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OncoMatch/Clinical Trials/NCT06290687

Partial Cystectomy & Extended Pelvic Lymph Node Dissection With SOC Perioperative Systemic Therapy

Is NCT06290687 recruiting? Yes, currently enrolling (Jun 2026). This Phase 2 trial studies multiple treatments including Neoadjuvant Chemotherapy and Adjuvant systemic therapy for malignant neoplasm of bladder.

Phase 2RecruitingCase Comprehensive Cancer CenterNCT06290687Data as of Jun 2026

Treatment: Neoadjuvant Chemotherapy · Adjuvant systemic therapyThe goal of this clinical trial is to determine if a partial cystectomy with extended pelvic lymph node removal will be effective at treating Muscle-Invasive Bladder Cancer instead of a complete cystectomy with extended pelvic lymph node removal. This clinical trial aims to determine the safety and oncologic efficacy of the intervention, and to examine patient-reported quality of life outcomes in participants. Participants will receive the standard pre-surgery treatment for approximately 4 to 6 weeks. After the pre-surgery treatment is completed, participants will undergo a partial cystectomy with extended pelvic lymph node dissection. After surgery, participants will receive adjuvant systemic therapy.

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Extracted eligibility criteria

Treatments studied

Other

Neoadjuvant ChemotherapyAdjuvant systemic therapy

Cancer type

Urothelial Carcinoma

Disease stage

Excluded: Stage M+, CT4+

clinical stage T2-3N0M0; Presence of clinical N+ or M+ disease [excluded]; Presence of cT4+ disease [excluded]

Performance status

KARNOFSKY OR ECOG 0–1

Karnofsky Performance Status ≥70 or Eastern Cooperative Oncology Group (ECOG) performance status Grade 0 or 1

Demographics

Ages ≥ 19

Prior therapy

No prior treatment (treatment-naive required)
Max 0 prior lines

Lab requirements

Blood counts

Absolute neutrophil count (ANC) ≥ 1,500/mm3; Platelet count ≥ 80,000/mm3; Hemoglobin ≥ 9.0 g/dL

Liver function

Total bilirubin within normal limits; AST (SGOT) ≤ 2.5 X institutional upper limit of normal; ALT (SGPT) ≤ 2.5 X institutional upper limit of normal

Subjects must have normal organ and marrow function as defined below: Total bilirubin within normal limits; AST (SGOT) ≤ 2.5 X institutional upper limit of normal; ALT (SGPT) ≤ 2.5 X institutional upper limit of normal; Bone marrow: Absolute neutrophil count (ANC) ≥ 1,500/mm3; Platelet count ≥ 80,000/mm3, Hemoglobin ≥ 9.0 g/dL

Structured fields extracted by AI. May contain errors — verify against the official protocol.

US trial sites

  • Glickman Urological and Kidney Institute, Cleveland Clinic, Case Comprehensive Cancer Center · Cleveland, Ohio

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Frequently asked questions

Is NCT06290687 currently recruiting?

Yes, this trial is currently recruiting patients.

Can patients have received prior systemic therapy?

No. This trial requires treatment-naive patients — prior systemic therapy is an exclusion criterion.

Could you qualify for this trial?

Enter your biomarker results to see how this trial's eligibility criteria match your specific cancer profile.

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