Bladder cancer drug combo trial halted early – what does it mean?
NCT ID NCT04149574
First seen Jun 26, 2026 · Last updated Jun 26, 2026
Summary
This phase 3 trial tested whether adding nivolumab (an immunotherapy drug) to standard BCG treatment could help people with high-risk bladder cancer that came back after BCG alone. Only 13 people enrolled before the study was stopped early, so we don't have clear results on whether the combination works better than BCG alone. The goal was to see if the combo could delay cancer recurrence or progression.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- nivolumab (a drug that helps the immune system fight cancer) combined with BCG (a bacterial drug placed in the bladder)
- What this could lead to
- If successful, this combination could offer a new treatment option for people with high-risk bladder cancer that has not responded to standard BCG therapy.
- What could go wrong
- The trial was terminated early with only 13 participants, so results are very limited. It is unclear if the combination is safe or effective, and it may not lead to any new treatment.
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
-
Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
-
13 people
The number who actually took part.
- Started
-
Jan 2020
- Finished
-
Oct 2023
- Lead sponsor
-
A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
-
18 years and older
- Sex
-
Anyone
- Healthy volunteers
-
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: * Persistent or recurrent disease ≤ 24 months of last BCG dose, but not classified as BCG unresponsive * Histologically confirmed persistent or recurrent high-risk non-muscle-invasive urothelial carcinoma (UC) * Treated with at least 1 adequate course of induction BCG therapy (at least 5 out of 6 doses) * Eastern Cooperative Oncology Group (ECOG) performance status (PS) 0-2 Exclusion Criteria: * Previous or concurrent muscle invasive, locally advanced, or disseminated/metastatic UC * UC in the upper genitourinary tract (kidneys, renal collecting systems, ureters) within 24 months of enrollment * UC and/or CIS in the prostatic urethra within 12 months of enrollment Other protocol-defined inclusion/exclusion criteria apply
Get updates
Get notified about this study
Sign up to get updates when this study changes or when new studies for High-risk non-muscle-invasive urothelial carcinoma 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.
Contacts and locations
Locations
-
Local Institution
Rotterdam, 3015 GD, Netherlands
-
Local Institution - 0001
Woolloongabba, Queensland, 4012, Australia
-
Local Institution - 0002
Sydney, New South Wales, 2050, Australia
-
Local Institution - 0008
Viedma, Río Negro Province, 8500, Argentina
-
Local Institution - 0009
Caba, Buenos Aires, 1426, Argentina
-
Local Institution - 0010
Recoleta, Santiago Metropolitan, 0, Chile
-
Local Institution - 0011
La Serena, Coquimbo Region, 1720430, Chile
-
Local Institution - 0012
Rimouski, Quebec, G5L 5T1, Canada
-
Local Institution - 0016
Ciudad Autonoma Beunos Aires, Buenos Aires, 1431, Argentina
-
Local Institution - 0017
Toronto, Ontario, M5G 1Z5, Canada
-
Local Institution - 0031
Haidari, 12462, Greece
-
Local Institution - 0032
Thessaloniki, 57001, Greece
-
Local Institution - 0037
Montreal, Quebec, H3T 1E2, Canada
-
Local Institution - 0038
Montreal, Quebec, H2X 0C2, Canada
-
Local Institution - 0040
Villejuif, 94800, France
-
Local Institution - 0041
Strasbourg, FR-67091, France
-
Local Institution - 0042
Angers, 49933, France
-
Local Institution - 0045
Lille, 59000, France
-
Local Institution - 0047
Itajaí, Santa Catarina, 88301-220, Brazil
-
Local Institution - 0048
Porto Alegre, Rio Grande do Sul, 90035-001, Brazil
-
Local Institution - 0049
Rio de Janeiro, 22793-080, Brazil
-
Local Institution - 0050
Uberlândia, Minas Gerais, 38408-150, Brazil
-
Local Institution - 0051
Moscow, 121309, Russia
-
Local Institution - 0052
Saint Petersburg, 199034, Russia
-
Local Institution - 0054
Arnhem, 6815 AD, Netherlands
-
Local Institution - 0055
Madrid, 28041, Spain
-
Local Institution - 0057
Santander, 39008, Spain
-
Local Institution - 0058
Valencia, 46010, Spain
-
Local Institution - 0059
Sabadell, 08208, Spain
-
Local Institution - 0060
Badalona-barcelona, 08916, Spain
-
Local Institution - 0061
Badajoz, 06006, Spain
-
Local Institution - 0062
Milan, 20133, Italy
-
Local Institution - 0063
Modena, 41124, Italy
-
Local Institution - 0064
Naples, 80131, Italy
-
Local Institution - 0065
Reggio Emilia, 42100, Italy
-
Local Institution - 0066
Roma, 00168, Italy
-
Local Institution - 0067
Torino, TO, 10126, Italy
-
Local Institution - 0072
Viña del Mar, Valparaiso, 2520598, Chile
-
Local Institution - 0073
Jerusalem, 9103102, Israel
-
Local Institution - 0074
Ramat Gan, 52621, Israel
-
Local Institution - 0075
Tel Aviv, Tel Aviv, 6423906, Israel
-
Local Institution - 0080
Buenos Aires, 1120, Argentina
-
Local Institution - 0081
Mar del Plata, Buenos Aires, 7600, Argentina
-
Local Institution - 0083
Umeå, 901 85, Sweden
-
Local Institution - 0084
The Bronx, New York, 10461, United States
-
Local Institution - 0087
Norrköping, 601 82, Sweden
-
Local Institution - 0088
Capital Federal, Buenos Aires, 1419, Argentina
-
Local Institution - 0093
Jena, 07747, Germany
-
Local Institution - 0094
Herne, 44625, Germany
-
Local Institution - 0095
Trier, 54292, Germany
-
Local Institution - 0096
Pamplona, Navarre, 31008, Spain
-
Local Institution - 0097
Linz, 4010, Austria
-
Local Institution - 0098
Wels, 4600, Austria
-
Local Institution - 0099
Vienna, 1090, Austria
-
Local Institution - 0103
Paris, 75679, France
-
Local Institution - 0104
Salzburger, 5020, Austria
-
Local Institution - 0105
Cologne, 50968, Germany
-
Local Institution - 0106
Dijon, 21079, France
-
Local Institution - 0107
Córdoba, 5000, Argentina
-
Local Institution - 0108
Marseille, 13385, France
-
Local Institution - 0111
Paris, 75018, France
-
Local Institution - 0114
Bowral, 2576, Australia
-
The University Of Chicago
Chicago, Illinois, 60637, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- A pill instead of surgery? trial tests vepugratinib against Low-Grade bladder cancer
- Can a bladder rinse before surgery keep bladder cancer at bay?
- Mapping bladder cancer care: a nationwide look at Real-World treatment
- Can AI outthink cancer experts? a landmark trial pits five AIs against tumor boards
- Bladder cancer surgery: what happens after the bladder is removed?
- Bladder cancer drug delivered directly: a new hope for BCG failures