New drug combo aims to shrink bladder tumors before surgery
NCT ID NCT06511648
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This phase 2 trial tests erdafitinib alone or with cetrelimab before surgery in 90 people with muscle-invasive bladder cancer that has specific gene changes (FGFR). Participants cannot take standard cisplatin chemotherapy. The goal is to see if the drugs can eliminate or shrink the tumor before removal, improving outcomes.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- erdafitinib and cetrelimab
- What this could lead to
- If successful, this could offer a new treatment option before surgery for people with a specific type of bladder cancer who cannot take standard chemotherapy.
- What could go wrong
- This is an early phase 2 trial with only 90 participants, so results are not yet proven. The drugs may cause side effects or not work as hoped.
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 90 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Mar 2023
- Expected to finish
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Oct 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 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. Written informed consent stating that he or she understands the purpose of the study and the procedures involved and agrees to participate in the study. 2. Histologically confirmed diagnosis of MIBC (Stage T2-4a N0/N1 M0) obtained via a diagnostic or maximal Transurethral Resection of Bladder Tumor (TURBT) performed no later than 3 months prior to start the screening visit. 3. Pure or predominant (≥50%) urotelial Cancer (UC) histology as determined at the local site. 4. Age ≥ 18 years. 5. Eastern Cooperative Oncology Group (ECOG) performance status of 0-1 6. Decline or ineligible ("unfit") for cisplatin-based chemotherapy 7. Presence of a selected FGFR alteration on analysis of tumour biopsy 8. Adequate organ function 9. No other malignancy 10. Willingness to avoid pregnancy or fathering children Exclusion Criteria: 1. Clinical evidence of N2-N3 tumours or metastatic bladder cancer. 2. Has tumour with any neuroendocrine or small cell component. 3. Patients who are not considered fit for cystectomy or reject cystectomy. 4. Prior FGFR-targeted or an immune checkpoint inhibitor (antiPD1/PDL1 )systemic therapy. 5. Prior systemic therapy, radiation therapy, or surgery for bladder cancer
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Get notified about this study
Sign up to get updates when this study changes or when new studies for Muscle invasive bladder cancer are added.
Genom att skicka in godkänner du våra Användarvillkor
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 study's own enquiry address
This study publishes an address for enquiries. See it below .
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The places running it
20 sites in 4 countries. 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
Show contact details
Enter your email to view the contact information for this study.
Genom att skicka in godkänner du våra Användarvillkor
Study contacts
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Contact
Email: •••••@•••••
Locations
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A.O. Ordine Mauriziano, Ospedale Umberto I
WITHDRAWNTuri, 10128, Italy
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Barts Health NHS Trust
RECRUITINGLondon, W6 8JA, United Kingdom
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CLCC Jean Perrin
RECRUITINGClermont-Ferrand, 63011, France
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CLCC Léon Bérard
WITHDRAWNLyon, 69008, France
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Charing Cross Hospital
RECRUITINGLondon, United Kingdom
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Complexo Hospitalario Universitario A Coruña
RECRUITINGA Coruña, Galicia, 15006, Spain
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Fundación Instituto Valenciano De Oncología
RECRUITINGValencia, 46009, Spain
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Hospital Clínic De Barcelona
RECRUITINGBarcelona, Catalonia, 08036, Spain
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Hospital Clínico Universitario De Valladolid
RECRUITINGValladolid, 47003, Spain
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Hospital De Sabadell (Parc Taulí)
RECRUITINGBarcelona, Catalonia, 08208, Spain
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Hospital Universitario 12 de Octubre
RECRUITINGMadrid, 28041, Spain
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Hospital Universitario Lucus Augusti
RECRUITINGLugo, Galicia, 27003, Spain
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Hospital Universitario Miguel Servet
RECRUITINGZaragoza, 50009, Spain
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Hospital Universitario de Toledo
RECRUITINGToledo, 45007, Spain
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ICO l' Hospitalet
NOT_YET_RECRUITINGBarcelona, 08908, Spain
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IRCCS San Raffaele Hospital and Scientific Institute
RECRUITINGMilan, 20132, Italy
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IUCT
RECRUITINGToulouse, 31059, France
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Institut Gustave Roussy
RECRUITINGVillejuif, 94805, France
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Institut Mutualiste Montsouris
RECRUITINGParis, 75014, France
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Ospedale Molinette
RECRUITINGTurin, 10126, Italy
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Sheffield Teaching Hospitals NHS Foundation Trust
RECRUITINGSheffield, S10 2SJ, United Kingdom
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The Royal Marsden NHS Foundation Trust
RECRUITINGLondon, SW3 6JJ, United Kingdom
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University Hospitals of Morecambe Bay NHS Foundation Trust
WITHDRAWNLancaster, LA1 4RP, United Kingdom
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can intensified chemotherapy before surgery clear bladder tumors?
- Can Pre-Surgery chemotherapy outsmart aggressive bladder cancer?
- Bladder cancer: a new combo aims to avoid radical surgery
- Can a special PET scan see bladder cancer more clearly?
- Bladder cancer surgery: what happens after the bladder is removed?
- Lab-Grown tumor clusters guide tailored bladder cancer therapy