New bladder cancer cocktail aims to save the bladder
NCT ID NCT05975307
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This phase 2 trial is testing whether a combination of chemotherapy, an immunotherapy drug called toripalimab, and radiation can effectively treat muscle-invasive bladder cancer while allowing patients to keep their bladder. About 71 adults with this type of bladder cancer will receive the drugs first, then those who respond well will get radiation plus more immunotherapy. The main goal is to see if the cancer disappears completely after treatment.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Toripalimab (an immunotherapy drug) combined with chemotherapy (gemcitabine and cisplatin/carboplatin) and radiotherapy
- What this could lead to
- If successful, this could offer a bladder-sparing treatment option for muscle-invasive bladder cancer, avoiding the need for surgical removal of the bladder.
- What could go wrong
- This is a small, early-phase trial with only 71 participants, so results may not apply to everyone. Combining immunotherapy with chemotherapy and radiation can cause significant side effects, and the treatment may not work for all patients.
This is an AI summary of the original study and may miss details. Read our disclaimer.
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 71 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Dec 2023
- Expected to finish
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Dec 2029
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 to 75 years
- 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.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Pathologically diagnosed bladder malignant tumor via biopsy * Urothelial carcinoma as the primary histological component * Pretreatment clinical TNM stage as T2-4aN0M0 or T1-4aN1-2M0 (UICC TNM staging classification, version 8) * Age between 18 and 75 years old * Karnofsky performance score ≥ 70 * Creatinine clearance rate ≥ 30 ml/min Exclusion Criteria: * Simultaneous tumors of the urethra or upper urinary tract * Existence of small cell cancer component * Uncontrolled tuberculosis, viral hepatitis or AIDS * Autoimmune or mental diseases * Severe cardiac, renal, hepatic or hematopoietic dysfunctions unsuitable for chemotherapy, radiotherapy or immune checkpoint inhibiting therapy * Prior history of other malignancies within 5 years, except cured cervical carcinoma in situ and skin basal cell carcinoma * Prior history of pelvic radiotherapy or chemotherapy * Poor adherence to regular follow-up (cystoscopy, CT, MRI, etc.) * Pregnant or lactating women * Treatment with glucocorticoid or immunosuppressive drugs within 1 month * Other situations for which the investigators consider a patient inappropriate to participate
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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.
Contacts and locations
Locations
-
Cancer Center, Sun Yat-sen University
Guangzhou, Guangdong, 510060, China
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Can tumor genes decide who keeps their bladder?
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