ClinicalTrials.gg
Not yet recruitingNCT07927400Updated Nov 10, 2026

An Exploratory Study of the Efficacy and Safety of SBRT Following Induction Therapy With Neoadjuvant Immunotherapy Combined With Chemotherapy in Muscle-Invasive Bladder Cancer

An interventional study of Suruilimab immunotherapy in Muscle-invasive Bladder Cancer, sponsored by Tianjin Medical University Cancer Institute and Hospital. Not yet recruiting. Open to participants aged 18 Years to 85 Years. Per ClinicalTrials.gov, last updated 2026-11-10.

Sponsored by Tianjin Medical University Cancer Institute and Hospital · Not applicable, Interventional, and Treatment

Updated Nov 10, 2026Newly registeredGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
36
Allocation
Not applicable
Ages
18 Years to 85 Years
Sex
All
01

Study summary

This study aims to systematically evaluate the efficacy and safety of this innovative comprehensive treatment model in patients with MIBC. By prospectively observing the clinical complete remission rate, bladder recurrence-free survival period, overall survival period, as well as the incidence and severity of treatment-related adverse events, investigators hope to clarify the clinical effectiveness of this model and provide a potential new and efficient bladder-preserving approach for MIBC. Comprehensive assessment of its safety profile will provide a basis for patient management and risk control in clinical practice. Exploration of potential biomarkers (such as PD-L1 expression, tumor mutation burden, etc.) is expected to enable precise selection of treatment options in the future. The successful implementation of this study is expected to bring significant changes to the treatment paradigm for MIBC, achieving the best oncological outcomes while maximizing the preservation of patient organ function and quality of life, and having significant social benefits and clinical promotion value.

02

Conditions studied

  • Muscle-invasive Bladder Cancer

Keywords

  • muscle-invasive bladder cancer
  • Sulurelin Antibody
  • SBRT
  • Immunotherapy
  • Chemotherapy
03

In context

Urinary Bladder Neoplasms

1,798 studies on the registry are indexed under Urinary Bladder Neoplasms; 445 are open to participants now.

This study's planned enrollment of 36 is below the median of 60 across 1,296 interventional studies indexed under Urinary Bladder Neoplasms.

Browse Urinary Bladder Neoplasms studies →

Lead sponsor

Tianjin Medical University Cancer Institute and Hospital is the lead sponsor of 494 studies on the registry; 293 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 85 Years
Sexes eligible
All
Accepts healthy volunteers
No

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

  • Those who voluntarily sign the form, understand the nature, purpose and procedures of this trial and voluntarily comply with the trial requirements;
  • Male or female, aged between 18 and 85 years;
  • Patients with confirmed MIBC;
  • Those who meet the new treatment criteria for MIBC and have not undergone tumor-related treatment before;
  • Patients with clinical tumor stage of cT2-T4aN0M0;
  • Male participants or potentially pregnant females must use highly fertile males or potentially pregnant females during the trial, must use highly effective methods (such as oral contraceptives, intrauterine devices, inhibitory methods or contraceptive methods combined with spermicides) during the test, must use contraceptive methods combined with spermicides at the end of the treatment, and use contraception for 12 months after the treatment;
  • The main organ functions simultaneously meet the following standards: 1) ≥ 1.5 × 109/L; 2) ≥ 90 × 109/L; 3) ≥ 90 g/L; 4) Serum creatinine ≤ 1.5 times the (ULN); 5) Serum total ≤ 1.5 times ULN (except for those with Gilbert syndrome); 6) (AST) and/or alanine aminotransferase (ALT) ≤ 1.5 times ULN; 7) (INR), activated partial thromboplastin time (APTT) ≤ 1.5 times ULN.
  • (ECOG) performance status score of 0-2;
  • People who have the intention to preserve their bladder.

Exclusion criteria

Exclusion Criteria:

  • Pregnant or lactating women, as well as women who wish to conceive (pelvic radiotherapy may cause premature aging of the ovaries);
  • Patients with stage IV bladder cancer with distant ;
  • Those with a history of primary malignant tumors in other parts;
  • Those with severe organ dysfunction, such as recent cerebrovascular disease, or with diseases or factors that can cause cerebral edema or intracranial hypertension; severe heart diseases or discomfort, including but not limited to the following diseases/factors: 1) Currently suffering from untreated or uncontrollable hypertension (systolic pressure > 180 mmHg and/or diastolic pressure > 100 mmHg) or unstable angina pectoris; 2) According to the (NYHA) classification standard, currently having a history of any level of congestive heart failure or severe need for treatment of arrhythmia (except for atrial fibrillation or paroxysmal supraventricular tachycardia); 3) History of myocardial infarction within the previous 6 months; 4) Patients with pacemakers; significantly reduced liver function or liver reserve function, active liver disease; severe renal parenchymal or renal vascular lesions, renal insufficiency; severe respiratory dysfunction; uncorrected moderate-to-severe anemia; obvious bleeding tendency or DIC tendency;
  • Subjects with a known history of mental illness, poor compliance;
  • Those who cannot tolerate chemotherapy or immunotherapy, radiotherapy;
  • Women of childbearing age, who do not agree to take one or more effective measures during the treatment period and at least 6 months after the last study treatment; with a positive blood pregnancy test;
  • Those considered by the investigators to be unsuitable for enrollment or may not be able to complete this trial for other reasons;
  • Other situations that the review personnel from the registration study consider to be unqualified based on the registration: such as potential situations inconsistent with the clinical protocol.
Terms in these criteria, in plain language(14)

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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Histologically or cytologically confirmed

The diagnosis was confirmed by looking at a sample under a microscope: tissue from a biopsy or surgery (histology), or cells from a fluid or needle sample (cytology).

Your pathology report is the document that shows this.

Adjuvant and neoadjuvant

Neoadjuvant treatment is given before the main treatment (usually surgery), often to shrink a tumour. Adjuvant treatment is given after it, to lower the chance of the cancer coming back.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Absolute neutrophil count (ANC)

The number of neutrophils, white blood cells that help fight infection, in a given amount of blood. Too few raises the risk of infection.

It is a count, not a percentage of the white cells. Limits are written in units that mean the same: ≥ 1.5 × 10⁹/L is ≥ 1,500 per mm³ (µL). Each lab has its own reference range.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

INR, PT and aPTT (clotting tests)

Blood tests of how long blood takes to clot. The INR is the prothrombin time (PT) put on a common scale; about 1 is usual for someone not taking a blood thinner.

Criteria often make an exception for people on a blood thinner such as warfarin, whose INR is raised on purpose.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
36 participants (estimated)

Study arms

  • Experimental
    Experimental group

    Maximal TURBT; Induction therapy: Suliimab combined with gemcitabine and cisplatin/oral carboplatin, for a total of 2 cycles; Concurrent chemoradiotherapy (after completing 2 cycles of induction therapy); One course of SBRT radiotherapy: 25Gy/5Gy/5f for the tumor area/tumor bed of the primary bladder lesion; Two courses of external beam radiotherapy: Bladder radiotherapy (45Gy/1.8Gy/25F); Cystoscopy TURBT; Maintenance therapy.

    Drug: Suruilimab immunotherapy

Interventions

  • DrugSuruilimab immunotherapy

    Test Drug: Suliimun Antibody Injection 1\. Drug Introduction and Special Mechanism Generic Name: Suliimun Antibody Injection Trade Name: Hanszhuang® Category: Recombinant Anti-PD-1 Humanized Monoclonal Antibody Special Mechanism: Suliimun is an immune checkpoint inhibitor. PD-1, as a cell surface receptor, is an important immunosuppressive molecule that regulates T cell function. PD-L1 (and other) ligands are expressed on antigen-presenting cells, tumor cells, or other cells in the tumor microenvironment. The binding of PD-1 to PD-L1 can inhibit T cell proliferation and the secretion of related cytokines. This product is a new injectable recombinant humanized anti-PD-1 monoclonal antibody. By blocking the binding of PD-1 to PD-L1, it enhances the immune response of T cells against tumors, thereby exerting anti-tumor effects. Role in This Study: In this trial, Suliimun was used as the core component of neoadjuvant immunotherapy, combined with gemcitabine and cisplatin chemotherapy, aimin

06

What researchers measure

Primary outcomes

  1. Clinical complete remission (cCR)

    1\) The bladder biopsy (including all visible abnormal areas and any additional TURBT or biopsy performed for known muscle-invasive cancer lesions before neoadjuvant therapy) did not reveal any high-grade malignant tumors (i.e., no pTa/pT1/pTis); 2) The urine cytology examination did not detect any malignant cells; 3) The cross-sectional imaging examination provided no clear evidence of local or metastatic diseases.

    Time frame: 3year

  2. Bladder event-free survival (BI-EFS)

    It is defined as the time period from the initiation of the treatment plan to the recurrence of muscle-invasive bladder cancer (MIBC), regional pelvic recurrence, distant metastasis, bladder cancer-related death, or bladder resection.

    Time frame: 3year

Secondary outcomes

  1. Relapse-free survival (RFS)

    Time frame: 3year

  2. cancer-specific survival (CSS)

    Time frame: 3year

  3. disease-free survival (DFS)

    Time frame: 3year

  4. overall survival (OS)

    Time frame: 3year

  5. bladder preservation rate

    Time frame: 3year

07

Study locations

No study locations are listed for this record.

08

References and documents

Individual participant data

Plan to share: No — The individual participant data (IPD) will not be shared to protect the confidentiality of the patients, and in accordance with the institutional data protection policy.

No publications or documents are linked to this record.

09

Updates

1 registry update since Sep 25, 2026
Registered
First appeared on the registry. No changes since
Nov 10, 2026
Show all 1 update
  1. Nov 10, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07927400
Responsible party
Sponsor
First posted
Nov 10, 2026
Start date
Dec 1, 2026 (estimated)
Primary completion
Dec 1, 2027 (estimated)
Completion
Dec 1, 2030 (estimated)
Last update
Nov 10, 2026

Study contacts

liming Xu
Contact
xuliming@tjmuch.com
86-22-23340123

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is not yet recruiting, as verified in Nov 2026. You cannot join it, but the record below documents what was studied.

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