New hope for bladder cancer patients who Can't take standard chemo
NCT ID NCT04960709
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This phase 3 trial tests whether combining two immunotherapy drugs (durvalumab and tremelimumab) with a targeted therapy (enfortumab vedotin) works better than current standard care for people with muscle-invasive bladder cancer who cannot take or refuse cisplatin chemotherapy. About 712 participants will receive the drug combinations before and after bladder removal surgery. The study aims to see if these combinations improve event-free survival and are safe.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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712 people
The number who actually took part.
- Started
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Aug 2021
- Expected to finish
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Sep 2028
An estimate. End dates often move.
- Lead sponsor
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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
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18 to 130 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.
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: * Histologically or cytologically documented muscle-invasive UC of the bladder. * Participants with transitional cell and mixed transitional/non-transitional cell histologies; * Participants with MIBC clinical tumor (T) stage T2-T4aN0/1M0 or UC of the bladder with clinical state T1N1M0 (participants with T1 stage are allowed only with N1 disease) * Participants should also have not received prior systemic chemotherapy or immunotherapy for the treatment of MIBC or bladder UC. * Medically fit for cystectomy and able to receive neoadjuvant therapy; * Patients who have not received prior systemic chemotherapy or immunotherapy for treatment of MIBC; * ECOG performance status of 0,1,2 at enrollment. * Availability of tumor sample prior to study entry; * Must have a life expectancy of at least 12 weeks at randomization. * Cisplatin-ineligible, following criteria based on Galsky et al 2011 OR Refuse cisplatin based chemotherapy (must be documented in the medical records) Exclusion criteria: * Evidence of lymph node (N2+) or metastatic TCC/UC disease at the time of screening. * Active infection * Uncontrolled intercurrent illness * Prior exposure to immune-mediated therapy (with exclusion of Bacillus-Calmette Guerin \[BCG\]), including but not limited to other anti-CTLA-4, anti--PD-1, anti PD-L1, or anti-PD-L2 antibodies. * Current or prior use of immunosuppressive medication within 14 days before the first dose of IPs.
Get updates
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.
Contacts and locations
Locations
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Orange, California, 92868, United States
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Santa Monica, California, 90404, United States
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New Haven, Connecticut, 06510, United States
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Washington D.C., District of Columbia, 20010, United States
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Fort Myers, Florida, 33901, United States
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Coeur d'Alene, Idaho, 83814, United States
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Maywood, Illinois, 60153, United States
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Indianapolis, Indiana, 46250, United States
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Iowa City, Iowa, 52242, United States
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Louisville, Kentucky, 40207, United States
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Scarborough, Maine, 04074, United States
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Boston, Massachusetts, 02111, United States
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Brighton, Michigan, 48114, United States
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Jackson, Mississippi, 39213, United States
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Las Vegas, Nevada, 89102, United States
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Saddle Brook, New Jersey, 07663, United States
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Brooklyn, New York, 11219, United States
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Buffalo, New York, 14263, United States
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New York, New York, 10040, United States
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Syracuse, New York, 13210, United States
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Portland, Oregon, 97239, United States
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Hershey, Pennsylvania, 17033, United States
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Pittsburgh, Pennsylvania, 15212, United States
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Knoxville, Tennessee, 37932, United States
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Austin, Texas, 78731, United States
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Dallas, Texas, 75246, United States
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Fort Worth, Texas, 76104, United States
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Houston, Texas, 77030, United States
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Irving, Texas, 75063, United States
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Norfolk, Virginia, 23502, United States
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Spokane, Washington, 99208, United States
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Buenos Aires, C1431FWO, Argentina
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CABA, C1426ANZ, Argentina
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Ciudad de Buenos Aires, C1280AEB, Argentina
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Ciudad de Buenos Aires, C1419AHL, Argentina
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Pergamino, B2700CPM, Argentina
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Graz, 8036, Austria
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Krems, 3500, Austria
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Linz, 4020, Austria
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Vienna, 1020, Austria
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Wiener Neustadt, 2700, Austria
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Barretos, 14784-400, Brazil
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Curitiba, 81520-060, Brazil
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Fortaleza, 60135-237, Brazil
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Porto Alegre, 90035-001, Brazil
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Porto Alegre, 90035-003, Brazil
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Rio de Janeiro, 22250-905, Brazil
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Santa Maria, 97015-450, Brazil
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São Paulo, 01246-000, Brazil
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São Paulo, 01323-903, Brazil
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Săo Paulo, 03162-065, Brazil
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Uberlândia, 38408-150, Brazil
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Abbotsford British Columbia, British Columbia, V2S 3N5, Canada
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Toronto, Ontario, M4N 3M5, Canada
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Québec, Quebec, G1R 2J6, Canada
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Sherbrooke, Quebec, J1H 5N4, Canada
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Santiago, 7500653, Chile
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Santiago, 7500921, Chile
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Amiens, 80090, France
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Bayonne, 64100, France
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Clermont-Ferrand, 63011, France
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Lille, 59000, France
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Lyon, 69008, France
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Marseille, 13273, France
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Marseille, 13385, France
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Montpellier, 34070, France
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Nice, 06189, France
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Pierre-Bénite, 69495, France
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Quint-Fonsegrives, 31130, France
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Saint-Priez En Jarez, 42270, France
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Strasbourg, 67091, France
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Suresnes, 92151, France
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Vandœuvre-lès-Nancy, 54519, France
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Bielefeld, 33611, Germany
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Bochum, 44791, Germany
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Cologne, 50937, Germany
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Düsseldorf, 40225, Germany
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Giessen, 35392, Germany
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Hanover, 30625, Germany
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Herne, 44625, Germany
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Magdeburg, 39120, Germany
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Mainz, 55131, Germany
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Mannheim, 68167, Germany
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München, 81377, Germany
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Münster, 48149, Germany
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Regensburg, 93053, Germany
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Reutlingen, 72766, Germany
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Ulm, 89075, Germany
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Athens, 11528, Greece
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Athens, 12462, Greece
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Maroussi, Athens, 15125, Greece
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Shatin, 00000, Hong Kong
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Hadera, 38100, Israel
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Haifa, 31096, Israel
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Jerusalem, 9103102, Israel
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Jerusalem, 9112001, Israel
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Tel Aviv, 64239, Israel
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Bari, 70124, Italy
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Florence, 50134, Italy
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Meldola, 47014, Italy
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Milan, 20132, Italy
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Milan, 20141, Italy
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Padova, 35128, Italy
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Pozzuoli, 80078, Italy
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Reggio Emilia, 42100, Italy
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Roma, 00128, Italy
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Roma, 00137, Italy
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Roma, 00144, Italy
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Terni, 05100, Italy
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Tricase, 73039, Italy
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Verona, 37124, Italy
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Bunkyō City, 113-8431, Japan
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Fukuoka, 811-1395, Japan
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Hamamatsu, 431-3192, Japan
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Ichikawa-shi, 272-8516, Japan
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Kanazawa, 920-8641, Japan
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Kashihara-shi, 634-8522, Japan
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Kawasaki-shi, 216-8511, Japan
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Kita-gun, 761-0793, Japan
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Kobe, 650-0017, Japan
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Kumamoto, 860-0008, Japan
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Matsuyama, 791-0288, Japan
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Miyazaki, 889-1692, Japan
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Niigata, 951-8566, Japan
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Okayama, 700-8558, Japan
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Osaka, 541-8567, Japan
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Osaka, 545-8586, Japan
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Osakasayama-shi, 589-8511, Japan
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Toyama, 930-0194, Japan
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Tsukuba, 305-8576, Japan
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Yokohama, 241-8515, Japan
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Colima, 28018, Mexico
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Monterrey, 64000, Mexico
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Arnhem, 6815 AD, Netherlands
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Breda, 4818 CK, Netherlands
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Groningen, 9713 GZ, Netherlands
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Hoofddorp, 2134 TM, Netherlands
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Leiden, 2333 ZA, Netherlands
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Utrecht, 3508 GA, Netherlands
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Gdansk, 80-214, Poland
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Nowa Sól, 67-106, Poland
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Skórzewo, 60-185, Poland
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Warsaw, 02-781, Poland
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Braga, 4710, Portugal
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Coimbra, 3000-075, Portugal
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Faro, 8000-386, Portugal
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Lisbon, 1169-050, Portugal
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Lisbon, 1350-352, Portugal
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Lisbon, 1500-458, Portugal
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Lisbon, 1500-650, Portugal
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Lisbon, 1649-035, Portugal
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Belgrade, 11000, Serbia
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Kamenitz, 21204, Serbia
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Busan, 47392, South Korea
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Goyang-si, 10408, South Korea
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Incheon, 405-760, South Korea
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Seongnam-si, 13620, South Korea
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Seoul, 02841, South Korea
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Seoul, 03080, South Korea
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Seoul, 06351, South Korea
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Seoul, 06591, South Korea
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Seoul, 07985, South Korea
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Barcelona, 08035, Spain
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Barcelona, 08036, Spain
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Barcelona, 08041, Spain
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Barcelona, 08208, Spain
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L'Hospitalet de Llobregat, 08907, Spain
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Las Palmas de Gran Canaria, 35016, Spain
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Madrid, 28033, Spain
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Madrid, 28040, Spain
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Madrid, 28046, Spain
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Pamplona, 31008, Spain
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Seville, 41009, Spain
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Taichung, 40447, Taiwan
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Taichung, 40705, Taiwan
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Tainan, 70403, Taiwan
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Tainan, 710, Taiwan
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Bangkok, 10330, Thailand
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Dusit, 10300, Thailand
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Songkhla, 90110, Thailand
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Adana, 01060, Turkey (Türkiye)
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Ankara, 06560, Turkey (Türkiye)
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Ankara, 06620, Turkey (Türkiye)
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Ankara, 5000, Turkey (Türkiye)
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Ankara, Turkey (Türkiye)
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Antalya, 07025, Turkey (Türkiye)
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Cordaleo, 35575, Turkey (Türkiye)
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Edirne, 22030, Turkey (Türkiye)
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Istanbul, 32098, Turkey (Türkiye)
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Istanbul, 34722, Turkey (Türkiye)
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London, EC1A 7BE, United Kingdom
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London, NW1 2PG, United Kingdom
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Hanoi, 100000, Vietnam
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Hà Nội, 100000, Vietnam
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Ho Chi Minh City, 700000, Vietnam
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Huế, 530000, Vietnam
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can two drugs plus chemoradiation let bladder cancer patients keep their bladder?
- 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?