Lab-Grown tumor organoids could pick the right bladder chemo
NCT ID NCT06227065
First seen Sep 18, 2026 · Last updated Sep 18, 2026
Summary
Researchers are testing whether drug testing in patient-derived organoids can guide chemotherapy for low-grade non-muscle invasive bladder cancer. Adults with primary or recurrent low-grade bladder cancer receive one of four chemo drugs, epirubicin, mitomycin C, gemcitabine, or docetaxel, instilled directly into the bladder once a week for six weeks. The goal is to see how many patients have a complete pathological response and whether the organoid drug screen is feasible and safe.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Epirubicin, Mitomycin C, Gemcitabine, or Docetaxel, chosen by lab drug testing and given into the bladder
- What this could lead to
- If it works, doctors could use a patient's own tumor cells to choose the most effective bladder chemo drug, possibly avoiding more invasive surgery for low-grade bladder cancer.
- What could go wrong
- This is a small, single-center phase 2 trial, so results may not apply broadly. The organoid drug screen may fail for some patients, and intravesical chemo can cause bladder irritation or other side effects.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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About 28 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Dec 2026
An estimate. Start dates often move.
- Expected to finish
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Nov 2031
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Signed Informed Consent Form 2. Age ≥ 18 years 3. Primary or recurrent NMIBC suspected to be low-grade or maximum G2 with a negative urine cytology Exclusion Criteria: 1. Anticoagulation other than acetylsalicylic acid 2. Evidence of significant uncontrolled concomitant disease that could affect compliance with the protocol as judged by the investigator 3. Severe infection within 4 weeks prior to the date of the patient's informed consent signature 4. Contraindication for frequent catheterization 5. Pregnancy or nursing. Female subject of childbearing potential (defined as premenopausal women who have not undergone surgical sterilization and are sexually active with a male part-ner) must have a negative urine pregnancy test at screening 6. Female subject of childbearing potential who is unwilling to use effective contraception method(s) from the start of the intravesical instillation with the IMP until six months after the last instillation 7. Male subject who is unwilling to use an effective contraception method from the start of the intravesical instillation with the IMP until four months after the last instillation 8. Vulnerable individual, e.g., individual incapable of judgement or currently incarcerated or oth-erwise institutionalized (prisoner), or refugee 9. Concomitant participation in another interventional clinical trial with an active treatment within 4 weeks prior to the date of the patient's informed consent signature and during the current trial.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
2 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Lindenhofspital, Klinik für Urologie
Bern, 3001, Switzerland
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Spitalzentrum Biel, Klinik für Urologie
Biel, 2501, Switzerland
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can tumor genes decide who keeps their bladder?
- Lab-Grown tumor models could match patients to the right cancer drug
- Can heated saline during bladder surgery stop tumors from coming back?
- Radiation instead of bladder removal: a new option for Hard-to-Treat bladder cancer?
- Can an immunotherapy plus chemotherapy keep High-Risk bladder cancer at bay?
- Can a bladder rinse before surgery keep bladder cancer at bay?