A Randomized Trial of Bicalutamide in Non-Muscle Invasive Bladder Cancer

Trial statusRecruiting
Trial phasePhase 1
Trial typeInterventional
Biological sexMale
Age18+
SponsorUniversity of Wisconsin, Madison

About this trial

This phase I trial evaluates the effects of bicalutamide, compared to no study drug (NSD), on epidermal growth factor receptor (EGFR) protein expression in patients with non-muscle invasive bladder cancer. Bicalutamide is in a class of medications called androgen receptor inhibitors. It works by blocking the effects of androgen (a male reproductive hormone) to stop the growth and spread of tumor cells. Previous studies have suggested that expression of a protein called EGFR on tumor cells is related to bladder cancer disease progression. This trial may help doctors evaluate if bicalutamide has any effect on EGFR expression in patients with non-muscle invasive bladder cancer.

Eligibility criteria

Qualifiers

Biologic male adults (>= 18 years old)

Note: Because no dosing or adverse event (AE) data are currently available on the use of bicalutamide in participants < 18 years of age, children are excluded from this study but will be eligible for future pediatric trials, if applicable

Have suspected non-muscle invasive bladder carcinoma (NMIBC) on clinic-based cystoscopy or imaging as viewed by an American Urological Association (AUA) board-certified urologist

Have had cross sectional imaging of the abdomen and pelvis (computed tomography [CT] or magnetic resonance imaging [MRI] with or without contrast) within 6 months prior to enrollment with no signs of upper tract urothelial cancer (UC), invasive, nor metastatic disease

Disqualifiers

Participants who have had a previous exposure to sex hormone (e.g., exogenous androgens) or anti-androgenic therapies (e.g., luteinizing hormone-releasing hormone [LHRH] agonists, LHRH antagonists, 5 alpha reductase-inhibitors, abiraterone or other anti-androgens) within 6 months of accrual

Participants taking Coumarin derivative anticoagulation (e.g., warfarin). Other anticoagulation medications are allowed.

Participants receiving any other investigational agents.

History of allergic reactions attributed to compounds of similar chemical or biologic composition to bicalutamide.

Trial design

Treatments tested in this trial

  • Bicalutamide
  • Biopsy Procedure
  • Biospecimen Collection
  • Questionnaire Administration
  • Transurethral Resection of Bladder Tumor

Treatment groups

80 Participants
are divided into 2 treatment groups

Sponsors and collaborators

University of Wisconsin, Madison

Lead sponsor

National Cancer Institute (NCI)

Collaborator