A Prospective, Non-Interventional Study to Assess the Prevalence of PD-L1 Expression in the First-Line Setting of Locally Advanced/Unresectable or Metastatic Urothelial Carcinoma
Condition: Urothelial Carcinoma
Purpose: The purpose of this study is to assess the prevalence of pre-treatment tumor tissue PD-L1 expression in patients diagnosed with advanced urothelial carcinoma.
Study Type: Observational
Clinical Trials Identifier NCT 8-digits: NCT03788746
Sponsor: AstraZeneca
Primary Outcome Measures:
- Measure: Categorization of PD-L1 based on pre-treatment tissue samples collected at baseline
- Time Frame: 24 months
- Safety Issue:
Secondary Outcome Measures:
- Measure: To assess the association of pre-treatment tumor tissue PD-L1 expression with pre-treatment tumor tissue TMB (tTMB) based on the chosen assay
- Time Frame: 24 months
- Safety Issue:
- Measure: To describe the objective response rate (ORR), progression-free survival (PFS) and overall survival (OS) as well as treatment patterns in the 1L setting of advanced UC
- Time Frame: 54 months
- Safety Issue:
- Measure: To assess the association between pre-treatment tumor tissue PD-L1 expression with objective response, PFS, and OS among treated patients (anti PD-L1/PD-1, chemotherapy, other)
- Time Frame: 60 months
- Safety Issue:
Estimated Enrollment: 250
Study Start Date: January 17, 2019
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Eligibility:
- Age: minimum 18 Years maximum N/A
- Gender: All
Inclusion Criteria:
- Provision of written informed consent
- Age ≥18 years old
- Patients with histologically-confirmed diagnosis of UC and healthcare provider (HCP)-confirmed advanced UC prior to or during 1L therapy (primary histology UC; mixed histologies are allowed). Where the 1L therapy setting is defined as:
- Patients with no prior systemic therapy given for advanced UC; 1L is the first systemic therapy given for advanced UC
- Patients who received neoadjuvant or adjuvant platinum-based chemotherapy with recurrence more than 12 months from the last chemotherapy dose
- Patients with available tumor tissue sample (fresh or archival
- up to 3 years old) that was collected as part of SoC any time prior to 1L treatment for advanced UC with a target of 18 slides available for biomarker testing (PD-L1 and tTMB).
Exclusion Criteria:
- Patients concurrently enrolled in other clinical trials that prohibit their participation in a non-interventional study
- Patients with history of non-urothelial active malignancy that completed therapy within 2 years from study enrollment except:
- Any resected in situ carcinoma or non-melanoma skin cancer
- Localized (early stage) cancer treated with curative intent (without evidence of recurrence and intent for further therapy) and in which no systemic therapy was indicated
Contact:
- AstraZeneca Clinical Study Information Center
- 1-877-240-9479
Locations:
- Research Site
- Los Angeles California 90048 United States
- Research Site
- Monterey California 93940 United States
- Research Site
- Santa Rosa California 95405 United States
- Research Site
- Denver Colorado 80211 United States
- Research Site
- Englewood Colorado 80113 United States
- Research Site
- Hialeah Florida 33016 United States
- Research Site
- Indianapolis Indiana 46256 United States
- Research Site
- Cedar Rapids Iowa 52403 United States
- Research Site
- Waterloo Iowa 50703 United States
- Research Site
- Shreveport Louisiana 71106 United States
- Research Site
- Bangor Maine 04401 United States
- Research Site
- Kalamazoo Michigan 49007 United States
- Research Site
- Saint Cloud Minnesota 56303 United States
- Research Site
- Dayton Ohio 45429 United States
- Research Site
- Knoxville Tennessee 37920 United States
- Research Site
- Nashville Tennessee 37209 United States
- Research Site
- Virginia Beach Virginia 23462 United States
- Research Site
- Olympia Washington 98506 United States
- Research Site
- Tacoma Washington 98684 United States
View trial on ClinicalTrials.gov