Can a gene test tell who responds to immunotherapy for bladder cancer?

NCT ID NCT04953104

First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time

Summary

This small phase II trial is studying whether specific gene mutations (ARID1A and KDM6A) and a protein called CXCL13 can predict how well patients with advanced bladder cancer respond to the immunotherapy drug nivolumab. Six participants with metastatic urothelial cancer whose tumors have these mutations will receive nivolumab. The goal is to see if these biological markers can help select patients who will benefit most from this treatment.

What this could mean

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

Active substance

Nivolumab (Opdivo) and relatlimab

What this could lead to

If successful, this could help doctors identify which patients with advanced bladder cancer are most likely to benefit from immunotherapy, making treatment more personalized.

What could go wrong

This is a very small, early-phase trial with only 6 participants. It is designed to test a biomarker, not to prove a new treatment works. Results may not apply to all patients.

Disclaimer Read more

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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Conditions

The condition(s) this trial relates to.

bladder transitional cell carcinoma infiltrating bladder urothelial carcinoma malignant renal pelvis neoplasm renal pelvis carcinoma renal pelvis urothelial carcinoma stage IVb bladder cancer transitional cell carcinoma ureter cancer ureter transitional cell carcinoma urethra cancer urethra transitional cell carcinoma Urethral Neoplasms urinary bladder carcinoma Urinary Bladder Neoplasms urothelial carcinoma

As listed by the trial registrant

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

Contacts and locations

Locations

  • M D Anderson Cancer Center

    Houston, Texas, 77030, United States