Groupe d'Etude en Oncologie du Quebec

Titre	A Phase III Randomized, Open-Label, Multicenter Study to Determine the Efficacy and Safety of Durvalumab in Combination With Tremelimumab and Enfortumab Vedotin or Durvalumab in Combination With Enfortumab Vedotin for Perioperative Treatment in Patients Ineligible for Cisplatin or Who Refuse Cisplatin Undergoing Radical Cystectomy for Muscle Invasive Bladder Cancer
Protocole ID	VOLGA
ClinicalTrials.gov ID	NCT04960709
Type(s) de cancer	Vessie/urothélial
Phase	Phase III
Type étude	Clinique
Médicament	Durvalumab en association avec tremelimumab et enfortumab védotine ou Durvalumab en association avec enfortumab védotine
Institution	CHU DE QUEBEC – UNIVERSITE LAVAL HOPITAL DE L'ENFANT-JESUS 1401 18e Rue, Québec, QC, G1J 1Z4
Ville	Québec
Investigateur(trice) principal(e)	Dr Vincent Castonguay
Coordonnateur(trice)	Marilyn Savard 418-525-4444 poste 67703
Statut	Actif en recrutement
Date d'activation	24-01-2024
Critètes d'éligibilité	Histologically or cytologically documented muscle-invasive UC of the bladder. Participants with transitional cell and mixed transitional/non-transitional cell histologies; Participants with MIBC clinical tumor (T) stage T2-T4aN0/1M0 or UC of the bladder with clinical state T1N1M0. Participants should also have not received prior systemic chemotherapy or immunotherapy for the treatment of MIBC or bladder UC. Medically fit for cystectomy and able to receive neoadjuvant therapy; Patients who have not received prior systemic chemotherapy or immunotherapy for treatment of MIBC; ECOG performance status of 0,1,2 at enrollment. Availability of tumor sample prior to study entry; Must have a life expectancy of at least 12 weeks at randomization. Cisplatin-ineligible, as defined by any of the following criteria (based on Galsky et al 2011) OR Refuse cisplatin based chemotherapy (must be documented in the medical records)
Critètes d'exclusion	Evidence of lymph node (N2+) or metastatic TCC/UC disease at the time of screening. Active infection Uncontrolled intercurrent illness Prior exposure to immune-mediated therapy (with exclusion of Bacillus-Calmette Guerin [BCG]), including but not limited to other anti-CTLA-4, anti--PD-1, anti PD-L1, or anti-PD-L2 antibodies. Current or prior use of immunosuppressive medication within 14 days before the first dose of IPs.

Groupe d'étude en oncologie du Québec