New Bladder-Sparing cocktail aims to beat cancer without surgery

NCT ID NCT02621151

First seen Nov 01, 2025 · Last updated Jun 23, 2026 · Updated 30 times

Summary

This phase II trial tests whether adding the immunotherapy drug pembrolizumab (Keytruda) to standard chemotherapy and radiation can help people with muscle-invasive bladder cancer avoid bladder removal. The study enrolls 60 patients who cannot or choose not to have surgery. The main goal is to see how many remain cancer-free in the bladder after two years.

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This is a summary of the original study . Summaries may miss details or leave out important information. Before applying or accepting participation, make sure you have read and understood the full study. Curemydisease.com takes no responsibility whatsoever for anything missed, misunderstood, or acted upon as a result of our summary — we know it does not capture everything.

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Contacts and locations

Locations

  • Memorial Sloan Kettering

    New York, New York, 10065, United States

  • NYU Perlmutter Cancer Center

    New York, New York, 10016, United States

  • University of Chicago

    Chicago, Illinois, 60637, United States

  • University of Michigan Health System

    Ann Arbor, Michigan, 48109, United States

  • University of North Carolina

    Chapel Hill, North Carolina, 27599-7305, United States

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance

Pembrolizumab (Keytruda) combined with gemcitabine chemotherapy and radiation therapy

What this could lead to

If successful, this could offer a bladder-sparing treatment option for people with muscle-invasive bladder cancer who cannot or choose not to have bladder removal surgery.

What could go wrong

This is a phase II trial with only 60 participants, so results are preliminary. The combination therapy may cause side effects from chemotherapy, radiation, and immunotherapy, and may not be more effective than standard treatments.

Conditions

The condition(s) this trial relates to.

infiltrating bladder urothelial carcinoma

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.