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JOURNAL ONKOLOGIE – STUDIE

Study of Erdafitinib Intravesical Delivery System for Localized Bladder Cancer

Rekrutierend

NCT-Nummer:
NCT05316155

Studienbeginn:
April 2022

Letztes Update:
24.04.2024

Wirkstoff:
Erdafitinib Intravesical Delivery System

Indikation (Clinical Trials):
Urinary Bladder Neoplasms

Geschlecht:
Alle

Altersgruppe:
Erwachsene (18+)

Phase:
Phase 1

Sponsor:
Janssen Research & Development, LLC

Collaborator:
-

Studienleiter

Janssen Research & Development, LLC Clinical Trial
Study Director
Janssen Research & Development, LLC

Kontakt

Studienlocations
(3 von 21)

Universitatsklinikum Frankfurt
60590 Frankfurt am Main
(Hessen)
GermanyRekrutierend» Google-Maps
Marien hospital Herne
44625 Herne
(Nordrhein-Westfalen)
GermanyRekrutierend» Google-Maps
Universitatsklinikum Munster
48149 Münster
(Nordrhein-Westfalen)
GermanyRekrutierend» Google-Maps
Universitaetsklinikum Ulm
89081 Ulm
(Baden-Württemberg)
GermanyRekrutierend» Google-Maps
University of Southern California
90033 Los Angeles
United StatesRekrutierend» Google-Maps
H. Lee Moffitt Cancer Center
33612 Tampa
United StatesRekrutierend» Google-Maps
Northwestern University
60611 Chicago
United StatesRekrutierend» Google-Maps
Levine Cancer Institute, Carolinas HealthCare System
28204 Charlotte
United StatesRekrutierend» Google-Maps
Carolina Urologic Research Center
29572 Myrtle Beach
United StatesRekrutierend» Google-Maps
Urology San Antonio Research
78229 San Antonio
United StatesRekrutierend» Google-Maps
National Cancer Center
10408 Goyang-Si
Korea, Republic ofRekrutierend» Google-Maps
Chonnam National University Hospital
61469 Gwangju
Korea, Republic ofRekrutierend» Google-Maps
Seoul National University Hospital
03080 Seoul
Korea, Republic ofRekrutierend» Google-Maps
The Catholic University of Korea Seoul St. Mary's Hospital
06591 Seoul
Korea, Republic ofRekrutierend» Google-Maps
Alle anzeigen

Studien-Informationen

Detailed Description:

Bladder cancer is one of the most common malignancy worldwide, and non-muscle invasive

(NMIBC) requires intensive regimens of frequent monitoring and local resection (transurethral

resection of bladder [TURBT]). This study enrolls participants with non-muscle invasive or

muscle invasive bladder cancer with activating fibroblast growth factor receptor (FGFR)

mutations or fusions. Erdafitinib is a pan-FGFR inhibitor with demonstrated clinical activity

when administered orally in patients with solid tumors, including bladder cancer, with FGFR

genetic alterations. The Erdafitinib intravesical delivery system is designed to provide

release of Erdafitinib in the bladder to treat localized bladder cancer, while reducing

systemic toxicities. The study consists of a screening phase, a treatment phase, and a

follow-up phase. Total duration of the study is 5 years 3 months.

Ein-/Ausschlusskriterien

Inclusion Criteria:

- Muscle-invasive or recurrent, non-muscle-invasive urothelial carcinoma of the bladder

- For selected Cohorts: Activating tumor pan-fibroblast growth factor receptor (FGFR)

mutation or fusion, as determined by local or central testing, approved by the sponsor

prior to the start of study treatment. Local tissue-based results (if already

existing) from next-generation sequencing (NGS) or polymerase chain reaction (PCR)

tests performed in Clinical Laboratory Improvement Amendments (CLIA) -certified or

equivalent laboratories, or results from commercially available PCR or NGS tests

- Cohorts 1 and 2: Bacillus Calmette-Guérin (BCG) experienced, or participants with no

BCG experience because BCG was not available as a treatment option in the

participant's location within the previous 2 years and is currently unavailable.

Participants who received an abbreviated course of BCG due to toxicity are still

eligible

- Cohort 1 only: Refuses or is not eligible for radical cystectomy (RC)

- Cohorts 2 and 4: Willing and eligible for RC

Exclusion Criteria:

- Concurrent extra-vesical (that is, urethra, ureter, renal pelvis) transitional cell

carcinoma of the urothelium

- Prior treatment with an pan-fibroblast growth factor receptor (FGFR) inhibitor

- Received pelvic radiotherapy <=6 months prior to the planned start of study treatment.

If received pelvic radiotherapy greater than (>)6 months prior to the start of study

treatment, there must be no cystoscopic evidence of radiation cystitis

- Presence of any bladder or urethral anatomic feature that in the opinion of the

investigator may prevent the safe use of Erdafitinib intravesical delivery system

- Indwelling urinary catheter. Intermittent catheterization is acceptable

Studien-Rationale

Primary outcome:

1. Number of Participants with Adverse Events (AEs) (Time Frame - Up to 5 years 3 months):
An adverse event (AE) is any untoward medical event that occurs in a participant administered an investigational product, and it does not necessarily indicate only events with clear causal relationship with the relevant investigational product.

2. Number of Participants with AEs by Severity (Time Frame - Up to 5 years 3 months):
Severity will be graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) version 5.0. Severity scale ranges from Grade 1 (Mild) to Grade 5 (Death). Grade 1= Mild, Grade 2= Moderate, Grade 3= Severe, Grade 4= Life-threatening and Grade 5= Death related to adverse event.

3. Number of Participants with Dose-limiting Toxicity (DLT) (Time Frame - Up to 28 days):
Number of participants with DLT will be assessed. The DLTs are specific adverse events and are defined as any of the following: high grade non-hematologic toxicity, or hematologic toxicity.

Secondary outcome:

1. Plasma Concentration of Erdafitinib (Time Frame - Cohorts 1, 3 and 5: up to 6 months; Cohort 2 and 4: up to 8 weeks):
Plasma concentration of Erdafitinib will be reported.

2. Urine Concentration of Erdafitinib (Time Frame - Cohorts 1, 3 and 5: up to 6 months; Cohort 2 and 4: up to 8 weeks):
Urine concentration of Erdafitinib will be reported.

3. Cohorts 1 and 2: Recurrence-Free Survival (RFS) (Time Frame - Up to 5 years 3 months):
RFS is defined as the time from start of treatment to the first detection of any new high-grade bladder cancer or upper tract urothelial carcinoma or positive urine cytology.

4. Cohort 3 and 5: Complete Response (CR) Rate (Time Frame - At 3 months):
CR is defined as the absence of urothelial carcinoma by cystoscopy, confirmed pathologically at first assessment, and negative urine cytology.

5. Cohort 3 and 5: Duration of CR (Time Frame - Up to 5 years 3 months):
Duration of CR is defined as the time from first documentation of CR until the date of documented recurrence or progression, or death, whichever comes first.

6. Cohort 4: Pathological Complete Response (pCR) Rate (Time Frame - Up to 8 weeks):
pCR rate is defined as percentage of participants with no pathologic evidence of intravesical disease (pT0) and no pathologic evidence of nodal involvement (pN0).

7. Cohort 4: No Pathologic Evidence of Intravesical Disease (pT0) (Time Frame - Up to 8 weeks):
pT0 rate is defined as percentage of participants with no Pathologic Evidence of Intravesical Disease.

8. Cohort 4: Rate of downstaging to Less than (<) pT2 (Time Frame - Up to 8 weeks):
Rate of downstaging to <pT2 is defined as percentage of participants with pT stage <2.

Studien-Arme

  • Experimental: Part 1: Dose Escalation
    Participants with recurrent, bacillus Calmette-Guerin (BCG)-experienced high risk papillary-only Non-Muscle-Invasive Bladder Cancer (NMIBC), refusing or ineligible for radical cystectomy or with recurrent, intermediate-risk NMIBC will receive Erdafitinib Intravesical Delivery System. The dose will be escalated to determine preliminary recommended phase 2 dose(s) (RP2D[s]) for Part 2.
  • Experimental: Part 2: Dose Expansion
    Participants in each of 5 disease-specific NMIBC or MIBC cohorts may be enrolled at one or more dose levels that have been determined to be safe in Part 1.
  • Experimental: Part 3: RP2D Dose Expansion
    Participants in 2 of the disease-specific NMIBC cohorts (cohorts 1 and 3) may be enrolled at RP2D to determine the safety, evaluate PK and preliminary clinical activity.

Geprüfte Regime

  • Erdafitinib Intravesical Delivery System (JNJ-42756493):
    Erdafitinib intravesical delivery system will be administered.

Quelle: ClinicalTrials.gov


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