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Combining Immunotherapy and Radiation Therapy to Help Patients Avoid Bladder Removal After Treatment Shrinks Muscle Invasive Bladder Cancer, BRIGHT Trial
Minor3 versionsRe-verified since Apr 4, 2026, no change to tracked fieldsv97-v99
MinorStudy sites: 127 to 128v96
Minor2 versionsRe-verified since Apr 1, 2026, no change to tracked fieldsv94-v95
MinorStudy sites: 126 to 127v93
MinorStudy sites: 125 to 126v92
MinorStudy sites: 124 to 125v91
MinorStudy sites: 123 to 124v90
Minor6 versionsRe-verified since Mar 18, 2026, no change to tracked fieldsv84-v89
MinorStudy sites: 122 to 123v83
MinorRe-verified, no change to tracked fieldsv82
Stopped: an ongoing trial was terminated, suspended or withdrawn.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.
This phase II trial tests the effect of giving pembrolizumab in combination with radiation therapy after chemotherapy in preventing surgery to remove the bladder in patients with muscle invasive bladder cancer. Standard of care therapy includes chemotherapy before surgery (neoadjuvant) to shrink or get rid of the tumor. Immunotherapy with monoclonal antibodies, such as pembrolizumab, may help the body's immune system attack the tumor, and may interfere with the ability of tumor cells to grow and spread. Radiation therapy uses high energy x-rays, particles, or radioactive seeds to kill cancer cells and shrink tumors. Photon beam radiation therapy is a type of radiation therapy that uses x-rays or gamma rays that come from a special machine called a linear accelerator. The radiation dose is delivered at the surface of the body and goes into the tumor and through the body. Giving pembrolizumab in combination with radiation therapy after neoadjuvant chemotherapy may help prevent surgical removal of the bladder in patients with muscle invasive bladder cancer.