Vinflunine

Clinical trials investigating Vinflunine are studying its role in people with advanced urothelial cancer, including locally advanced and metastatic disease. These studies mainly look at how Vinflunine compares with other treatments and whether patients live longer. The trial data focus on adults who have already had prior treatment.

Table of Contents

Trial overview

The trial data show Vinflunine being studied in urothelial cancer, especially when the cancer is locally advanced, metastatic, or unresectable.[1][2][3][4]

All listed studies are Phase 3 trials, which are larger studies used to compare treatment options and measure how well they work in real patient groups.[1][2][3][4]

The studies are completed or authorised, and they mostly compare Vinflunine with other cancer treatments rather than testing it alone.[1][2][3][4]

Who is being studied

The target population is adults with advanced bladder or urinary tract cancer, described in the records as advanced urothelial cancer or urothelial carcinoma.[2][4]

Some trials focus on people whose cancer has already progressed after earlier treatment, which means the disease got worse even after prior therapy.[2][4]

One study includes people with locally advanced or metastatic unresectable disease, meaning the cancer cannot be removed by surgery and may have spread.[1]

Another study separates patients into cohorts based on whether they previously received an anti-PD-(L)1 treatment, which is a treatment history detail used to guide the comparison groups.[2]

How the studies are designed

The studies are interventional trials, meaning researchers assign treatments and then watch what happens.[1][2][3][4]

One trial is randomized and open-label, which means patients are placed into treatment groups by chance and both the doctors and patients know which treatment is being given.[1]

Several studies compare Vinflunine with other options such as docetaxel, paclitaxel, pembrolizumab, or investigator’s choice chemotherapy.[2][3][4]

In one study, Vinflunine is listed as part of the chemotherapy choices in the comparison arm for patients with prior anti-PD-(L)1 treatment.[2]

Main endpoints and what they mean

The main endpoint in these studies is overall survival, often shortened to OS.[1][2][3][4]

Overall survival means the time from the start of the study treatment, or from randomization in one trial, until death from any cause.[2]

This endpoint is important because it shows whether one treatment helps patients live longer than another treatment.[1][3][4]

Key Vinflunine trial settings

NCT04527991 is a Phase 3 randomized open-label study in people with metastatic or locally advanced unresectable urothelial cancer, and it compares sacituzumab govitecan with treatment of physician’s choice.[1]

2023-510296-56-00 is a Phase 3 study in advanced urothelial cancer with selected FGFR changes, and it compares erdafitinib with chemotherapy or pembrolizumab depending on prior treatment history.[2]

In the chemotherapy comparison for Cohort 1, the record names docetaxel or Vinflunine as the chemotherapy options.[2]

2024-517571-20-00 is a Phase 3 study in previously treated locally advanced or metastatic urothelial cancer, comparing enfortumab vedotin with chemotherapy options that include Vinflunine, docetaxel, and paclitaxel.[3]

2024-520014-22-00 is an authorised Phase 3 trial in locally advanced or metastatic urothelial carcinoma, comparing sacituzumab tirumotecan with investigator’s choice nonplatinum chemotherapy, with Vinflunine listed among the options.[4]

What the trial results focus on

These studies are mainly trying to find out whether the tested treatment improves survival compared with the control treatment.[1][2][3][4]

They also show how Vinflunine is being used in research as a chemotherapy choice for advanced urothelial cancer, especially after earlier treatment has not worked well enough.[2][3][4]

Because the studies are Phase 3 and include larger patient groups, they are designed to give stronger answers about which treatment approach may be better for these patients.[1][2][3][4]

Trial ID Phase Condition studied Status Enrollment
NCT04527991 Phase 3 Locally advanced or metastatic unresectable urothelial cancer Completed 627
2023-510296-56-00 Phase 3 Advanced urothelial cancer Completed 199
2024-517571-20-00 Phase 3 Locally advanced or metastatic urothelial cancer Completed 324
2024-520014-22-00 Phase 3 Locally advanced/metastatic urothelial carcinoma Authorised 539

Ongoing Clinical Trials on Vinflunine

  • A study of sacituzumab tirumotecan versus docetaxel, paclitaxel, or vinflunine for patients with pretreated advanced or metastatic bladder cancer

    Recruiting

    1 1 1 1
    Belgium France Germany Greece Italy The Netherlands +2
  • Study Comparing Erdafitinib with Vinflunine, Docetaxel, or Pembrolizumab for Patients with Advanced Urothelial Cancer and FGFR Gene Changes

    Not recruiting

    1 1 1 1
    Investigated diseases:
    Belgium France Spain
  • Study comparing enfortumab vedotin versus chemotherapy combination (docetaxel, paclitaxel, vinflunine) in patients with previously treated advanced or metastatic bladder cancer

    Not recruiting

    1 1 1 1
    Portugal Spain
  • Study Comparing Sacituzumab Govitecan with Other Treatments for Patients with Advanced Unresectable Urothelial Cancer

    Not recruiting

    1 1 1 1
    Belgium France Germany Greece Ireland Italy +2

Glossary

  • Urothelial cancer: A cancer that starts in the lining of the urinary tract, such as the bladder or parts of the kidney and ureter.
  • Locally advanced: Cancer that has grown outside its original place but has not clearly spread far to other parts of the body.
  • Metastatic: Cancer that has spread to other parts of the body.
  • Unresectable: Cancer that cannot be removed completely with surgery.
  • Phase 3: A late stage of clinical research where a treatment is tested in larger groups and compared with other treatments.
  • Randomization: A process that assigns patients to treatment groups by chance, not by choice, to make the results fairer.
  • Overall survival (OS): The length of time patients stay alive after starting a study treatment.
  • Chemotherapy: Cancer treatment using medicines that aim to kill or slow the growth of cancer cells.
  • Investigator’s choice: A treatment selected by the study doctor from the options allowed in the trial.
  • Cohort: A group of patients in a study who share a key feature, such as prior treatment history.

References

  1. https://clinicaltrials.eu/trial/study-comparing-sacituzumab-govitecan-with-other-treatments-for-patients-with-advanced-unresectable-urothelial-cancer/
  2. https://clinicaltrials.gov/study/2023-510296-56-00
  3. https://clinicaltrials.gov/study/2024-517571-20-00
  4. https://clinicaltrials.gov/study/2024-520014-22-00