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Trial · NCT03912818

Durvalumab and Standard Chemotherapy Before Surgery in Treating Patients With Variant Histology Bladder Cancer

NCT03912818, Phase 2, Terminated, Stanford University; results first posted 2023-09-11

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Durvalumab and Standard Chemotherapy Before Surgery in Treating Patients With Variant Histology Bladder Cancer. Trials, record NCT03912818. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT03912818

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Durvalumab and Standard Chemotherapy Before Surgery in Treating Patients With Variant Histology Bladder Cancer
NCT number
NCT03912818
Status
Terminated
Phases
Phase 2
Enrollment
7 participants, actual
Lead sponsor
Stanford University
Conditions
Bladder Adenocarcinoma, Bladder Mixed Adenocarcinoma, Bladder Squamous Cell Carcinoma, Bladder Urothelial Carcinoma, Infiltrating Bladder Urothelial Carcinoma Sarcomatoid Variant, Infiltrating Bladder Urothelial Carcinoma With Giant Cells, Infiltrating Bladder Urothelial Carcinoma With Glandular Differentiation, Infiltrating Bladder Urothelial Carcinoma With Trophoblastic Differentiation, Infiltrating Bladder Urothelial Carcinoma, Clear Cell Variant, Infiltrating Bladder Urothelial Carcinoma, Micropapillary Variant, Infiltrating Bladder Urothelial Carcinoma, Nested Variant, Infiltrating Bladder Urothelial Carcinoma, Plasmacytoid Variant
Interventions
Carboplatin, Cisplatin, Cystectomy, Doxorubicin, Durvalumab, Gemcitabine, Methotrexate, Vinblastine
First posted
2019-04-11
Last updated
2023-09-11
Results first posted
2023-09-11
Limitations and caveats
The study did not achieve its planned enrollment size and did not achieve statistical power.

Source ClinicalTrials.gov

Registered outcomes2

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryIncidence of Grade 3-5 Adverse EventsAt 120 days
Graded per National Cancer Institute Common Terminology Criteria for Adverse Events version 5.0. The safety and tolerability of durvalumab in combination with chemotherapy in subjects with variant histology bladder cancer who initiate study treatment will be assessed as the number, by treatment cohort, of grade 3, 4, or 5 adverse events, considered probably or definitely related by the investigator.
SecondaryProportion of Subjects Who Initiate Study Treatment and Achieve Tumor Stage of pT2 N0 M0 or Better (e.g., pT0, pT1 N0) at CystectomyAt 20 weeks
Achievement of tumor staging will be determined by pathologist at cystectomy and reported by treatment cohort. Assessed per National Comprehensive Cancer Network bladder cancer guidelines. * T0 N0 M0 = No evidence of primary tumor * T1 N0 M0 = Tumor staging by pathological assessment detected in lamina propria (T0), with no tumor positive nodes (N0). * T2 N0 M0 = Tumor staging by pathological assessment detected in muscularis propria (pT2), with no tumor positive nodes (N0) or tumor metastases (M0) observed.

Outcomes2

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYIncidence of Grade 3-5 Adverse EventsAt 120 dayseventsNUMBER
SECONDARYProportion of Subjects Who Initiate Study Treatment and Achieve Tumor Stage of pT2 N0 M0 or Better (e.g., pT0, pT1 N0) at CystectomyAt 20 weeksParticipants who underwent renal cystectomy are included in the analysis.ParticipantsCOUNT_OF_PARTICIPANTS

Results by group8

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Incidence of Grade 3-5 Adverse EventsCohort I (Durvalumab, DD MVAC)Grade 31events
Incidence of Grade 3-5 Adverse EventsCohort III (Durvalumab, Carbo-gem)Grade 32events
Incidence of Grade 3-5 Adverse EventsCohort I (Durvalumab, DD MVAC)Grade 40events
Incidence of Grade 3-5 Adverse EventsCohort III (Durvalumab, Carbo-gem)Grade 40events
Incidence of Grade 3-5 Adverse EventsCohort I (Durvalumab, DD MVAC)Grade 50events
Incidence of Grade 3-5 Adverse EventsCohort III (Durvalumab, Carbo-gem)Grade 50events
Proportion of Subjects Who Initiate Study Treatment and Achieve Tumor Stage of pT2 N0 M0 or Better (e.g., pT0, pT1 N0) at CystectomyCohort I (Durvalumab, DD MVAC)1Participants
Proportion of Subjects Who Initiate Study Treatment and Achieve Tumor Stage of pT2 N0 M0 or Better (e.g., pT0, pT1 N0) at CystectomyCohort III (Durvalumab, Carbo-gem)1Participants

Participant flow9

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDCohort I (Durvalumab, DD MVAC)3
Overall StudySTARTEDCohort II (Durvalumab, Cis-gem)0
Overall StudySTARTEDCohort III (Durvalumab, Carbo-gem)3
Overall StudyCOMPLETEDCohort I (Durvalumab, DD MVAC)3
Overall StudyCOMPLETEDCohort II (Durvalumab, Cis-gem)0
Overall StudyCOMPLETEDCohort III (Durvalumab, Carbo-gem)3
Overall StudyNOT COMPLETEDCohort I (Durvalumab, DD MVAC)0
Overall StudyNOT COMPLETEDCohort II (Durvalumab, Cis-gem)0
Overall StudyNOT COMPLETEDCohort III (Durvalumab, Carbo-gem)0

Adverse events76

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherAbdominal PainGastrointestinal disordersCohort I (Durvalumab, DD MVAC)13
otherAbdominal PainGastrointestinal disordersCohort III (Durvalumab, Carbo-gem)03
otherAnemiaBlood and lymphatic system disordersCohort I (Durvalumab, DD MVAC)13
otherAnemiaBlood and lymphatic system disordersCohort III (Durvalumab, Carbo-gem)13
otherAnorexiaPsychiatric disordersCohort I (Durvalumab, DD MVAC)13
otherAnorexiaPsychiatric disordersCohort III (Durvalumab, Carbo-gem)03
otherConstipationGastrointestinal disordersCohort I (Durvalumab, DD MVAC)03
otherConstipationGastrointestinal disordersCohort III (Durvalumab, Carbo-gem)13
otherDiarrheaGastrointestinal disordersCohort I (Durvalumab, DD MVAC)03
otherDiarrheaGastrointestinal disordersCohort III (Durvalumab, Carbo-gem)13

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityCohort I (Durvalumab, DD MVAC)03
Total, all-cause mortalityCohort III (Durvalumab, Carbo-gem)03
Total, other adverse eventsCohort I (Durvalumab, DD MVAC)33
Total, other adverse eventsCohort III (Durvalumab, Carbo-gem)33
Total, serious adverse eventsCohort I (Durvalumab, DD MVAC)23
Total, serious adverse eventsCohort III (Durvalumab, Carbo-gem)33

Papers0

The papers the trial lists on ClinicalTrials.gov.

None in this release.

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons3

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

ComparisonSource
Cohort I (Durvalumab, DD MVAC) vs Cohort III (Durvalumab, Carbo-gem): Proportion of Subjects Who Initiate Study Treatment and Achieve Tumor Stage of pT2 N0 M0 or Better (e.g., pT0, pT1 N0) at Cystectomy
Trial comparisons
Cohort I (Durvalumab, DD MVAC) vs Cohort III (Durvalumab, Carbo-gem): deaths from any causeTrial comparisons
Cohort I (Durvalumab, DD MVAC) vs Cohort III (Durvalumab, Carbo-gem): serious adverse eventsTrial comparisons

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT03912818

GET https://conductscience.org/api/trials/v1/NCT03912818/events?page=2