About this trial
This is a Phase II, single-arm, study of pembrolizumab as maintenance therapy in muscle-invasive bladder cancer (MIBC) participants who have received maximum TURBT and tri-modality treatment (TMT) and achieved CR. All participants will receive pembrolizumab monotherapy per 21 days no longer than 17 cycles until disease progression or death.
Eligibility criteria
Qualifiers
Male/female participants who are at least 18 years of age on the day of signing informed consent.
Based on AJCC 8th edition: stage cT2-4N0M0,Urothelial carcinoma >50% and
Requires definitive local therapy
Has received maximum TURBT followed by tri-modality therapy
Disqualifiers
A WOCBP who has a positive urine pregnancy test within 72 hours prior to. If the urine test is positive or cannot be confirmed as negative, a serum pregnancy test will be required.
Has received prior therapy with an anti-PD-1, anti-PD-L1, or anti PD L2 agent or with an agent directed to another stimulatory or co-inhibitory T-cell receptor (eg, CTLA-4, OX 40, CD137).
Patients judged not to be candidates for radical cystectomy; patients with pN+ or T4b disease are considered to have unresectable disease; Has any distant metastases.
Has received prior systemic anti-cancer therapy including investigational agents within 4 weeks prior to allocation.
Trial design
Treatments tested in this trial
- Pembrolizumab