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CompletedNCT01104350Updated Mar 5, 2026

Image-Guided Radiation Therapy for Bladder-Cancer Patients Undergoing Radiotherapy and Concurrent Gemcitabine Chemotherapy

A Phase 1 interventional study of external radiation therapy with gemcitabine in Bladder Cancer, sponsored by Memorial Sloan Kettering Cancer Center. Completed at 5 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-03-05.

Sponsored by Memorial Sloan Kettering Cancer Center · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
19
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to test the safety of different amounts (doses) of external radiation therapy (high-energy x-rays that shrink or destroy cancer) combined with chemotherapy.

02

Conditions studied

  • Bladder Cancer

Keywords

  • Bladder
  • Radiotherapy
  • Gemcitabine
  • Chemotherapy
  • 10-031
03

In context

Urinary Bladder Neoplasms

1,617 studies on the registry are indexed under Urinary Bladder Neoplasms; 422 are open to participants now.

This study's enrollment of 19 is below the median of 60 across 1,163 interventional studies indexed under Urinary Bladder Neoplasms.

Browse Urinary Bladder Neoplasms studies →

Lead sponsor

Memorial Sloan Kettering Cancer Center is the lead sponsor of 1,930 studies on the registry; 325 are open to participants now.

Of its 129 completed or terminated interventional studies of FDA-regulated products, 66 (51%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • MSKCC-reviewed pathologically proven diagnosis of primary bladder urothelial carcinoma without evidence of regional (nodal) or distant spread (cT1-T4a, Nx or N0).
  • Karnofsky Performance Scale (KPS) ≥ 70%
  • Age ≥18 years old
  • Adequately functioning bladder, defined as continent and without the need for an indwelling catheter
  • Absolute neutrophil count (ANC) ≥ 1500/mL; platelets ≥ 100,000/mm3 serum bilirubin \< 1.5 x the upper limit of normal (ULN); aspartate aminotransferase (AST) and/alanine aminotransferase (ALT) ≤ 1.5 × ULN
  • Adequate renal function: calculated creatinine clearance > 30 mL/min/1.73 m2 using the following formula modified Cockcroft and Gault Formula for estimated Creatinine Clearance
  • Patients must be considered able to tolerate systemic chemotherapy and pelvic radiation therapy.
  • Patients must have the ability to understand and the willingness to sign a written informed consent document

Exclusion criteria

Exclusion Criteria:

  • Evidence of distant disease or histologically-proven nodal metastases. Patients with radiologic evidence of lymphadenopathy must have biopsy proof of N0 status.
  • Previous pelvic radiation therapy
  • Prior systemic chemotherapy non-cisplatin based neoadjuvant for urothelial carcinoma (prior intravesical chemotherapy or immunotherapy is permissible)
  • Prior cisplatin based neoadjuvant systemic chemotherapy for more than >4 cycles
  • Active inflammatory bowel disease (i.e., Crohn's disease or ulcerative colitis)
  • Women who are pregnant or lactating
05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
19 participants (actual)

Study arms

  • Experimental
    Radiotherapy and Concurrent Gemcitabine Chemotherapy

    This is a Phase I dose-escalation study examining the safety and tolerability of intensity modulated external radiation therapy using image-guidance in combination with gemcitabine chemotherapy as an alternative to radical cystectomy.

    Other: external radiation therapy with gemcitabine

Interventions

  • Otherexternal radiation therapy with gemcitabine

    All patients will undergo daily image-guided radiation therapy with concurrent twice weekly gemcitabine chemotherapy. Radiation therapy will begin 2-4 weeks after restaging cystoscopy/fiducial marker placement. * Dose level #1: 23.4 Gy/1.8 Gy × 13 fractions (total dose 68.4 Gy) * Dose level #2: 27.0 Gy/1.8 Gy × 15 fractions (total dose 72.0 Gy) * Dose level #3: 30.6 Gy/1.8 Gy × 17 fractions (total dose 75.6 Gy)

06

What researchers measure

Primary outcomes

  1. To determine the dose limiting toxicity and establish the maximal tolerated dose

    Time frame: 2 years

Secondary outcomes

  1. To determine the complete response rate of the primary tumor

    Time frame: 4-6 weeks following consolidation therapy

  2. To determine the long term toxicity

    Time frame: 2 years

07

Study locations

5 sites
  • Memorial Sloan Kettering at Basking Ridge
    Basking Ridge, New Jersey 07920, United States
  • Memorial Sloan Kettering Cancer Center @ Suffolk
    Commack, New York 11725, United States
  • Memorial Sloan Kettering Westchester
    Harrison, New York 10604, United States
  • Memorial Sloan Kettering Cancer Center
    New York, New York 10065, United States
  • Memorial Sloan Kettering at Mercy Medical Center
    Rockville Centre, New York, United States
08

References and documents

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 5, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT01104350
Lead sponsor
Memorial Sloan Kettering Cancer Center
Responsible party
Sponsor
First posted
Apr 15, 2010
Start date
Apr 2010
Primary completion
Mar 3, 2026
Completion
Mar 3, 2026
Last update
Mar 5, 2026

Study contacts

Marisa Kollmeier, MD
principal investigator · Memorial Sloan Kettering Cancer Center
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Mar 2026. You cannot join it, but the record below documents what was studied.

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