Study on Oral Erdafitinib for Recurrent Non-Invasive Bladder Cancer
Sponsor: Memorial Sloan Kettering Cancer Center
ClinicalTrials ID:NCT04917809
This clinical trial is testing the effectiveness of the drug erdafitinib in patients with non-muscle invasive bladder cancer (NMIBC) that has returned after standard treatments. The study focuses on patients whose cancer has a specific genetic mutation in the FGFR3 gene.
Patient Parameters
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Program Overview
The aim of this study is to see if the drug erdafitinib can help treat non-muscle invasive bladder cancer (NMIBC) that has come back after treatments like BCG or chemotherapy. This type of cancer often has a mutation in the FGFR3 gene, which is common in recurrent NMIBC tumors. Participants will have their tumors tested to confirm this mutation. Erdafitinib is a pill that targets the protein made by the altered gene, potentially stopping cancer growth. It is already approved for treating metastatic bladder cancer. Researchers want to find out if it can also be effective for NMIBC with FGFR3 mutations before a surgical procedure to remove the tumor.
Eligibility Criteria
Inclusion Criteria
- Have non-muscle invasive bladder cancer (NMIBC) that has returned after previous treatments like BCG or chemotherapy.
- Tumor testing must confirm an FGFR3 gene mutation.
- Be able to walk and perform daily activities for more than half of the day.
- Be 18 years or older.
- Willing to provide written consent to participate.
- Have documentation of an FGFR3 mutation or gene fusion from previous or current tumor samples.
- Have a history of certain types of papillary tumors after at least one course of bladder treatment.
- Meet specific health criteria, including adequate blood cell counts and organ function.
- Be able to swallow pills.
- Women of childbearing potential must use birth control or abstain from sex during the study and for 120 days after the last dose.
- Men must use condoms during sex and avoid fathering a child during the study and for 120 days after the last dose.
Exclusion Criteria
- Have impaired decision-making ability.
- Be pregnant or breastfeeding.
- Have or have had muscle-invasive or metastatic bladder cancer.
- Have cancer outside the bladder, like in the urethra or kidneys.
- Have only carcinoma in situ (stage Tis) or concurrent carcinoma in situ.
- Meet criteria for BCG-unresponsive NMIBC.
- Have had or are scheduled for radiation treatment for bladder cancer.
- Have had chemotherapy, targeted therapy, or investigational drugs recently.
- Have had immunotherapy recently or have ongoing side effects from it.
- Have recent heart issues or severe heart failure.
- Have bleeding disorders.
- Have had a stroke or mini-stroke recently.
- Have used FGFR inhibitors before.
- Have digestive issues affecting drug absorption.
- Have calcium or phosphate imbalances.
- Use medications affecting phosphorus or calcium levels.
- Use medications that strongly affect certain liver enzymes.
- Have eye disorders confirmed by an eye doctor.
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