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Efficacy and Safety of Tislelizumab in Combination With Disitamab-vedotin as Neoadjuvant Therapy for HER2-positive High-risk Upper Tract Urothelial Carcinoma (UTUC)

StatusRecruiting
PhasePhase 2
Started
View on ClinicalTrials.gov ↗

Record History

  1. Minor Secondary endpoints expanded, about 19 wordsv5 See this version in full on ClinicalTrials.gov ↗
  2. Notable Primary endpoint revised Enrollment target: 27 to 21 · Eligibility criteria shortened, about 4 wordsv4 Show 2 more changesShow less
    • Enrollment target: 27 to 21
    • Eligibility criteria shortened, about 4 words

    See this version in full on ClinicalTrials.gov ↗

  3. Notable Primary completion date: Nov 30, 2024 to Dec 30, 2026 Primary endpoint revisedv3 Show 1 more changeShow less
  4. Minor Study title shortened, about 6 wordsv2 See this version in full on ClinicalTrials.gov ↗
  5. Minor Study First Submitted
  • Stopped: an ongoing trial was terminated, suspended or withdrawn.
  • Notable: the trial’s plan changed such as a big move in its timeline or size, a new primary endpoint, sponsor or phase, or recruiting opened or resumed.
  • Minor: routine progress and housekeeping, such as sites added or enrollment closed.
Neoadjuvant chemotherapy treatment can be used for specific UTUC patients, especially for highly staged and/or grade tumors, such as kidneys with potentially decreased renal function after RNU. Neoadjuvant therapy is a series of treatments administered preoperatively for UTUC, mainly chemotherapy, and in recent years, novel therapies of immunotherapy have emerged. Since conventional cisplatin neoadjuvant regimens also require high preoperative renal function, neoadjuvant therapy regimens such as immunotherapy provide more effective and feasible treatments for patients who are intolerant to current cisplatin chemotherapy regimens. The aim of this study was to explore the efficacy and safety of the combination of disitamab vedotin, a human epidermal growth factor receptor-2 (HER-2) targeted ADC, and tislelizumab, a humanised PD-1 ICIs, as neoadjuvant treatment for non-metastatic, high-risk, HER-2 expressing UTUC. In our study, patients enrolled will receive neoadjuvant tislelizumab plus disitamab-vedotin therapy followed by radical nephroureterectomy (RNU), distal ureterectomy (DU) or ureteroscopic ablation (UA) .
Trial Details
NCT Number NCT05837806
Lead Sponsor Tianjin Medical University Second Hospital
Conditions Neoadjuvant Immunotherapy
Enrollment 21 participants
Start Date
Primary Completion (estimated)
Study Completion (estimated)
Updated on ClinicalTrials.gov