Study of Neoadjuvant Ipilimumab in Patients With Urothelial Carcinoma Undergoing Surgical Resection

Bristol-Myers Squibb (BMS)

Status and phase

Completed

Phase 1

Conditions

Urothelial Carcinoma

Treatments

Drug: Ipilimumab

Study type

Interventional

Funder types

Industry

Identifiers

NCT00362713

CA184-027

Details and patient eligibility

About

The purpose of this study is to learn if ipilimumab can be given safely at two different doses given to patients with urothelial cancer who are going to have surgery as part of their treatment. The immunological effectiveness of ipilimumab will also be studied.

Enrollment

12 patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

Previously untreated urothelial cancer requiring surgery for treatment
Ineligible for chemotherapy
Adequate hematologic, kidney and liver function

Exclusion criteria

Sexually active and fertile individuals or partners of these individuals who are unwilling or unable to use an acceptable method of birth control for the entire trial and up to 4 weeks after the study
Women who are pregnant or breastfeeding
Women with a positive pregnancy test on enrollment prior to study drug administration
Prior treatment with ipilimumab or other anti-CTLA4 antibody, or a CD137 agonist
Concurrent malignancy, with the exception of adequately treated and cured basal or squamous cell skin cancer, or carcinoma in situ of the cervix (previous malignancy without evidence of disease for 5 years will also be allowed to enter trial)
Autoimmune disease: subjects with a documented history of inflammatory bowel disease (including Crohn's disease and ulcerative colitis) are excluded from this study as are patients with a history of symptomatic disease (e.g., rheumatoid arthritis, systemic progressive sclerosis [scleroderma], Systemic Lupus Erythematosus, autoimmune vasculitis [e.g., Wegener's Granulomatosis]). Subjects with motor neuropathy considered of autoimmune origin (e.g., Guillain-Barre Syndrome) are excluded from this study
Patients deemed ineligible for surgery
Any non-oncology vaccine therapy used for prevention of infectious diseased in the past month
Concomitant therapy with any of the following: IL-2, interferon or other non-study immunotherapy regimens, chemotherapy; immunosuppressive agents; other investigation therapies; or chronic use of systemic corticosteroids (used in the management of cancer or non-cancer related illnesses)
Prior radiation therapy for urothelial cancer
Positive screening tests for or any prior history of HIV, Hepatitis B or Hepatitis C