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OncoMatch/Clinical Trials/NCT06960577

Perioperative Durvalumab With Neoadjuvant ddMVAC or Gemcitabine/Cisplatin in Patients With Muscle-invasive Bladder Cancer (NIAGARA-2)

Is NCT06960577 recruiting? Yes, currently enrolling (Jun 2026). This Phase 3 trial studies multiple treatments for urinary bladder neoplasms.

Phase 3RecruitingAstraZenecaNCT06960577Data as of Jun 2026Location: International · 7 countries

Treatment: Durvalumab · Methotrexate · Vinblastine · Doxorubicin · Cisplatin · Durvalumab · Gemcitabine · CisplatinThe Phase IIIb NIAGARA-2 study aims to expand on the data from the Phase III NIAGARA study by investigating perioperative durvalumab in combination with investigator-selected cisplatin-based neoadjuvant chemotherapy (either ddMVAC or gemcitabine/cisplatin) in a clinical practice setting.

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Extracted eligibility criteria

Treatments studied

Immunotherapy

DurvalumabDurvalumab

Chemotherapy

MethotrexateVinblastineDoxorubicinCisplatinGemcitabineCisplatin

Cancer type

Urothelial Carcinoma

Disease stage

Required: Stage T2N0M0, T2N1M0, T3N0M0, T3N1M0, T4AN0M0, T4AN1M0, T1N1M0 (TNM)

clinical tumour stage T2-T4aN0/1M0 or T1N1M0; Evidence of lymph node (N2-N3) or metastatic (M1) disease [excluded]

Performance status

ECOG 0–1(Restricted strenuous activity)

Prior therapy

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

Cannot have received: systemic chemotherapy

Patients who have not received prior systemic chemotherapy or immunotherapy for treatment of muscle-invasive bladder cancer

Cannot have received: immunotherapy

Exception: excluding Bacillus Calmette-Guérin

Prior exposure to immune-mediated therapy including, but not limited to, other anti CTLA-4, anti-PD 1, anti-PD L1 and anti-PD-L2 antibodies, excluding Bacillus Calmette-Guérin

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

Frequently asked questions

Is NCT06960577 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.

What disease stage is eligible?

Stage T2N0M0 or T2N1M0 or T3N0M0 or T3N1M0 or T4AN0M0 or T4AN1M0 or T1N1M0 is required.

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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