About this trial

This study aims to prospectively observe whether certain alterations in some genes related to the DNA repair mechanism are related to better response to platinum-based chemotherapy used to treat metastatic bladder or urothelial cancers.

Eligibility criteria

Qualifiers

Informed consent obtained before any study-specific procedures. Patients must be able to understand and be willing to sign a written informed consent.

Male or female patient ≥18 years of age.

Histological or cytological documentation of urothelial cancer.

Available tumor tissue for analysis

Disqualifiers

Previous treatment for metastatic or locally advanced disease.

Previous adjuvant therapy within 1 year from the diagnosis of metastatic disease.

Prior treatment with immunotherapy.

Previous or concurrent cancer that is distinct in primary site or histology from urothelial cancer within 3 years before enrollment EXCEPT for curatively treated cervical cancer in situ, non-melanoma skin cancer and superficial bladder tumors (Ta [non-invasive tumor], Tis [carcinoma in situ], and T1 [tumor invades lamina propria]), pT2 prostate cancer with PSA<0.01.

Trial design

Treatments tested in this trial

  • Platinum + Gemcitabine
  • Avelumab first-line maintenance
  • NGS test for DDR alterations

Treatment groups

135 Participants
are divided into 2 treatment groups

Locations

1
Fondazione Policlinico Universitario A. Gemelli IRCCS00168, Rome Italy

Sponsors and collaborators

Fondazione Policlinico Universitario Agostino Gemelli IRCCS

Lead sponsor