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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. 

Trials

The effect of inflammatory bowel disease flares on serum prostate specific antigen

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 …
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.
Principal InvestigatorKundu, Shilajit DKundu, Shilajit D
ClinicalTrials.gov IdentifierNCT03558048IRB number STU00207583
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Randomized controlled trial assessing transperineal prostate biopsy to reduce infection complications

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 …

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.
Principal InvestigatorSchaeffer, Edward MatthewSchaeffer, Edward Matthew
ClinicalTrials.gov IdentifierNCT04815876IRB number STU00211699
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Clinical Trial of Approaches to Prostate Cancer Surgery

This study will include adult men undergoing radical prostatectomy for clinically localized prostate cancer.

Eligibility Criteria

Inclusion Criteria

  • Age ≥40 years and ≤85 years
  • Scheduled for RP for clinically localized prostate cancer

Exclusion Criteria

  • Prior major pelvic surgery or radiotherapy
  • Prior focal therapy or radiotherapy for prostate cancer

Principal InvestigatorSchaeffer, Edward MatthewSchaeffer, Edward Matthew
Location(s)
  • Map it 675 N. Saint Clair St. Twentieth Floor, Suite 150
    Chicago, IL
ClinicalTrials.gov IdentifierNCT05155501IRB number STU00215853
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The Role of Low Testosterone in Perioperative Surgical Outcomes

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.…

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:

  • Male patients ages 18-89 undergoing abdominal or pelvic surgery

Exclusion Criteria:

  • Men with prior history of testosterone replacement therapy (TRT)
  • Patients unwilling to provide consent
Principal InvestigatorHalpern, Joshua AlexanderHalpern, Joshua Alexander
Location(s)
  • Map it 675 N. Saint Clair St. Twentieth Floor, Suite 150
    Chicago, IL
IRB number STU00216934
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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 Fusions

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 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
  • Recurrent, non-muscle-invasive or muscle-invasive urothelial carcinoma of the bladder
  • Activating tumor FGFR mutation or fusion, as determined by local* or central testing, approved by the sponsor prior to the start of study treatment
  • Adequate bone marrow, liver, and renal function
  • Must sign an informed consent form (ICF)indicating that the participant understands the purpose of, and procedures required for, the study and is willing to participate in the study
  • Willing and able to adhere to the lifestyle restrictions specified in this protocol
  • No Concurrent extra-vesical (ie, urethra, ureter, renal pelvis) transitional cell carcinoma of the urothelium
  • No prior treatment with FGFR inhibitor
  • Have not received radiotherapy ≤6 months prior to the planned start of study treatment
  • No Indwelling urinary catheter
  • Bladder post-void residual volume (PVR) >350 mL after second voided urine
  • Cannot have a History of uncontrolled cardiovascular disease
Principal InvestigatorMeeks, Joshua JMeeks, Joshua J
Location(s)
  • Map it 675 N. Saint Clair St. Twentieth Floor, Suite 150
    Chicago, IL
ClinicalTrials.gov IdentifierNCT05316155IRB number STU00217656
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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 cancer

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 …

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:

  • Male ≥18 years of age at the time of signing the informed consent.
  • Histologically or cytologically confirmed adenocarcinoma of prostate.
  • Prostate cancer initially treated by:
  • radical prostatectomy (RP) followed by adjuvant radiotherapy (ART) or salvage radiotherapy (SRT), or
  • RP in participants who are unfit for ART or SRT, or
  • primary radiotherapy (RT)
  • High-risk biochemical recurrence (BCR), defined as
  • Prostate-specific antigen doubling time (PSADT) <12 months AND
  • PSA ≥0.2 ng/mL after ART or SRT post RP or after RP in participants who are unfit for ART or SRT, or
  • PSA ≥2 ng/mL above the nadir after primary RT only
  • Participants must undergo prostate-specific membrane antigen positron emission tomography/computed tomography (PSMA PET/CT) within the 30-day Screening period using either 18F-DCFPyL (piflufolastat F 18) or 68Ga-PSMA-11
  • Serum testosterone ≥150 ng/dL (5.2 nmol/L).
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
  • Blood counts at screening:
  • Hemoglobin ≥9.0 g/dL
  • Absolute neutrophil count (ANC) ≥1.5x109/L
  • Platelet count ≥100x109/L
  • Alanine aminotransferase (ALT) ≤1.5 x upper limit of normal (ULN)
  • Aspartate aminotransferase (AST) ≤1.5 x ULN
  • Total bilirubin (TBL) ≤1.5 ULN, (except participants with a diagnosis of Gilbert’s disease)
  • Estimated glomerular filtration rate (eGFR) >40 ml/min/1.73 m2 calculated by the CKD-EPI formula
  • Sexually active male participants must agree to use contraception during the Treatment period and for at least 3 months after the last dose of study treatment, and refrain from donating sperm during this period.
Principal InvestigatorRoss, Ashley EvanRoss, Ashley Evan
Location(s)
  • Map it 675 N. Saint Clair St. Twentieth Floor, Suite 150
    Chicago, IL
ClinicalTrials.gov IdentifierNCT05794906IRB number STU00218784
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Intradetrusor Botox At Time of HoLEP in Men With OAB Symptoms

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. …

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

  • Males 18 -100 undergoing HoLEP who have had an inadequate response to anticholinergic medications
  • Component of OAB symptoms including frequency, nocturia, urgency, and/or urge related incontinence
  • Willing to sign the Informed Consent Form
  • Able to read, understand, and complete patient questionnaires.

Exclusion Criteria

  • Allergy or hypersensitivity to OnabotulinumtoxinA injections
  • Patients having a concurrent ureteroscopy +/- laser lithotripsy, percutaneous nephrolithotomy, or non-urologic surgery at the time of their HoLEP
  • Anticipated need for perineal urethrostomy at the time of HoLEPPatients with prior pelvic radiation
  • Patients with a history of bladder cancer with or without BCG therapy within the last 12 months
  • Patients who lack decisional capacity
  • Active urinary tract infection
Principal InvestigatorKrambeck, Amy ElizabethKrambeck, Amy Elizabeth
ClinicalTrials.gov IdentifierNCT05878951IRB number STU00218130
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uTRACT Jelmyto® Registry

The 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

  • Adults >18 years old
  • Diagnosis of upper tract urothelial cancer (UTUC).
  • Meet at least one of the following criteria:
  • Have been treated with Jelmyto after April 2020
  • Currently undergoing treatment with Jelmyto
  • Will receive Jelmyto
Principal InvestigatorMeeks, Joshua JMeeks, Joshua J
Location(s)
  • Map it 675 N. Saint Clair St. Twentieth Floor, Suite 150
    Chicago, IL
ClinicalTrials.gov IdentifierNCT05874921IRB number STU00218931
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Ureteroscopy With High-powered Holmium:Yag Laser Lithotripsy With and Moses On or Moses Of

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 …

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:

  • Undergoing ureteroscopy and laser lithotripsy
  • Stone size ≥8 but < 20 mm in the proximal ureter or kidney. Multiple stones ≤4 are allowed. Bilateral surgeries are allowed
  • Willing to sign informed consent

Exclusion Criteria:

  • Staged surgery
  • Nephrocalcinosis
  • Participant is less than 18 years of age
  • Inability to provide informed consent
  • Members of vulnerable patient populations

Principal InvestigatorKrambeck, Amy ElizabethKrambeck, Amy Elizabeth
ClinicalTrials.gov IdentifierNCT06346483IRB number STU00218929
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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 Surveillance

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. …

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:

  • Healthy men (ECOG 0-1)
  • > 18 years old with at least 10 year life expectancy.
  • Histologically proven Gleason Grade Group 1 or 2 adenocarcinoma of the prostate o Last prostate cancer containing biopsy performed within 3-15mo prior to screening. Biopsy must have been ≥10 core biopsy and informed by prior mpMRI
  • Prostate cancer categorized as low risk or favorable risk by NCCN criteria (low risk is defined as T1c-T2a, PSA<10ng/ml, Gleason Grade Group 1 (Gleason 3+3=6) disease) and favorable intermediate risk as having no more than one of the following intermediate risk features, clinical T2b-T2c disease, PSA 10-20ng/ml, Gleason Grade Group 2 (Gleason score 3+4=7)).
  • Decipher genomic classifier score from prior biopsy >0.45
  • Institutional Review Board (IRB)-/Independent Ethics Committee (IEC)-approved written Informed Consent and privacy language as per national regulations must be obtained from the subject or legally authorized representative prior to any study-related procedures.
  • Concurrent diseases and malignancies are permitted
  • Patients must have the ability to understand and the willingness to sign a written informed consent prior to registration on the study
  • Willing to undergo prostate biopsy prior to non-surgical treatment of prostate cancer and within 90 days of PET-MRI imaging

Exclusion Criteria

  • Prior radiotherapy, surgery, chemotherapy, or hormonal therapy for prostate cancer.
  • NCCN Very low risk category (T1c and Gleason Grade Group 1 (Gleason Score 3+3=6), PSA <10 ng/mL, fewer than 3 prostate biopsy cores positive, ≤50% cancer in any core, PSA density <0.15 ng/mL/g).
  • Decipher score <0.45
  • Prior bladder outlet procedure (i.e. HoLEP, TURP, Urolift, Rezum)
  • Prohibited medications: use of 5 alpha reductase inhibitor or androgen deprivation therapy (i.e. leuprolide, relugolix) within 1 month of screening
  • Contra-indication or relative contra-indication to MRI (i.e. pacemaker) o History of hip replacement
  • Subject has received investigational therapy within 28 days or 5 half-lives, whichever is longer, prior to screening.
Principal InvestigatorRoss, Ashley EvanRoss, Ashley Evan
Location(s)
  • Map it 675 N. Saint Clair St. Twentieth Floor, Suite 150
    Chicago, IL
ClinicalTrials.gov IdentifierNCT05852041IRB number STU00218970
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Blue Light Cystoscopy™ with Cysview® Registry

The purpose of the registry is to study the use of BLC™ with Cysview® in clinical practice in the United States.

Eligibility Criteria

Inclusion Criteria

  • Adult >18 years old
  • Suspected or known non-muscle invasive bladder cancer on the basis of a prior cystoscopy, or undergoing surveillance cystoscopy for carcinoma of the bladder

Exclusion Criteria

  • Porphyria
  • Gross hematuria
  • Known hypersensitivity to hexaminolevulinate or aminolevulinate derivatives
Principal InvestigatorMeeks, Joshua JMeeks, Joshua J
Location(s)
  • Map it 675 N. Saint Clair St. Twentieth Floor, Suite 150
    Chicago, IL
ClinicalTrials.gov IdentifierNCT02660645IRB number STU00218901
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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:

  • Subjects must have histologically confirmed, non-muscle invasive urothelial (transitional cell) carcinoma with carcinoma in situ (CIS) (with or without papillary disease). Histological confirmation must occur within 60 days prior to first dose of study treatment.
  • Predominant histologic component (>50%) must be urothelial (transitional cell) carcinoma. Pure variant histologies will be excluded.
  • Subjects must have high-risk Bacillus Calmette-Guerin (BCG)-unresponsive disease.
  • All visible papillary Ta/T1 tumors must be completely resected within 60 days prior to enrollment.
  • Subjects must have satisfactory bladder function and the ability to retain study drug instillation for a minimum of 1 hour, even with premedication.

Exclusion Criteria:

  • Current or prior history of muscle-invasive urothelial carcinoma (ie, T2, T3, or T4 disease) or metastatic disease.
  • Nodal or metastatic disease as noted on computed tomography (CT) or magnetic resonance imaging (MRI) done within 3 months prior to the start of study treatment.
  • Concomitant upper tract urothelial carcinoma as noted on CT or MRI urogram with contrast of abdomen/pelvis performed within 3 months prior to the start of study treatment.
  • Subjects known to have prior or concomitant urothelial carcinoma of the prostatic urethra, as assessed by investigator within 6 months prior to the start of study treatment.
  • Subject has received any other systemic anticancer therapy (eg, chemotherapy, biologic therapy, immunotherapy, targeted therapy, endocrine therapy, investigational agent) within 4 weeks of the first dose of study treatment or any intravesical therapy for treatment of NMIBC within 6 weeks prior to the start of study treatment.
  • Subject has had any prior radiation to the bladder for urothelial cancer.
Principal InvestigatorMeeks, Joshua JMeeks, Joshua J
Location(s)
  • Map it 675 N. Saint Clair St. Twentieth Floor, Suite 150
    Chicago, IL
ClinicalTrials.gov IdentifierNCT05014139IRB number STU00219109
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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:

  • Be ≥18 years of age at the time of informed consent
  • Histologically confirmed diagnosis by local pathology (within 90 days of documented informed consent) of recurrent, papillary-only HR-NMIBC (defined as HG Ta or any T1,no CIS).
  • Participants must have received at least 5 of 6 induction doses of BCG (adequate induction) with or without maintenance therapy.
  • Diagnosis of recurrent, papillary-only HR-NMIBC (defined as HG Ta or any T1, no CIS) must be within 12 months of the last dose of BCG therapy.
  • Participants must be ineligible for or have elected not to undergo RC.
  • Exclusion:

  • Presence of CIS at any point from time of diagnosis of papillary-only HR-NMIBC recurrence to randomization. Additionally, presence or history of histologically confirmed, muscle-invasive, locally advanced, nonresectable, or metastatic UC (ie, T2,T3, T4, N+, and/or M+).
  • Must not currently have UC or histological variant at any site outside of the urinary bladder. UC of the upper urinary tract (including renal pelvis and ureter) is allowable if treated with complete nephroureterectomy more than 24 months prior to randomization with no evidence of recurrence.
  • Active malignancies (ie, progressing or requiring treatment change in the last 24 months) other than the disease being treated under study
  • History of uncontrolled cardiovascular disease including any of the following in the preceding 3 months prior to Screening: unstable angina, myocardial infarction, ventricular fibrillation, Torsades de Pointes, cardiac arrest, or known congestive New York Heart Association Class III-IV heart failure, cerebrovascular accident, or transient ischemic attack. History of pulmonary embolism or other venous thromboembolism within the preceding 2 months.
  • Principal InvestigatorMeeks, Joshua JMeeks, Joshua J
    Location(s)
    • Map it 675 N. Saint Clair St. Twentieth Floor, Suite 150
      Chicago, IL
    • Map it 675 N. Saint Clair St. Twenty-First Floor, Suite 100
      Chicago, IL
    ClinicalTrials.gov IdentifierNCT06211764IRB number STU00221189
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