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NCT03609216

Gemcitabine and Cisplatin Without Cystectomy for Patients With Muscle Invasive Bladder Urothelial Cancer and Select Genetic Alterations

Active, enrolled Phase 2 Last updated 13 April 2026
What this trial tests

Phase 2 trial testing Gemcitabine Hydrochloride in Infiltrating Bladder Urothelial Carcinoma in 237 participants. Participants enrolled and being followed up; not accepting new ones.

Timeline
10 December 2018
Primary endpoint
1 February 2027
1 February 2029

Quick facts

Lead sponsorAlliance for Clinical Trials in Oncology
PhasePhase 2
StatusActive, enrolled
Study typeINTERVENTIONAL
Allocationnon randomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment237
Start date10 December 2018
Primary completion1 February 2027
Estimated completion1 February 2029
Sites424 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

Alliance for Clinical Trials in Oncology

Who can join

18 and older, any sex, with Infiltrating Bladder Urothelial Carcinoma or Stage II Bladder Urothelial Carcinoma. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

This phase II trial studies how well gemcitabine hydrochloride and cisplatin work in treating participants with invasive bladder urothelial cancer. Drugs used in chemotherapy, such as gemcitabine hydrochloride and cisplatin, work in different ways to stop the growth of tumor cells, either by killing the cells, by stopping them from dividing, or by stopping them from spreading.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Molecular correlates of cisplatin-based chemotherapy response in muscle invasive bladder cancer by integrated multi-omics analysis.
    Taber A, Christensen E, Lamy P, Nordentoft I, et al · · 2020 · cited 158× · PMID 32978382 · DOI 10.1038/s41467-020-18640-0
  2. Phase II Study of Gemcitabine and Split-Dose Cisplatin Plus Pembrolizumab as Neoadjuvant Therapy Before Radical Cystectomy in Patients With Muscle-Invasive Bladder Cancer.
    Rose TL, Harrison MR, Deal AM, Ramalingam S, et al · · 2021 · cited 114× · PMID 34428076 · DOI 10.1200/jco.21.01003
  3. Gemcitabine and cisplatin plus nivolumab as organ-sparing treatment for muscle-invasive bladder cancer: a phase 2 trial.
    Galsky MD, Daneshmand S, Izadmehr S, Gonzalez-Kozlova E, et al · · 2023 · cited 104× · PMID 37783966 · DOI 10.1038/s41591-023-02568-1
  4. Neoadjuvant Atezolizumab With Gemcitabine and Cisplatin in Patients With Muscle-Invasive Bladder Cancer: A Multicenter, Single-Arm, Phase II Trial.
    Funt SA, Lattanzi M, Whiting K, Al-Ahmadie H, et al · · 2022 · cited 83× · PMID 35089812 · DOI 10.1200/jco.21.01485
  5. Urine tumor DNA detection of minimal residual disease in muscle-invasive bladder cancer treated with curative-intent radical cystectomy: A cohort study.
    Chauhan PS, Chen K, Babbra RK, Feng W, et al · · 2021 · cited 58× · PMID 34464379 · DOI 10.1371/journal.pmed.1003732
  6. Cell-Free Urine and Plasma DNA Mutational Analysis Predicts Neoadjuvant Chemotherapy Response and Outcome in Patients with Muscle-Invasive Bladder Cancer.
    Christensen E, Nordentoft I, Birkenkamp-Demtröder K, Elbæk SK, et al · · 2023 · cited 51× · PMID 36780195 · DOI 10.1158/1078-0432.ccr-22-3250
  7. Patients with Muscle-Invasive Bladder Cancer with Nonluminal Subtype Derive Greatest Benefit from Platinum Based Neoadjuvant Chemotherapy.
    Lotan Y, de Jong JJ, Liu VYT, Bismar TA, et al · · 2022 · cited 49× · PMID 34643090 · DOI 10.1097/ju.0000000000002261
  8. Phase II Trial of Risk-Enabled Therapy After Neoadjuvant Chemotherapy for Muscle-Invasive Bladder Cancer (RETAIN 1).
    Geynisman DM, Abbosh PH, Ross E, Zibelman MR, et al · · 2025 · cited 34× · PMID 39680823 · DOI 10.1200/jco-24-01214

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Data sources for this page

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