A Phase II Trial of Futibatinib in Combination With Durvalumab (MEDI4736) Administered to Cisplatin-Ineligible Patients With Muscle-Invasive Bladder Cancer Before Cystectomy
Yuanquan Yang
Summary
This phase II trial tests how well the combination of futibatinib and durvalumab given before cystectomy works in treating patients with muscle-invasive bladder cancer (MIBC) who are ineligible for cisplatin-based therapy. Cisplatin-based therapy is the standard of care for patients with MIBC. However, many patients cannot receive standard therapy due to poor renal function, peripheral neuropathy, poor functional status, or clinically significant heart failure. Futibatinib may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth. Durvalumab is a monoclonal antibody that may interfere with the ability of tumor cells to grow and spread. Radical cystectomy is a surgery to remove all of the bladder as well as nearby tissues and organs. Giving futibatinib in combination with durvalumab before surgery may be an effective treatment option for patients with MIBC who are ineligible for cisplatin-based therapy.
Description
PRIMARY OBJECTIVE: I. Determine the pathologic complete response(pCR) rate of neoadjuvant combination futibatinib and durvalumab in patients with MIBC and fibroblast growth factor receptor (FGFR) overexpression. SECONDARY OBJECTIVES: I. Determine the safety of this neoadjuvant regimen. II. Assess the pathologic downstaging rate. III. Evaluate overall survival (OS) and progression free survival (PFS). IV. Evaluate delay in cystectomy. EXPLORATORY OBJECTIVES: I. Evaluate potential predictive biomarkers. II. Assess changes in the tumor microenvironment in pre- and post-treatment tumor sample…
Eligibility
- Age range
- 18+ years
- Sex
- All
- Healthy volunteers
- No
Inclusion Criteria: * Able to provide signed informed consent * Female or male subjects \>= 18 years old * Bodyweight \>30kg * FGFR1, 2, or 3 overexpression as defined by a score of 3+ or 4+ on ribonucleic acid (RNA) in-situ hybridization (RNAScope assay) * Eastern Cooperative Oncology Group (ECOG) performance status of 0, 1, or 2 * Histologically confirmed urothelial carcinoma of the bladder * Mixed histologies are permitted if urothelial carcinoma is the predominant histology ( \>= 50%) * Clinical stage T2-T4a, N0, M0 disease by trans urethral removal of bladder tumour (TURBT) and imagin…
Interventions
- ProcedureBiospecimen Collection
Undergo blood sample collection
- ProcedureComputed Tomography
Undergo CT
- BiologicalDurvalumab
Given IV
- DrugFutibatinib
Given PO
- ProcedureMagnetic Resonance Imaging
Undergo MRI
- ProcedureRadical Cystectomy
Undergo radical cystectomy
Locations (3)
- University of Michigan Comprehensive Cancer CenterAnn Arbor, Michigan
- Cleveland Clinic Taussig Cancer CenterCleveland, Ohio
- Ohio State University Comprehensive Cancer CenterColumbus, Ohio