A Hoosier Cancer Research Network study for adult patients with muscle-invasive bladder cancer (MIBC) will help doctors determine whether some patients could forego bladder removal and receive standard chemotherapy drugs and the immunotherapy drug, nivolumab. It will also test whether adding nivolumab to chemotherapy drugs, gemcitabine and cisplatin, works better than chemotherapy alone for treating bladder cancer that has invaded the muscle layer of the bladder. Correlative tests, including genomic sequencing, will play a critical role in identifying biomarkers that might help determine which patients could be spared the removal of their bladders.
People with MIBC are typically treated with chemotherapy and a radical cystectomy, or surgical removal of the bladder. Chemotherapy preceding surgery has been shown to increase the likelihood of curing bladder cancer compared to surgery alone.
The phase II study, “Neoadjuvant gemcitabine, cisplatin, plus nivolumab in patients with muscle-invasive bladder cancer with selective bladder sparing,” also known as HCRN GU16-257, is now enrolling eligible subjects, ages 18 and above, at Tisch Cancer Institute at Mount Sinai in New York, NY; City of Hope in Duarte, Calif.; Huntsman Cancer Institute in Salt Lake City, Utah; Oregon Health and Science University in Portland, Ore.; Penn Medicine Abramson Cancer Center in Philadelphia, Pa.; University of Wisconsin Carbone Cancer Center in Madison, Wis.; and USC Norris Comprehensive Cancer Center in Los Angeles, Calif. Up to 76 subjects will participate in the study. Read More
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