About this trial
This single-center single-arm, open-label prospective clinical trial aimed to evaluate the efficacy and safety of entinostat combined with chemotherapy as second-line therapy for unresectable locally advanced or metastatic bladder cancer.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Histopathologic confirmed unresectable advanced or metastatic bladder cancer, except for those with squamous differentiation, glandular differentiation or both;
Failure of first-line treatment;
There is at least one measurable lesion according to RECIST 1.1;
Archived tumor tissue samples or tumor biopsies must be provided;
Disqualifiers
Patients who received platinum-based chemotherapy after failure of first-line treatment;
Patients who received platinum-based chemotherapy withnin a 24 month before this trial;
Those who have received other anti-tumor treatment or participated in other clinical studies within 4 weeks before the start of the study, or have not recovered from the last toxicity (except grade 2 hair loss and grade 1 neurotoxicity);
Concomitant disease such as uncontrolled hypertension or diabetes, renal inadequacy, myocardial infarction, severe angina;
Trial design
Single group
Treatments tested in this trial
Entinostat
DrugTake entinostat 5mg orally once weekly (at least 1 hour before meal and 2 hours after meal).
Chemotherapy
DrugGisantinib and cisplatin chemotherapy for 6 cycles, 21 days per cycle. Gisantinib 1000mg/m2 is given intravenously on Day 1 and 8 for each cycle while cisplatin 70mg/m2 is given intravenously on Day2.
Treatment groups
Trial outcomes
Primary outcomes
Objective response rate, ORR
ORR refers to the percentage of confirmed cases of complete response (CR) and partial response (PR) according to the RECIST (Response Evaluation Criteria in Solid Tumours) version 1.1.
Secondary outcomes
ProgressionFree Survival, PFS
PFS refers to the time from the beginning of treatment to disease progression or death from any reason (whichever occurs first).
Overall Survival, OS
OS refers to the time from the beginning of treatment to death from any reason.
Disease Control Rate, DCR
The percentage of cases with CR, PR, and SD (≥4 weeks) among patients with evaluable efficacy.
Sponsors and contacts
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