S. Almost all biopsies are performed as an office based procedure in under 15 minutes. The precision of biopsy has improved over the last decade with … Prostate cancer is the most commonly diagnosed malignancy in U.S. men. There are approximately 1 million prostate biopsy performed annually in the U.S. Almost all biopsies are performed as an office based procedure in under 15 minutes. The precision of biopsy has improved over the last decade with the introduction of MRI guidance/targeting of suspicious lesions within the prostate. However, significant limitations remain with this approach, including a significantly increasing risk of post-biopsy infection. This arises because more than 97% of all prostate biopsy are performed via a transrectal approach that introduces rectal bacteria with each pass of the biopsy needle into the sterile urinary tract. The current risk of post-transrectal biopsy infection, even with antimicrobial prophylaxis, is high at approximately 7% overall with 3% (30,000 men) requiring hospitalization annually. Transperineal biopsy is an alternate approach that eliminates the direct introduction of bacteria from the rectum to the prostate. This approach, which is perfomed without antimicrobial prophylaxis, instead passes the biopsy needle through the perineal skin and pelvic floor. Transperineal biopsy has not been widely adopted for several reasons. Historically, it has been considered too painful for patients in the clinic and thus was traditionally performed under general anesthesia. The added time, inconvenience and cost has limited its national adoptance. Second, when transrectal biopsy was initially adopted over 40 years ago, antibiotic resistance of rectal flora was not a challenge. Beyond the potential for in-office transperineal biopsy to significantly reduce or eliminate biopsy infections, transperineal biopsy may also improve cancer detection: studies of transperineal biopsy (performed under general anesthesia) demonstrate higher detection rates for prostate cancer, particularly for anterior zone tumors, compared to transrectal biopsy. This is notable, as anterior tumors are difficult to sample with transrectal. Anterior tumors are also twice as likely to occur in African American men. In fact, our research demonstrates that some of the outcomes disparities in African American men may stem from an underdiagnosis of anterior prostate cancers. Although transrectal biopsy is used widely, it is associated with a significant and increasing risk of biopsy infections due to growing antibiotic resistance, highlighting the urgent need for a safer alternative approach to prostate biopsy. The study investigators have refined a transperineal approach under local anesthesia with MRI-targeting/guidance without the need for antibiotic prophylaxis. The investigators hypothesize that transperineal MRI targeted biopsy will: (1) largely eliminate post-biopsy infections and costly hospitalizations for urosepsis; (2) be performed in the office with similar discomfort and non-infectious complications compared to transrectal MRI targeted biopsy; and (3) have significantly better detection of prostate cancer. This multi-center randomized controlled trial will be conducted to evaluate in-office transperineal MRI targeted vs. transrectal MRI targeted biopsy, the current gold standard. This has transformative impact to change current standard of practice. Eligibility CriteriaThis study will include allmen who are recommended to undergo prostate biopsy as part of routine clinicalcare. Copy Study URL to Clipboard Copy |
Clinical Trial of Approaches to Prostate Cancer SurgeryThis study will include adult men undergoing radical prostatectomy for clinically localized prostate cancer. Eligibility Criteria Inclusion Criteria
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The Role of Low Testosterone in Perioperative Surgical OutcomesThis study aims to understand how low testosterone may impact surgical complications, such as frailty. By understanding the risks associated with low testosterone around the time of surgery, we can develop interventions to treat low testosterone in advance of surgery.… This study aims to understand how low testosterone may impact surgical complications, such as frailty. By understanding the risks associated with low testosterone around the time of surgery, we can develop interventions to treat low testosterone in advance of surgery. Eligibility Criteria Inclusion Criteria:
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IRB number STU00216934 Copy Study URL to Clipboard Copy |
Phase 1 Study of Erdafitinib Intravesical Delivery System (TAR-210) in Participants with Non-Muscle-Invasive or Muscle-Invasive Bladder Cancer and Selected FGFR Mutations or FusionsThis study will evaluate erdafitinib administered via an intravesical delivery system for both NMIBC and MIBC. The TAR-210 intravesical delivery system has been developed to providecontinuous intravesical drug delivery for prolonged periods over multiple voiding cycles, thereby minimizing the number of intravesical instillations required and providing sustained drug exposure … This study will evaluate erdafitinib administered via an intravesical delivery system for both NMIBC and MIBC. The TAR-210 intravesical delivery system has been developed to provide continuous intravesical drug delivery for prolonged periods over multiple voiding cycles, thereby minimizing the number of intravesical instillations required and providing sustained drug exposure at the tumor site while minimizing systemic exposure and improving tolerability. Eligibility Criteria
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A randomized, double-blind, placebo-controlled Phase 3 study of darolutamide plus androgen deprivation therapy (ADT) compared with placebo plus ADT in patients with high-risk biochemical recurrence (BCR) of prostate cancerYou are being asked to voluntarily take part in this clinical research study to test an oral drug, darolutamide, in addition to androgen deprivation therapy (ADT), because you have hormone sensitive high-risk biochemical recurrence (BCR) of prostate cancer (a type of cancer that is dependent on androgen hormones, such … You are being asked to voluntarily take part in this clinical research study to test an oral drug, darolutamide, in addition to androgen deprivation therapy (ADT), because you have hormone sensitive high-risk biochemical recurrence (BCR) of prostate cancer (a type of cancer that is dependent on androgen hormones, such as testosterone). Testosterone helps prostate cancer to grow. So the most common way to control testosterone levels in the body is to block the gland that stimulates the testosterone production. High risk BCR refers to a stage of prostate cancer where the rise in Prostate Specific Antigen (PSA) levels to a certain threshold and within a specified period of time, during or following prostate cancer local therapies. This means that after local therapies with curative intent (surgery or radiotherapy) of prostate cancer, some cancer cells may have survived and are producing PSA. PSA is a protein that is produced by both cancerous and noncancerous prostate cells.
ADT is a systemic therapy called hormone therapy which reduces the androgen hormone (testosterone) levels to prevent prostate cancer cells from growing. ADT is frequently given with radiation therapy.
This study is being done to learn more about a new drug called darolutamide given in combination with ADT for your disease stage. Eligibility Criteria Inclusion Criteria:
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Intradetrusor Botox At Time of HoLEP in Men With OAB SymptomsThe objective of our multi-center randomized open-label study is to examine the safety and effect of intra-detrusor onabotulinumtoxinA injections at the time of holmium laser enucleation of the prostate (HoLEP) in men with overactive bladder symptoms with and without urge incontinence. … The objective of our multi-center randomized open-label study is to examine the safety and effect of intra-detrusor onabotulinumtoxinA injections at the time of holmium laser enucleation of the prostate (HoLEP) in men with overactive bladder symptoms with and without urge incontinence. Eligibility Criteria Inclusion Criteria
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uTRACT Jelmyto® RegistryThe primary objective of the registry is to study the use and impact of Jelmyto in patients with Upper Tract Urothelial Carcinoma in clinical practice in the U.S. Eligibility Criteria Inclusion Criteria
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Ureteroscopy With High-powered Holmium:Yag Laser Lithotripsy With and Moses On or Moses OfThe purpose of this study is to compare Moses 2.0 pulse modulation technology and the standard high powered Holmium Laser lithotripsy and how it will affect time in the operating room, time using the laser, laser energy, and stone free rates.Currently Moses 2.0 laser technology is FDA … The purpose of this study is to compare Moses 2.0 pulse modulation technology and the standard high powered Holmium Laser lithotripsy and how it will affect time in the operating room, time using the laser, laser energy, and stone free rates. Currently Moses 2.0 laser technology is FDA approved and currently used in practice since 2021. No study to this date has compared Moses 2.0 without pulse modulation laser technology to Moses 2.0 with pulse modulation laser technology. The study will be including kidney and ureteral stones (a kidney stone located in the tube between the kidney and the bladder) that are 6mm and greater, but less than 20 mm in size undergoing ureteroscopic treatment. High powered lasers are used for "dusting". Dusting is when a laser is used to break a stone down into tiny fragments that are able to pass through the urine. Eligibility Criteria Inclusion Criteria:
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A Pilot Study of rhPSMA -PET MRI Imaging For the Detection of Clinically Actionable Prostate Cancer Among Men Who Are Otherwise Candidates for Active SurveillanceThe overall goal of this pilot study is to evaluate whether rhPMSA-7.3-PET-MRI can detect higher grade or stage disease in a population of NCCN low and favorable intermediate risk men. … The overall goal of this pilot study is to evaluate whether rhPMSA-7.3-PET-MRI can detect higher grade or stage disease in a population of NCCN low and favorable intermediate risk men. Eligibility Criteria Inclusion Criteria:
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Blue Light Cystoscopy™ with Cysview® RegistryThe purpose of the registry is to study the use of BLC™ with Cysview® in clinical practice in the United States. Eligibility Criteria Inclusion Criteria
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A study of intravesical enfortumab vedotin for treatment of patients with non-muscle invasive bladder cancer (NMIBC)To evaluate the safety and tolerability of intravesical enfortumab vedotin in subjects with non-muscle invasive bladder cancer Eligibility Criteria Inclusion Criteria:
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TAR-200 Versus Intravesical Chemotherapy in Recurrent High-Risk Non-muscle-invasive Bladder Cancer (HR-NMIBC) After Bacillus Calmette-Guérin (BCG)This is a Phase 3, randomized, open-label, active-controlled, multi-center study evaluating the efficacy and safety of intravesical TAR-200 versus Investigator’s choice of either intravesical MMC or gemcitabine in participants with recurrence of papillary-only HR-NMIBC (HG Ta or any T1, no CIS) within 1 … This is a Phase 3, randomized, open-label, active-controlled, multi-center study evaluating the efficacy and safety of intravesical TAR-200 versus Investigator’s choice of either intravesical MMC or gemcitabine in participants with recurrence of papillary-only HR-NMIBC (HG Ta or any T1, no CIS) within 1 year of last dose of BCG therapy (ie, BCG-unresponsive or BCG-experienced) and who refused or are unfit for Radical Cystectomy. Eligibility Criteria Inclusion: Exclusion: Location(s) Copy Study URL to Clipboard Copy |