Copanlisib and Avelumab as a Maintenance Therapy for Advanced Bladder Cancer (NCT05687721) | Clinical Trial Compass
WithdrawnPhase 1/2
Copanlisib and Avelumab as a Maintenance Therapy for Advanced Bladder Cancer
Stopped: The study drug is not available.
United States0Started 2025-06-02
Plain-language summary
Patients with metastatic bladder cancer are usually treated with chemotherapy. If their cancers do not progress after chemotherapy, they can be enrolled into this study and receive a standard-of-care immunotherapy medication named avelumab plus a study drug named copanlisib.
Who can participate
Age range18 Years
SexALL
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Inclusion criteria
β. Male or female
β. Age \> 18 years
β. Diagnosis:
β. Histologically or cytologically confirmed metastatic or recurrent urothelial carcinoma. OR
β. Documented stage IV disease (T4b, Any N, M0; any T, Any N, M1a-b), or Stage IIIB (T1-T4a, N2-N3, M0), or subset of stage IIIA (T1-T4a, N1, M0)
β. Completed prior first-line platinum-based chemotherapy at least 4 weeks and not more than 10 weeks after the last dose of first line chemotherapy.
β. Patients without progressive disease as per RECIST v1.1 guideline (i.e., with an ongoing CR, PR, or SD) following completion of the first-line chemotherapy.
β. Patient must be appropriate to receive Avelumab maintenance therapy
Exclusion criteria
β. Estimated life expectancy of at least 3 months.
β0. Eastern Cooperative Oncology Group (ECOG) performance status (PS) status 2 OR Karnofsky Performance Status scale 60%. For the safety lead-in phase, only patients with PS 0-1 will be included.
β. Hemoglobin \> 9 g/dL (may have been transfused).
β2. Adequate renal function, defined as estimated creatinine clearance 20 mL/minute as calculated using the Cockcroft-Gault equation. It has been shown that creatinine clearance 15 ml/minute did not significantly affect the pharmacokinetics of copanlisib.