BLASST-1 (Bladder Cancer Signal Seeking Trial): Nivolumab, Gemcitabine, and Cisplatin in Treatment of Muscle Invasive Bladder Cancer (MIBC) Undergoing Cystectomy
CompletedPhase 2Results postedLast updated 16 December 2021
What this trial tests
Phase 2 trial testing Nivolumab in Muscle Invasive Bladder Cancer in 43 participants. Completed in 1 July 2021.
18 and older, any sex, with Muscle Invasive Bladder Cancer. Patients with the condition only — healthy volunteers not accepted.
Results — posted to ClinicalTrials.gov
Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.
Pathologic Response Rate (PaR) at Time of Radical Cystectomy. PaR is Defined as Absence of Residual MIBC at Cystectomy in the Surgical Specimen (Pathologic Down-staging to ≤pT1pN0 Which Includes pT0, pT1, pTa and pTis)Primary· Surgery Day 1
Incidence of Measurable Disease "pT" in the TNM staging system refers to the size and extend of the primary tumor. The higher the number after the T, the larger the tumor or the more it has grown into nearby tissues. T's may be further divided to provide more detail, such as T3a and T3b. pTa refers to noninvasive papillary carcinoma. pTis refers to carcinoma in situ (CIS) or a "flat tumor" stage. pN refers to lymph nodes. N0 mans cancer has not spread to nearby lymph nodes.
Group
Value
95% CI
Nivolumab, Cisplatin, & Gemcitabine
27
Safety of Nivolumab With Gemcitabine/Cisplatin (Cycle 1)Secondary· Treatment Day 1 of cycle 1
Count of participants with Adverse Events related to Nivolumab with Gemcitabine/Cisplatin
Group
Value
95% CI
Nivolumab, Cisplatin, & Gemcitabine
7
Safety of Nivolumab With Gemcitabine/Cisplatin (Cycle 1)Secondary· Treatment Day 8 of cycle 1
Count of participants with Adverse Events related to Nivolumab with Gemcitabine/Cisplatin
Group
Value
95% CI
Nivolumab, Cisplatin, & Gemcitabine
27
Safety of Nivolumab With Gemcitabine/Cisplatin (Cycle 2)Secondary· Treatment Day 1 of cycle 2
Count of participants with Adverse Events related to Nivolumab with Gemcitabine/Cisplatin
Group
Value
95% CI
Nivolumab, Cisplatin, & Gemcitabine
18
Safety of Nivolumab With Gemcitabine/Cisplatin (Cycle 2)Secondary· Treament day 8 of cycle 2
Count of participants with Adverse Events related to Nivolumab with Gemcitabine/Cisplatin
Group
Value
95% CI
Nivolumab, Cisplatin, & Gemcitabine
15
Safety of Nivolumab With Gemcitabine/Cisplatin (Cycle 3)Secondary· Treatment day 1 of cycle 3
Count of participants with Adverse Events related to Nivolumab with Gemcitabine/Cisplatin
Group
Value
95% CI
Nivolumab, Cisplatin, & Gemcitabine
16
Safety of Nivolumab With Gemcitabine/Cisplatin (Cycle 3)Secondary· Treatment day 8 of cycle 3
Count of participants with Adverse Events related to Nivolumab with Gemcitabine/Cisplatin
Group
Value
95% CI
Nivolumab, Cisplatin, & Gemcitabine
13
Safety of Nivolumab With Gemcitabine/Cisplatin (Cycle 4)Secondary· Treatment day 1 of cycle 4
Count of participants with Adverse Events related to Nivolumab with Gemcitabine/Cisplatin
Group
Value
95% CI
Nivolumab, Cisplatin, & Gemcitabine
8
Safety of Nivolumab With Gemcitabine/Cisplatin (Cycle 4)Secondary· Treatment day 8 of cycle 4
Count of participants with Adverse Events related to Nivolumab with Gemcitabine/Cisplatin
Group
Value
95% CI
Nivolumab, Cisplatin, & Gemcitabine
11
Safety of Nivolumab With Gemcitabine/CisplatinSecondary· 30 Days +/- 7 Days after last chemotherapy
Incidence of Adverse Events
Group
Value
95% CI
Nivolumab, Cisplatin, & Gemcitabine
5
Safety of Nivolumab With Gemcitabine/CisplatinSecondary· 4 weeks post radical cystectomy
Incidence of Adverse Events
Group
Value
95% CI
Nivolumab, Cisplatin, & Gemcitabine
24
Count of Participants Experiencing Progression Free Survival (PFS)Secondary· Every 3 Months for 2 Years
Count of participants experiencing Progression Free Survival (PFS)
Group
Value
95% CI
Nivolumab, Cisplatin, & Gemcitabine
36
Adverse events — posted to ClinicalTrials.gov
Time frame: 120 days after last dose nivolumab.
Reporting threshold: 0%.
Adverse-event reports describe events observed during the trial — not all are caused by the drug.
Nivolumab, Cisplatin, & Gemcitabine
Serious: 11/43 (26%)
Deaths: 7/43
Serious adverse events (15 terms)
Reaction
System
Nivolumab, Cisplatin, & Ge…
General disorders and administration site conditions - Other, specify
General disorders
—
Thromboembolic event
Vascular disorders
—
Anemia
Blood and lymphatic system disorders
—
Dehydration
Metabolism and nutrition disorders
—
Fatigue
General disorders
—
Febrile neutropenia
Blood and lymphatic system disorders
—
Fever
General disorders
—
Hyponatremia
Metabolism and nutrition disorders
—
Nervous system disorders - Other, specify
Nervous system disorders
—
Neutrophil count decreased
Investigations
—
Platelet count decreased
Investigations
—
Reproductive system and breast disorders - Other, specify
Reproductive system and breast disorders
—
Respiratory, thoracic and mediastinal disorders - Other, specify
Respiratory, thoracic and mediastinal disorders
—
Urinary retention
Renal and urinary disorders
—
Urinary tract infection
Infections and infestations
—
Other adverse events (133 terms — click to expand)
Reaction
System
Nivolumab, Cisplatin, & Ge…
Nausea
Gastrointestinal disorders
—
Fatigue
General disorders
—
Anemia
Blood and lymphatic system disorders
—
Constipation
Gastrointestinal disorders
—
Neutrophil count decreased
Investigations
—
White blood cell decreased
Investigations
—
Hypertension
Vascular disorders
—
General disorders and administration site conditions - Other, specify
This is a multi-center Phase II study to determine the safety and efficacy of nivolumab when given in combination with cisplatin and gemcitabine as neoadjuvant treatment in patients with muscle-invasive bladder cancer (MIBC) prior to standard of care radical cystectomy. Patients will receive neoadjuvant treatment with nivolumab in combination with gemcitabine-cisplatin (GC) every 3 weeks for 4 treatment cycles over 12 weeks followed by standard of care radical cystectomy.
Publications & conference data
8 peer-reviewed publications reference this trial (live from Europe PMC):
NCT07572123 — Evaluating the Addition of Maintenance Immunotherapy Compared to the Usual Treatment of Chemotherapy and Autologous Stem
· Phase 2, PHASE3
· not yet recruiting
NCT07444619 — A Phase I Study of Pazopanib in Combination With Trabectedin, Ipilimumab and Nivolumab (TraPIN) in Pediatric and Young A
· Phase 1
· not yet recruiting
NCT07383441 — Adding Biotherapy or Placebo to Standard Treatment for Advanced Kidney Cancer
· Phase 3
· not yet recruiting
NCT07420439 — Treatment in Patients With Advanced Non-Small Cell Lung Carcinoma and Interstitial Lung Disease
· Phase 2
· not yet recruiting
NCT07510334 — VSV-IFNβ-NIS With Ipilimumab and Nivolumab for the Treatment of Advanced or Metastatic Clear Cell Renal Cell Carcinoma
· Phase 2
· not yet recruiting
Other recruiting trials for Muscle Invasive Bladder Cancer
Currently open trials in the same condition.
NCT07202819 — Effect of Neoadjuvant Chemotherapy on MRI Accuracy Before Cystectomy
· NA
· recruiting
NCT06916494 — Pilot Study on Rutin Combined With Tislelizumab and GC (Gemcitabine and Cisplatin) as Neoadjuvant Therapy for Platinum-r
· Phase 1
· recruiting
NCT04960709 — Treatment Combination of Durvalumab, Tremelimumab and Enfortumab Vedotin or Durvalumab and Enfortumab Vedotin in Patient
· Phase 3
· active not recruiting
NCT03732677 — Durvalumab+ Gemcitabine/Cisplatin (Neoadjuvant Treatment) and Durvalumab (Adjuvant Treatment) in Patients With MIBC
· Phase 3
· active not recruiting
NCT02546661 — Open-Label, Randomised, Multi-Drug, Biomarker-Directed, Phase 1b Study in Pts w/ Muscle Invasive Bladder Cancer
· Phase 1
· active not recruiting
Other Masonic Cancer Center, University of Minnesota trials
Trials by the same sponsor.
NCT06772090 — Probiotic Supplementation During Cytotoxic Chemotherapy for Solid Tumor Malignancies
· NA
· not yet recruiting
NCT06584929 — Rural Smoking Cessation
· NA
· not yet recruiting
NCT07153016 — LEgal Guidance and AdvocaCY for CAREgivers (LEGACY CARE): A Pilot Clinical Trial for Caregivers of Persons With Colorect
· NA
· recruiting
NCT06792825 — HM2023-43:Ph 2 Trial of Tafasitamab With Lenalidomide+Rituximab in Treatment-naive FL and MZL
· Phase 2
· recruiting
NCT07070726 — UNTOLD Ovarian Cancer Unmet Needs Survey
· recruiting
Publications: Europe PMC API search by NCT ID, retrieved 9 June 2026
Drug + disease cross-links: matched in real time against Drug Landscape's normalised drug + company + condition tables
Sponsor: as reported to ClinicalTrials.gov by Masonic Cancer Center, University of Minnesota
Last refreshed: 16 December 2021
Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT03294304.