ClinicalTrials.gg
RecruitingNCT07038928RIVERSUpdated Sep 14, 2026

TReatment Approaches and bIomarkers preValence in bladdEr Cancer in RuSsian Federation

An observational study in Bladder Cancer, sponsored by AstraZeneca. Recruiting at 20 sites in Russia. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-14.

Sponsored by AstraZeneca · Observational

From the registry’s dates

  • Started Jun 2025; still recruiting 1 year 4 months later.

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Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
600
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 20 studies in Urinary Bladder Neoplasms by AstraZeneca — 5 open to participants now, 11 under way, 4 of them phase 3. Urinary Bladder Neoplasms · AstraZeneca.

Started
2025
with 3 others
Observational
6 of 20
2 open now
Primary completion
2026-12
later than 5 of 10 live
Registered
17th of 20
by date

Among the 20 studies in Urinary Bladder Neoplasms by AstraZeneca, this one is one of 4 that started in 2025, is one of 6 observational ones, reaches primary completion later than 5 of the 10 other live ones, and was the 17th registered.

Urinary Bladder Neoplasms

1,800 studies on the registry are indexed under Urinary Bladder Neoplasms; 446 are open to participants now.

Browse Urinary Bladder Neoplasms studies →

Open to participants now

5 of the 20 studies in Urinary Bladder Neoplasms by AstraZeneca are open now, in 12 countries. Recruiting first, the newest first:

By country, each count listing its studies:

All 5 open studies →

Who these studies take

Of the 336 Urinary Bladder Neoplasms studies recruiting now, 256 (76%) set no upper age limit and 22 (7%) stop at 75 or younger; 22 take children under 18; 21 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

The full table on the hub →

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 20 studies in Urinary Bladder Neoplasms by AstraZeneca, or all of them as a file.
02

Study summary

A multicentre observational study on treatment approaches and HER2 positive status prevalence in different stages of bladder cancer and PD-L1-positive status in metastatic bladder cancer in Russian Federation

Read the detailed description

This is an observational study entailing primary and secondary data collection. As an observational, this study does not imply any intervention into a routine clinical practice, including choice of treatment modality or additional diagnostic methods. Epidemiologic methods and descriptive analysis will be used for data collection and evaluation of all endpoints and measurements of interest.

It will be a multicentre study. Planned number of study sites is about 30 oncological centres performing specialised treatment and follow-up of patients with urothelial bladder cancer in different regions of Russia. Planned study population consists of approximately 600 adult patients with urothelial bladder cancer. Patients who were diagnosed with urothelial bladder cancer and satisfy the additional eligibility criteria as assessed by the investigator will be invited to participate during routine clinical visit. Only patients who will give their written informed consent will be included. Consecutive patients included in the study will form three study cohorts of equal size (around 200 participants each) according to the stages of urothelial bladder cancer at the time of study inclusion: high-risk NMIBC, MIBC, and mBC.

The investigator will enter medical data of the enrolled patients into the electronic case report form (eCRF) from the source medical documentation. No follow-up is planned, the study will consist of only one visit carried out according to routine clinical practice, where patient's demographic and clinical characteristics as well as medical history and used treatment approaches will be recorded, and formalin-fixed paraffin-embedded (FFPE) tumour tissue samples collected as part of routine clinical practice will be shipped to the central laboratory.

The overall expected duration of the study enrollment is about 18 months or until 600 patients will be included in the study, and all required data (including results of IHC testing in central laboratory) will be collected, whichever occurs first.

03

Conditions studied

  • Bladder Cancer
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Probability sample

Study population

Planned study population consists of approximately 600 adult patients with urothelial bladder cancer. Patients who were diagnosed with urothelial bladder cancer and satisfy the additional eligibility criteria as assessed by the investigator will be invited to participate during routine clinical visit. Only patients who will give their written informed consent will be included. Consecutive patients included in the study will form three study cohorts of equal size (around 200 participants each) according to the stages of urothelial bladder cancer at the time of study inclusion: high-risk NMIBC, MIBC, and mBC.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Age ≥ 18 years;
  • Signed ICF, including consent for FFPE tumor tissue sample testing;
  • Confirmed diagnosis of urothelial bladder cancer at NMIBC, MIBC, or mBC stage at study entry;
  • For patients with NMIBC: 1. TURBT performed at least 1 month but not more than 12 months prior to study entry; 2. Presence of ≥1 high-risk feature:

    • T1 tumor
    • High grade/G3 tumor
    • CIS (carcinoma in situ)
    • Multiple and recurrent and large (with diameter of largest tumor ≥3 cm) tumors (all conditions must be met in this point);
  • For patients with MIBC: Сystectomy performed at least 2 months but not more than 12 months prior to study entry;
  • For patients with mBC: mBC diagnosed during 12 months prior to study entry;
  • Availability of medical history data;
  • Availability of FFPE tumour tissue sample obtained during and/or surgery.

Exclusion criteria

Exclusion Criteria:

  • Participation in any interventional trial since the urothelial bladder cancer diagnosis.
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
600 participants (estimated)
Patient registry
No

Groups and cohorts

  • Patients with NMIBC

    Non-muscle-invasive bladder cancer

  • Patients with MIBC

    Muscle-invasive bladder cancer

  • Patients with mBC

    Metastatic bladder cancer

06

What researchers measure

Primary outcomes

  1. Proportion of patients receiving any intravesical treatment among patients with high-risk NMIBC

    Proportion of patients receiving any intravesical treatment among patients with high-risk Non-muscle invasive bladder cancer (ongoing and anamnestic);

    Time frame: 24 months

  2. Proportion of patients receiving intravesical chemotherapy among patients with high-risk NMIBC

    Proportion of patients receiving intravesical chemotherapy among patients with high-risk ongoing and anamnestic Non-muscle invasive bladder cancer (overall and by each treatment regimen);

    Time frame: 24 months

  3. Proportion of patients receiving intravesical BCG treatment among patients with high-risk NMIBC

    Proportion of patients receiving intravesical Bacillus Calmette-Guérin treatment among patients with high-risk ongoing and anamnestic Non-muscle-invasive bladder cancer (overall and by each treatment regimen: induction/ induction + maintenance);

    Time frame: 24 months

  4. Proportion of patients receiving any intravesical treatment among patients with non-high-risk NMIBC

    Proportion of patients receiving any intravesical treatment among patients with non-high-risk Non-muscle-invasive bladder cancer (anamnestic);

    Time frame: 24 months

  5. Proportion of patients receiving intravesical chemotherapy among patients with non-high-risk anamnestic NMIBC

    Proportion of patients receiving intravesical chemotherapy among patients with non-high-risk anamnestic Non-muscle-invasive bladder cancer (overall and by each treatment regimen);

    Time frame: 24 months

  6. Proportion of patients receiving intravesical BCG treatment among patients with non high-risk anamnestic NMIBC

    Proportion of patients receiving intravesical Bacillus Calmette-Guérin treatment among patients with non high-risk anamnestic Non-muscle-invasive bladder cancer(overall and by each treatment regimen: induction/ induction + maintenance);

    Time frame: 24 months

  7. Proportion of patients without intravesical NMIBC treatment

    Proportion of patients without intravesical Non-muscle-invasive bladder cancer (ongoing and anamnestic) treatment (high-risk, non-high-risk)

    Time frame: 24 months

  8. Number of relapses in high risk NMIBC patients (ongoing and anamnestic) overall and by each treatment regimen

    Number of relapses in high risk Non-muscle-invasive bladder cancer patients (ongoing and anamnestic) overall and by each treatment regimen (intravesical chemotherapy, intravesical BCG (induction or induction with maintenance))

    Time frame: 24 months

  9. Number of relapses in non-high risk NMIBC patients overall and by each treatment regimen, intravesical BCG

    Number of relapses in non-high risk Non-muscle-invasive bladder cancer patients (anamnestic) overall and by each treatment regimen (intravesical chemotherapy, intravesical Bacillus Calmette-Guérin (induction or induction with maintenance))

    Time frame: 24 months

  10. Time to first relapse of NMIBC

    Time to first relapse of NMIBC (ongoing and anamnestic)

    Time frame: 24 months

  11. Proportion of patients receiving neoadjuvant treatment among patients with MIBC

    Proportion of patients receiving neoadjuvant treatment among patients with Muscle-invasive bladder cancer (ongoing and anamnestic) (overall and by each treatment regimen);

    Time frame: 24 months

  12. Rate of pathologic complete response among MIBC patients receiving neoadjuvant treatment

    Rate of pathologic complete response among Muscle-invasive bladder cancer patients (ongoing and anamnestic) receiving neoadjuvant treatment (overall and by each treatment regimen);

    Time frame: 24 months

  13. Proportion of MIBC patients not received neoadjuvant treatment before radical cystectomy

    Proportion of Muscle-invasive bladder cancer patients (ongoing and anamnestic) not received neoadjuvant treatment before radical cystectomy.

    Time frame: 24 months

  14. Proportion of patients received adjuvant treatment among patients with MIBC

    Proportion of patients received adjuvant treatment among patients with Muscle-invasive bladder cancer (ongoing and anamnestic) (overall and by each treatment regimen);

    Time frame: 24 months

  15. Proportion of MIBC patients (anamnestic) received trimodal therapy

    Proportion of Muscle-invasive bladder cancer patients (anamnestic) received trimodal therapy (maximal Transurethral resection of bladder tumor + chemoradiation therapy);

    Time frame: 24 months

  16. Time to progression to mBC from NMIBC and MIBC

    Time to progression to metastatic bladder cancer (anamnestic) from Non-muscle-invasive bladder cancer and Muscle-invasive bladder cancer;

    Time frame: 24 months

  17. Type of progression to mBC from NMIBC and MIBC

    Type of progression to Metastatic bladder cancer (anamnestic) from Non-muscle-invasive bladder cancer and Muscle-invasive bladder cancer(localization of metastases);

    Time frame: 24 months

  18. Proportion of patients with locoregional progression after cystectomy

    Proportion of patients with locoregional progression after cystectomy (Muscle-invasive bladder cancer, anamnestic);

    Time frame: 24 months

  19. Proportions of patients receiving systemic treatment regimens within first-line therapy among patients with mBC

    Proportions of patients receiving systemic treatment regimens within first-line therapy among patients with Metastatic bladder cancer (by each treatment regimen);

    Time frame: 24 months

  20. Proportion of patients with progression on first line mBC treatment

    Proportion of patients with progression on first line Metastatic bladder cancer treatment overall and by each treatment regimen.

    Time frame: 24 months

Secondary outcomes

  1. Prevalence of IHC-defined HER2-positive status among patients with high-risk NMIBC

    Prevalence of immunohistochemically-defined HER2-positive status (defined as proportion of patients with 3+ HER2 protein expression based on immunohistochemistry testing of formalin-fixed paraffin-embedded tumor tissue samples) among patients with high-risk Non-muscle-invasive bladder cancer;

    Time frame: 24 months

  2. Prevalence of IHC-defined HER2-positive status among patients with MIBC

    Prevalence of mmunohistochemically-defined HER2-positive status (defined as proportion of patients with 3+ HER2 protein expression based on immunohistochemistry testing of formalin-fixed paraffin-embedded tumour tissue samples) among patients with Muscle-invasive bladder cancer;

    Time frame: 24 months

  3. Prevalence of IHC-defined HER2-positive status among patients with mBC;

    Prevalence of mmunohistochemically-defined HER2-positive status (defined as proportion of patients with 3+ HER2 protein expression based on immunohistochemistry testing of formalin-fixed paraffin-embedded tumour tissue samples) among patients with mBC;

    Time frame: 24 months

  4. Concordance of immunohistochemically-defined HER2-positive status among 3 patient cohorts

    Concordance of immunohistochemically-defined HER2-positive status (defined as proportion of patients with 3+ HER2 protein expression based on immunohistochemistry testing of formalin-fixed paraffin-embedded tumour tissue samples) among patients with Non-muscle-invasive bladder cancer, muscle-invasive bladder cancer and metastatic bladder cancer in primary tumor samples and metastasis if both available;

    Time frame: 24 months

  5. Prevalence of PD-L1 positive status among patients with mBC

    Prevalence of PD-L1 positive status (defined as proportion of patients with at least one of the following criteria based on IHC testing of Formalin-fixed paraffin-embedded tumour tissue sample: (1) ≥25% PD L1 positive tumor cells; (2) ≥25% PD-L1-positive immune cells if \>1% of the tumor area contained such cellular elements; or (3) 100% PD-L1-positive immune cells if 1% of the tumor area contained immune cells) among patients with metastatic bladder cancer.

    Time frame: 24 months

07

Study locations

14 of 20 sites recruiting
  • Research Site
    Arkhangelsk, Russia
    Recruiting
  • Research Site
    Barnaul, Russia
    Recruiting
  • Research Site
    Chelyabinsk, Russia
    Recruiting
  • Research Site
    Krasnodar, Russia
    Recruiting
  • Research Site
    Krasnoyarsk, Russia
    Recruiting
  • Research Site
    Makhachkala, Russia
    Recruiting
  • Research Site
    Moscow, Russia
    Recruiting
  • Research Site
    Moscow, Russia
    Withdrawn

    Not enrolling at this site.

  • Research Site
    Moscow, Russia
    Not yet recruiting
  • Research Site
    Nizhny Novgorod, Russia
    Recruiting
  • Research Site
    Novosibirsk, Russia
    Withdrawn

    Not enrolling at this site.

  • Research Site
    Obninsk, Russia
    Not yet recruiting
  • Research Site
    Omsk, Russia
    Recruiting
  • Research Site
    Saint Petersburg, Russia
    Recruiting
  • Research Site
    Saint Petersburg, Russia
    Not yet recruiting
  • Research Site
    Saint Petersburg, Russia
    Withdrawn

    Not enrolling at this site.

  • Research Site
    Tomsk, Russia
    Recruiting
  • Research Site
    Tyumen, Russia
    Recruiting
  • Research Site
    Ufa, Russia
    Recruiting
  • Research Site
    Yekaterinburg, Russia
    Recruiting
08

References and documents

Individual participant data

Plan to share: Yes — Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal Vivli.org. All requests will be evaluated as per the AZ disclosure commitment: https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure. Yes, indicates that AZ are accepting requests for IPD, but this does not mean all requests will be shared

Supporting information: Clinical study report

Time frame: AstraZeneca will meet or exceed data availability as per the commitments made to the EFPIA PhRMA Data Sharing Principles. For details of our timelines, please rerefer to our disclosure commitment at https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure.

Access criteria: When a request has been approved AstraZeneca will provide access to the anonymized individual patient-level data via secure research environment Vivli.org. Signed Data Usage Agreement (non-negotiable contract for data accessors) must be in place before accessing requested information.

Data sharing details ↗ · vivli.org

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Jun 2025 (actual). Primary completion is estimated for Dec 2026, 18 months after the start.

Of 203 observational studies under Urinary Bladder Neoplasms, half reached primary completion within 58 months of starting (the median), counting those still running; a quarter within 33. This study's planned 18 months is below that.

How these figures are worked out, and which studies are left out of them.

Registered
Jun 5, 2025
First posted
Jun 26, 2025
StartActual
Jun 30, 2025
Primary completionEst.
Dec 31, 2026
CompletionEst.
Dec 31, 2026
Last update
Sep 14, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 14, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07038928
Lead sponsor
AstraZeneca
Responsible party
Sponsor
First posted
Jun 26, 2025
Start date
Jun 30, 2025
Primary completion
Dec 31, 2026 (estimated)
Completion
Dec 31, 2026 (estimated)
Last update
Sep 14, 2026

Study contacts

AstraZeneca Clinical Study Information Center
Contact
information.center@astrazeneca.com
1-877-240-9479
View the source record on ClinicalTrials.gov ↗

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