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Muscle Invasive Bladder Urothelial CarcinomaEarly Phase 1NCT06204614

Drug Screening Using IMD in Bladder Cancer

A Early Phase 1 study testing Implantable Micro-Device, Methotrexate and Carboplatin in people with Muscle Invasive Bladder Urothelial Carcinoma, run by Brigham and Women's Hospital at 1 site in United States.

Enrolling by invitation

Enrolling by invitation. The study team selects and invites participants, usually from an existing group of patients.

Sites and contacts
Official record
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Trial summary

This research study involves implanting up to 4 microdevices, each small enough to fit inside the tip of a needle, into a tumor. These devices will release microdoses (many thousands of times less than a treatment dose) of different cancer drugs into the tumor. Read more about this study

Who is it for?
Ages 18 to 120 yearsHealthy volunteers can take part
What is being tested?
Implantable Micro-Device, Methotrexate and Carboplatin
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
18 participants
Where
1 siteUnited States
Study dates
14 Jun 2024to 1 Aug 2028
Phase
Early Phase 1
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 120 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Patients must have the ability to understand and the willingness to sign a written informed consent document.
  • Participants must have confirmed clinically localized bladder cancer with histology of urothelial cell carcinoma or variant histology and radiographic imaging consistent with stage T2-T3 N0 disease. Patients must be planned for cystectomy as part of their clinical care. The lesion planned for excision must be at least 1cm in size.
  • Participants must be 18 years of age or older. Patients must have the ability to understand and the willingness to sign a written informed consent document.
  • Participants must have confirmed clinically localized bladder cancer with histology of urothelial cell carcinoma or variant histology and radiographic imaging consistent with stage T2-T3 N0 disease. Patients must be planned for cystectomy as part of their clinical care. The lesion planned for excision must be at least 1cm in size.
  • Participants must be 18 years of age or older. Patients must have the ability to understand and the willingness to sign a written informed consent document.
  • Participants must have confirmed clinically localized bladder cancer with histology of urothelial cell carcinoma or variant histology and radiographic imaging consistent with stage T2-T3 N0 disease. Patients must be planned for cystectomy as part of their clinical care. The lesion planned for excision must be at least 1cm in size.
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  • Participants must be 18 years of age or older.
  • Participants must be evaluated by a medical oncologist who will determine the clinically appropriate treatment strategy based on clinical history and extent of disease.
  • Patients must be deemed medically stable to undergo both percutaneous procedures and standard-of-care surgical procedures.
  • Participants will undergo laboratory testing within 30 days prior to the procedure (or within 72 hours if there has been a change in the clinical status since the initial blood draw). Patients must have absolute neutrophil count ≥1,000/mcL, platelets ≥50,000/mcL, PT (INR) 1.5 and PTT<1.5x control.
  • Participants must have undergone CT or MRI that assesses the extent of disease and allows the research team to assess for study eligibility. This will have been done as part of the standard-of-care.
  • The participant's case must be reviewed by the treating physician to assess the following factors:
  • Patient is clinically stable to undergo microdevice implantation and surgical procedures
  • Patient has sufficient volume of disease to allow implantation of the microdevice
  • Patient has a lesion for which the microdevice is a) amenable to percutaneous placement, and b) amenable to removal at the time of surgery
  • Patients must be willing to undergo research-related genetic sequencing (somatic and germline) and data management, including the deposition of de-identified genetic sequencing data in NIH central data repositories.
  • Patients must be agree to remain abstinent or use contraceptive measures for the duration of the study period

Who cannot join

  • Uncontrolled intercurrent illness including, but not limited to, ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, unstable cardiac arrhythmia, or psychiatric illness/social situations that would limit the safety of a biopsy and/or surgery.
  • Uncorrectable bleeding or coagulation disorder known to cause increased risk with surgical or biopsy procedures (detailed below in section 5.1.2.1).

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

United States1 site
  • Brigham and Women's Hospital

    Boston, Massachusetts, 02115

Other trials in United States

About this study

Official title: Pilot Study of an Implantable Microdevice for in Situ Evaluation of Drug Response in Primary Bladder Tumors

This research study involves implanting up to 4 microdevices, each small enough to fit inside the tip of a needle, into a tumor. These devices will release microdoses (many thousands of times less than a treatment dose) of different cancer drugs into the tumor. After approximately 72 hours, the devices and small regions of surrounding tissue will be removed and studied. There will be a follow-up visit within 42 days of device removal to assess for potential safety issues or side effects.

Read the detailed description

This is a phase I pilot study of microdevice implantation and retrieval in patients with primary bladder cancer. The microdevice is 5x1mm and can be deployed using a biopsy needle placed percutaneously using imaging guidance. The purpose of the microdevice is to measure local intratumor response to antitumor medications in patients with primary bladder cancer. The microdevice contains multiple, separate reservoirs that are each loaded with a specific drug or drug combination.

Candidate patients will first be evaluated based on a CT or MRI, obtained as part of clinical care, and a physician who will determine whether the target lesion is amenable for microdevice implantation. Microdevice implantation will occur via cystoscopy using a flexible grasper (similar to that used for ureteral stent removal). Several independent microdevices will be placed per patient and target lesion. After implantation, the reservoirs release microdoses of each drug allowing the drug to interact with the tumor tissue in its native microenvironment. After device removal and before pathologic analysis, a repeat plain film X-ray of the bladder will be obtained to evaluate for microdevice migration. The microdevice(s) will be removed along with the target tumor as part of standard-of-care surgical excision. The tumor tissue surrounding the device will undergo pathologic and molecular analysis to assess local drug efficacy for each reservoir. These analyses will explore the impact of drug treatment on local cellular processes (e.g., apoptosis, pathway signaling).

The investigators will also investigate preliminary correlations between drug response as assessed by the microdevice and clinical outcomes and response to therapy. Collectively, these studies will establish the feasibility of clinical application of a drug-sensitivity microdevice in bladder cancer and the capacity of such a device to predict systemic response to cancer therapeutics.

Being tested
Implantable Micro-Device, Methotrexate, Carboplatin, Avelumab, Paclitaxel

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Implantable Micro-DeviceDevice

    The implantable microdevice will release microdoses of specific drugs or drug combinations as a possible tool to evaluate the effectiveness of several cancer drugs against bladder cancer.

  • MethotrexateDrug

    Methotrexate will be placed in reservoir 1 of the implantable microdevice.

  • CarboplatinDrug

    Carboplatin will be placed in reservoir 2 of the implantable microdevice.

  • AvelumabDrug

    Avelumab will be placed in reservoir 3 of the implantable microdevice.

  • PaclitaxelDrug

    Paclitaxel will be placed in reservoir 4 of the implantable microdevice.

  • VinblastineDrug

    Vinblastine will be placed in reservoir 5 of the implantable microdevice.

  • Gemcitabine/Cisplatin IDrug

    Gemcitabine/Cisplatin will be placed in reservoir 6 of the implantable microdevice.

  • Methotrexate/Vinblastine/Doxorubicin/Cisplatin/AvelumabDrug

    (Methotrexate/Vinblastine/Doxorubicin/Cisplatin/Avelumab) will be placed in reservoir 7 of the implantable microdevice.

  • Gemcitabine/Cisplatin IIDrug

    Gemcitabine/Cisplatin will be placed in reservoir 8 of the implantable microdevice.

  • CisplatinDrug

    Cisplatin will be placed in reservoir 9 of the implantable microdevice.

  • NivolumabDrug

    Nivolumab will be placed in reservoir 10 of the implantable microdevice.

  • PembrolizumabDrug

    Pembrolizumab will be placed in reservoir 11 of the implantable microdevice.

  • Gemcitabine/CarboplatinDrug

    Gemcitabine/Carboplatin will be placed in reservoir 12 of the implantable microdevice.

  • Methotrexate/Vinblastine/Doxorubicin/CisplatinDrug

    (Methotrexate/Vinblastine/Doxorubicin/Cisplatin) will be placed in reservoir 13 of the implantable microdevice.

  • Gemcitabine/Cisplatin/NivolumabDrug

    (Gemcitabine/Cisplatin/Nivolumab) will be placed in reservoir 14 of the implantable microdevice.

  • ErdafitinibDrug

    Erdafitinib will be placed in reservoir 15 of the implantable microdevice.

  • Paclitaxel/Docetaxel/IfosfamideDrug

    (Paclitaxel/Docetaxel/Ifosfamide) will be placed in reservoir 16 of the implantable microdevice.

  • GemcitabineDrug

    Gemcitabine will be placed in reservoir 17 of the implantable microdevice.

  • Gemcitabine/Carboplatin/NivolumabDrug

    (Gemcitabine/Carboplatin/Nivolumab) will be placed in reservoir 18 of the implantable microdevice.

  • EnfortumabDrug

    Enfortumab will be placed in reservoir 19 of the implantable microdevice.

  • SacituzumabDrug

    Sacitzumab will be placed in reservoir 20 of the implantable microdevice.

Study groups in NCT06204614
Study groupRoleWhat they receive
DRUG SCREENING USING IMD IN BLADDER CANCERExperimentalStudy participants placed in arm 1 will be implanted with the microdevice.
Receives: Device: Implantable Micro-Device; Drug: Methotrexate; Drug: Carboplatin; Drug: Avelumab; Drug: Paclitaxel; Drug: Vinblastine; Drug: Gemcitabine/Cisplatin I; Drug: Methotrexate/Vinblastine/Doxorubicin/Cisplatin/Avelumab; Drug: Gemcitabine/Cisplatin II; Drug: Cisplatin; Drug: Nivolumab; Drug: Pembrolizumab; Drug: Gemcitabine/Carboplatin; Drug: Methotrexate/Vinblastine/Doxorubicin/Cisplatin; Drug: Gemcitabine/Cisplatin/Nivolumab; Drug: Erdafitinib; Drug: Paclitaxel/Docetaxel/Ifosfamide; Drug: Gemcitabine; Drug: Gemcitabine/Carboplatin/Nivolumab; Drug: Enfortumab; Drug: Sacituzumab

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Safety of microdevice placement and removal based on assessment of adverse events

    A device will be declared safe if and only if all implanted devices do not cause an adverse event as defined in section 5.4. The device will be declared safe if 2 or less unacceptable toxicities are observed. Safety will be monitored using a BOIN-based boundary estimated assuming a 10% event rate and a stopping probability of 0.70. The boundary will not take effect until the third patient is enrolled. The trial will be stopped for safety concerns if the investigators see at least 1 adverse event in the first nine patients, or 2 adverse events across all 18. The probability of seeing 2 or less unacceptable toxicity events is 71% if the true rate of toxicity is 10% and 94% if the true rate of toxicity is 5%. The safety estimate will be summarized as number, percentage and with a 95% binomial confidence interval

    Measured: From the time of arrival to interventional radiology for microdevice placement up to 6 weeks.

  2. Feasibility of microdevice placement

    A placement is defined as successful if the investigators can implant and extract at least one microdevice from a patient's tumor with readable tissue for pathology from at least three-quarters of the device reservoirs surrounded by at least 400um of surrounding tissue. The investigators will declare feasibility if the lower bound of the 95% binomial CI does not exceed 0.65, that is if the investigators have 2 or fewer failures. The number of patients with successful retrieval will be summarized as number, percentage and with a 95% CI. Based on prior studies, if device reservoirs are surrounded by at least 400um of tissue, this enables downstream multi-omic analysis.

    Measured: 48 Hours

Secondary outcomes (2)
  1. Local intratumor response

    To measure the local intratumor response to clinically relevant drugs in bladder cancer using quantitative histopathologic assessment of tumor tissue.

    The investigators will analyze tumor sections for each drug treatment zone using a immunohistochemical stain for apoptosis (cleaved caspase 3) and report the result for each condition as a percentage of positively stained cells (vs. total number of cells) within a radius of 500 microns from the drug reservoir.

    A board-certified pathologist will review staining quality of the histopathological staining.

    Measured: 48 Hours

  2. Exploration of additional potential biomarkers of drug response

    To explore additional potential biomarkers of drug response. We will perform immunohistochemical staining for markers of proliferation (ki67) and cell death (Cleaved Parp) in the local tumor tissue adjacent to the microdevice. Results will be calculated as a percentage of positively stained cells in the 500 micron radius adjacent to each reservoir on the microdevice, and will be reported as a percentage of positively stained versus total cells in the region of interest.

    Descriptive statistics will be used to summarize the results for each biomarker across multiple devices and drugs.

    Measured: 48 Hours

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted12 Jan 2024
  2. Study start14 Jun 2024
  3. Primary completion1 Jul 2028 (estimated)
  4. Study completion1 Aug 2028 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Early Phase 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
18 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06204614
Sponsor's protocol ID
23-269
Status last verified
May 2026
First submitted
11 Dec 2023
Last updated
18 May 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
Yes
Individual data sharing
Undecided

Questions about this trial

What is this clinical trial studying?

A Early Phase 1 study testing Implantable Micro-Device, Methotrexate and Carboplatin in people with Muscle Invasive Bladder Urothelial Carcinoma, run by Brigham and Women's Hospital at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 17 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: enrolling by invitation, as of the sponsor's last update on 18 May 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Early Phase 1 (sometimes called Phase 0) studies give a very small amount of a treatment to a few people, mainly to see how the body handles it.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Safety of microdevice placement and removal based on assessment of adverse events (time frame: From the time of arrival to interventional radiology for microdevice placement up to 6 weeks.). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 18 May 2026.

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