Under construction – not a live service
Sign in
Taking people in BrazilPhase 2

Tests durvalumab with chemotherapy before surgery for bladder cancer

Tests durvalumab with chemotherapy before and after surgery in adults with muscle-invasive bladder cancer.

Plain-language title generated from the registry record
Registry title: Perioperative Durvalumab With Neoadjuvant ddMVAC in Patients With Muscle-Invasive Bladder Cancer (NIAGARA-2)

Key facts

Where
Barretos, Jaú, Natal, Porto Alegre, Rio de Janeiro, Santo André, São José do Rio Preto, and São Paulo, BrazilSee the 8 sites
Phase
Phase 2

Where in Brazil

  • BarretosBarretos, BrazilTaking people
  • JaúJaú, BrazilNo longer taking part
  • NatalNatal, BrazilNo longer taking part
  • Porto AlegrePorto Alegre, BrazilTaking people
  • Rio de JaneiroRio de Janeiro, BrazilNo longer taking part
  • Santo AndréSanto André, BrazilTaking people
  • São José do Rio PretoSão José do Rio Preto, BrazilNo longer taking part
  • São PauloSão Paulo, BrazilTaking people

Questions to ask the study team

  1. How often do I need to come in, and for how long each time?
  2. Are travel costs paid?
  3. Can I keep my own doctor?
  4. What happens if I want to stop?
Print a page for my doctor

Trial details

Who runs it
AstraZeneca
Trial code
NCT06960577EU 2024-519246-75-01
Record updated
8 October 2026
Original description
The Phase II NIAGARA-2 study aims to expand on the data from the Phase III NIAGARA study by investigating perioperative durvalumab in combination with cisplatin based neoadjuvant chemotherapy in a clinical practice setting.Read full original descriptionShow less

An Open-label, Single-arm, Global Study of Perioperative Durvalumab With Cisplatin-based Neoadjuvant Chemotherapy in Patients With Muscle-Invasive Bladder Cancer (NIAGARA-2)

The Phase II NIAGARA-2 study aims to expand on the data from the Phase III NIAGARA study by investigating perioperative durvalumab in combination with cisplatin based neoadjuvant chemotherapy in a clinical practice setting.

Inclusion: Participants with clinical tumour stage T2-T4aN0/1M0 or T1N1M0 with transitional or mixed transitional cell histology; Participants must be planning to undergo radical cystectomy; Participants who have not received prior systemic chemotherapy or immunotherapy for treatment of muscle-invasive bladder cancer; ECOG performance status of 0 or 1; Minimum life expectancy of 12 weeks at first dose of study medication.

Exclusion: Prior exposure to immune-mediated therapy including, but not limited to, other anti CTLA-4, anti-PD 1, anti-PD L1 and anti-PD-L2 antibodies, excluding Bacillus Calmette-Guérin; Current or prior use of immunosuppressive medication within 14 days before the first dose of durvalumab; Any concomitant medication known to be contraindicated with ddMVAC; Evidence of lymph node (N2-N3) or metastatic (M1) disease; Uncontrolled intercurrent illness; Inoperable tumour(s) with fixation to the pelvic wall on clinical examination.

ClinicalTrials.gov NCT06960577 · EU CTIS 2024-519246-75-01