Background:
Urothelial carcinoma is the most common type of bladder cancer, but it can also start in other parts of the urinary system such as the kidney pelvis, ureter, or urethra. When the cancer has spread or cannot be removed by surgery, chemotherapy is usually the first treatment.
This study is testing whether adding new immune-based treatments—durvalumab (an immunotherapy drug) and tremelimumab (another immunotherapy that works in a slightly different way)—to standard chemotherapy can help patients live longer or keep their cancer under control for a longer time compared to chemotherapy alone.
Durvalumab helps the immune system recognize and attack cancer cells by blocking a “shield” used by the cancer (called PD-L1).
Tremelimumab targets a different pathway (called CTLA-4) to further activate immune cells.
Researchers believe that combining these drugs with chemotherapy may make the treatment more effective than chemotherapy alone.
The Trial:
The trial is testing whether adding immunotherapy drugs (durvalumab ± tremelimumab) to standard chemotherapy can help patients live longer or keep their cancer from growing compared to chemotherapy alone.
Participants will be randomly assigned to one of the following treatment groups:
- Chemotherapy Alone (standard treatment)
- Durvalumab ± Tremelimumab + Chemotherapy
The trial is not “blind,” meaning both you and your doctor will know which treatment you are receiving.
Basic Eligibility:
- Must have confirmed urothelial cell carcinoma of the renal pelvis
- Must not have received chemotherapy
- Must have had at least one tumor that has not been treated with radiation
Additional eligibility criteria will apply. Please speak to your doctor.
| Hospital / Cancer Centre | Principal Investigator | Location | Trial Status |
|---|---|---|---|
| Hospital / Cancer CentreArthur J.E. Child Comprehensive Cancer Centre | Principal InvestigatorNot Given | LocationCalgary, AB | Trial StatusActive, not recruiting |
| Hospital / Cancer CentreCross Cancer Institute | Principal InvestigatorNot Given | LocationEdmonton, AB | Trial StatusActive, not recruiting |
| Hospital / Cancer CentreBC Cancer | Principal InvestigatorNot Given | LocationVancouver, BC | Trial StatusActive, not recruiting |
| Hospital / Cancer CentreJuravinski Cancer Centre | Principal InvestigatorNot Given | LocationHamilton, ON | Trial StatusActive, not recruiting |
| Hospital / Cancer CentreThe Ottawa Hospital | Principal InvestigatorNot Given | LocationOttawa, ON | Trial StatusActive, not recruiting |
| Hospital / Cancer CentreMount Sinai Hospital | Principal InvestigatorNot Given | LocationToronto, ON | Trial StatusActive, not recruiting |
| Hospital / Cancer CentreJewish General Hospital | Principal InvestigatorNot Given | LocationMontreal, QC | Trial StatusActive, not recruiting |
























































