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JOURNAL ONKOLOGIE – STUDIE
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A Study of TAR-200 in Combination With Cetrelimab, TAR-200 Alone, or Cetrelimab Alone in Participants With Non-Muscle Invasive Bladder Cancer (NMIBC) Unresponsive to Intravesical Bacillus Calmette-Guérin Who Are Ineligible for or Elected Not to Undergo Radical Cystectomy

Rekrutierend

NCT-Nummer:
NCT04640623

Studienbeginn:
Dezember 2020

Letztes Update:
24.04.2024

Wirkstoff:
TAR-200, Cetrelimab

Indikation (Clinical Trials):
Urinary Bladder Neoplasms, Non-Muscle Invasive Bladder Neoplasms

Geschlecht:
Alle

Altersgruppe:
Erwachsene (18+)

Phase:
Phase 2

Sponsor:
Janssen Research & Development, LLC

Collaborator:
-

Studienleiter

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

Kontakt

Studienlocations
(3 von 142)

Urologicum Duisburg
47179 Duisburg
(Nordrhein-Westfalen)
GermanyRekrutierend» Google-Maps
Klinikum Herne - Urologie
44625 Herne
(Nordrhein-Westfalen)
GermanyRekrutierend» Google-Maps
Urologische Partnerschaft Koln UPK
50968 Köln
(Nordrhein-Westfalen)
GermanyRekrutierend» Google-Maps
Matthias Schulze - Germany
04416 Markkleeberg
(Sachsen)
GermanyRekrutierend» Google-Maps
Urologie Neandertal Praxis Mettmann
40822 Mettmann
(Nordrhein-Westfalen)
GermanyRekrutierend» Google-Maps
Universitatsklinikum Munster
48149 Münster
(Nordrhein-Westfalen)
GermanyRekrutierend» Google-Maps
Schön Klinik Nürnberg Fürth
90491 Nürnberg
(Bayern)
GermanyRekrutierend» Google-Maps
Studienpraxis Urologie Nürtingen - Germany
72622 Nürtingen
(Baden-Württemberg)
GermanyRekrutierend» Google-Maps
Urologische Praxis am Wasserturm - Germany
52146 Würselen
(Nordrhein-Westfalen)
GermanyRekrutierend» Google-Maps
Urological Associates of Southern Arizona, P.C.
85715 Tucson
United StatesRekrutierend» Google-Maps
University of Southern California
90033 Los Angeles
United StatesRekrutierend» Google-Maps
Genesis Healthcare Partners - Genesis Research Greater Los Angeles
91411 Sherman Oaks
United StatesRekrutierend» Google-Maps
The Urology Center of Colorado
80211 Denver
United StatesAbgeschlossen» Google-Maps
Foothills Urology - Golden Off
80401 Golden
United StatesRekrutierend» Google-Maps
Michigan Institute of Urology
48084 Troy
United StatesRekrutierend» Google-Maps
SUNY Upstate Medical University
13210-2375 Syracuse
United StatesRekrutierend» Google-Maps
Associated Medical Professionals
13210 Syracuse
United StatesRekrutierend» Google-Maps
Levine Cancer Institute
28204 Charlotte
United StatesRekrutierend» Google-Maps
Urologic Consultants of Southeastern Pennsylvania
19004 Bala-Cynwyd
United StatesRekrutierend» Google-Maps
Thomas Jefferson University
19107 Philadelphia
United StatesAbgeschlossen» Google-Maps
Urology Associates, PC
37209 Nashville
United StatesRekrutierend» Google-Maps
Vanderbilt University Medical Center
37232 Nashville
United StatesRekrutierend» Google-Maps
University of Texas Southwestern Medical Center
75390 Dallas
United StatesRekrutierend» Google-Maps
Urology San Antonio Research
78229 San Antonio
United StatesRekrutierend» Google-Maps
Flinders Medical Centre
5042 Bedford Park
AustraliaAbgeschlossen» Google-Maps
Macquarie University Hospital
2109 Sydney
AustraliaRekrutierend» Google-Maps
Algemeen Ziekenhuis Sint-Jan
8310 Assebroek
BelgiumRekrutierend» Google-Maps
Algemeen ziekenhuis Maria Middelares
9000 Gent
BelgiumRekrutierend» Google-Maps
Exdeo Clinical Research Inc
V2S 3N5 Abbotsford
CanadaRekrutierend» Google-Maps
William Osler Health System
L6R 3J7 Brampton
CanadaAbgeschlossen» Google-Maps
Princess Margaret Hospital- UHN
M5G 2M9 Toronto
CanadaRekrutierend» Google-Maps
McGill University Health Centre
H4A 3J1 Montreal
CanadaRekrutierend» Google-Maps
Universite de Sherbrooke
J1H 5H3 Sherbrooke
CanadaRekrutierend» Google-Maps
Hopital Pellegrin CHU Bordeaux
33076 Bordeaux
FranceRekrutierend» Google-Maps
Polyclinique Bordeaux Nord Acquitaine
33300 Bordeaux
FranceRekrutierend» Google-Maps
Polyclinique de Limoges - Francois Chenieux
87000 Limoges
FranceRekrutierend» Google-Maps
Hôpital Edouard Herriot
69437 Lyon Cedex 03
FranceRekrutierend» Google-Maps
Centre de Cancerologie du Grand Montpellier
34070 Montpellier
FranceRekrutierend» Google-Maps
Hôpital Universitaire Pitié-Salpêtrière
75013 Paris Cedex 13
FranceRekrutierend» Google-Maps
Hopital Europeen Georges-Pompidou
75015 Paris
FranceRekrutierend» Google-Maps
Groupe Hospitalier Diaconesses Croix Saint Simon
75020 Paris
FranceRekrutierend» Google-Maps
Clinical La Croix Du Sud - Ramsay Santé
31130 Quint-Fonsegrives
FranceRekrutierend» Google-Maps
Institut de Cancerologie Strasbourg Europe ICANS
67200 Strasbourg
FranceRekrutierend» Google-Maps
Bioclinic - Thessaloniki
546 22 Thessaloniki
GreeceRekrutierend» Google-Maps
General Hospital of Thessaloniki G. Gennimatas
54635 Thessaloniki
GreeceRekrutierend» Google-Maps
Euromedica General Clinic
54645 Thessaloniki
GreeceRekrutierend» Google-Maps
'Papageorgiou' General Hospital of Thessaloniki
TK 56403 Thessaloniki
GreeceRekrutierend» Google-Maps
Azienda Ospedaliera Universitaria Careggi
50135 Firenze
ItalyRekrutierend» Google-Maps
Azienda Ospedaliero Universitaria Pisana
56126 Pisa
ItalyRekrutierend» Google-Maps
Istituto Nazionale Tumori Regina Elena
00144 Rome
ItalyRekrutierend» Google-Maps
Azienda Ospedaliera Universitaria Citta della Salute e della Scienza di Torino
10126 Torino
ItalyRekrutierend» Google-Maps
Ospedale di Circolo e Fondazione Macchi
21100 Varese
ItalyRekrutierend» Google-Maps
Aso Co.,Ltd Iizuka Hospital
820-8501 Iizuka
JapanAbgeschlossen» Google-Maps
St Marianna University Hospital
216-8511 Kanagawa
JapanAbgeschlossen» Google-Maps
Nara Medical University Hospital
634-8522 Kashihara-shi
JapanRekrutierend» Google-Maps
Nagasaki University Hospital
852-8501 Nagasaki-shi
JapanAbgeschlossen» Google-Maps
Toyama University Hospital
930-0194 Toyama-shi
JapanRekrutierend» Google-Maps
Fujita Health University Hospital
470-1192 Toyoake
JapanAbgeschlossen» Google-Maps
University of Tsukuba Hospital
305-8520 Tsukuba-Shi
JapanRekrutierend» Google-Maps
Yokohama City University Medical Center
232 0024 Yokohama
JapanRekrutierend» Google-Maps
Inje University Haeundae Paik Hospital
612-896 Busan
Korea, Republic ofRekrutierend» Google-Maps
Kyungpook National University Chilgok Hospital
41404 Daegu
Korea, Republic ofAbgeschlossen» Google-Maps
Keimyung University Dongsan Hospital
42601 Daegu
Korea, Republic ofRekrutierend» 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
Severance Hospital
03722 Seoul
Korea, Republic ofAbgeschlossen» Google-Maps
Gangnam Severance Hospital
06273 Seoul
Korea, Republic ofRekrutierend» Google-Maps
The Catholic University of Korea Seoul St. Mary's Hospital
06591 Seoul
Korea, Republic ofAbgeschlossen» Google-Maps
Pusan National University Yangsan Hospital
50612 Yangsan Si
Korea, Republic ofRekrutierend» Google-Maps
Catharina Ziekenhuis
5623EJ Eindhoven
NetherlandsAbgeschlossen» Google-Maps
Canisius-Wilhelmina Ziekenhuis
6532SZ Nijmegen
NetherlandsRekrutierend» Google-Maps
The Julius Center - Utrecht Science Park - Stratenum
3508 GA Utrecht
NetherlandsRekrutierend» Google-Maps
Chbv - Hosp. Infante D. Pedro
3810-193 Aveiro
PortugalAbgeschlossen» Google-Maps
Hosp. Sra. Da Oliveira - Guimaraes
4835-044 Guimarães
PortugalRekrutierend» Google-Maps
Centro Hospitalar de Lisboa Central
1150-199 Lisboa
PortugalAbgeschlossen» Google-Maps
Instituto Portugues de Oncologia do Porto Francisco Gentil
4200-072 Porto
PortugalRekrutierend» Google-Maps
Centro Hospitalar de Vila Nova de Gaia Espinho E P E
4434 502 Vila Nova de Gaia
PortugalRekrutierend» Google-Maps
Centro Hospitalar de Trás os Montes e Alto-Douro
5000508 Vila Real
PortugalAbgeschlossen» Google-Maps
Hertzen Oncology Research Institute
125284 Moscow
Russian FederationAbgebrochen» Google-Maps
City Clinical Hospital #1
603109 Nizhny Novgorod
Russian FederationSchwebend» Google-Maps
Avicenna Medical Center
630099 Novosibirsk
Russian FederationSchwebend» Google-Maps
A. Tsyb Medical Radiological Research Center
249031 Obninsk
Russian FederationAbgebrochen» Google-Maps
BHI of Omsk region Clinical Oncology Dispensary
644013 Omsk
Russian FederationAbgebrochen» Google-Maps
Ultrasound Clinic 4D
357502 Pyatigorsk
Russian FederationAbgebrochen» Google-Maps
Saratov State Medical University
410054 Saratov
Russian FederationAbgebrochen» Google-Maps
Multifunctional clinical medical center 'Medical city'
625041 Tyumen
Russian FederationAbgebrochen» Google-Maps
Bashkir State Medical University
450008 Ufa
Russian FederationAbgebrochen» Google-Maps
Hosp. Univ. Germans Trias I Pujol
08916 Badalona
SpainRekrutierend» Google-Maps
Hosp. Univ. Virgen de Las Nieves
18014 Granada
SpainRekrutierend» Google-Maps
Hosp. de Jerez de La Frontera
11407 Jerez De La Frontera
SpainRekrutierend» Google-Maps
Corporacio Sanitari Parc Tauli
08208 Sabadell
SpainRekrutierend» Google-Maps
Instituto Valenciano de Oncologia
46009 Valencia
SpainRekrutierend» Google-Maps
Chernihivskyi oblasnyi onkolohichnyi dyspanser
14029 Chernihiv
UkraineAbgebrochen» Google-Maps
Sumy Regional Clinical Oncology Centre
40022 Sumy
UkraineAbgebrochen» Google-Maps
NHS Greater Glasgow and Clyde
G12 0YN Glasgow
United KingdomAbgeschlossen» Google-Maps
Leeds Teaching Hospitals NHS Trust
LS9 7TF Leeds
United KingdomRekrutierend» Google-Maps
Alle anzeigen

Studien-Informationen

Brief Summary:

The purpose of this study is to evaluate the overall complete response (CR) rate in

participants treated with TAR-200 in combination with cetrelimab (Cohort 1), or TAR-200 alone

(Cohort 2), or cetrelimab alone (Cohort 3) with Carcinoma in Situ (CIS), with or without

concomitant high-grade Ta or T1 papillary disease; and disease-free survival (DFS) in

participants treated with TAR-200 alone with papillary disease only (Cohort 4).

Ein-/Ausschlusskriterien

Inclusion Criteria:

- Histologically confirmed diagnosis of persistent or recurrent high-risk non-muscle

invasive bladder cancer (HR-NMIBC), (carcinoma in situ [CIS] or tumor in situ [Tis]),

with or without papillary disease (T1, high-grade Ta) or papillary disease only

(high-grade Ta or any T1 and absence of CIS), within 12 months of completion of the

last dose of Bacillus Calmette-Guerin (BCG) therapy, in participants who have received

adequate BCG. Mixed histology tumors are allowed if urothelial differentiation

(transitional cell histology) is predominant. However, the presence of neuroendocrine,

micropapillary, signet ring cell, plasmacytoid, or sarcomatoid features will make a

participant ineligible. For participants with lamina propria invasion (T1) on the

screening biopsy/ transurethral resection of bladder tumor (TURBT), muscularis propria

must be present in order to rule out Muscle Invasive Bladder Cancer (MIBC)

- All visible papillary disease must be fully resected (absent) prior to randomization

(residual CIS is acceptable for participants eligible for Cohorts 1, 2, and 3 only)

and documented in the electronic case report form (eCRF) at screening cystoscopy. For

participants with papillary disease only (Cohort 4), local urine cytology at screening

must be negative or atypical (for High-Grade Urothelial Carcinoma [HGUC])

- Participants must be ineligible for or have elected not to undergo radical cystectomy

- BCG-unresponsive high-risk NMIBC after treatment with adequate BCG therapy defined as

a minimum of 5 of 6 full doses of an induction course (adequate induction) plus 2 of 3

doses of a maintenance course, or at least 2 of 6 doses of a second induction course

- Eastern Cooperative Oncology Group (ECOG) performance status Grade 0, 1, or 2

Exclusion Criteria:

- Presence or history of histologically confirmed, muscle-invasive, locally advanced,

nonresectable, or metastatic urothelial carcinoma (that is, T2, T3, T4, and/or Stage

IV)

- Must not have had urothelial carcinoma or histological variant at any site outside of

the urinary bladder. Ta/T1/CIS of the upper urinary tract (including renal pelvis and

ureter) is allowable if treated with complete nephroureterectomy more than 24 months

prior to randomization

- Received a live virus vaccine within 30 days prior to the initiation of study

treatment. Inactivated (non-live or non-replicating) vaccines approved or authorized

for emergency use (for example, COVID-19) by local health authorities are allowed

- Active hepatitis B or C infection (for example, participants with history of hepatitis

C infection but undetectable hepatitis C virus polymerase chain reaction (PCR) test

and participants with history of hepatitis B infection with positive hepatitis B

surface antigen (HBsAg) antibody and undetectable PCR are allowed)

- Prior therapy with an anti-programmed-cell death 1 (PD-1), anti-PD-ligand 2 (L2)

agent, or with an agent directed to another co-inhibitory T-cell receptor

Studien-Rationale

Primary outcome:

1. Cohort 1, 2, and 3: Overall Complete Response (CR) Rate (Time Frame - Up to 5 years):
Overall CR rate is defined as the percentage of participants achieving a CR at any time post-treatment. It will be measured by determining the percentage of participants without presence of high-grade disease using results from cystoscopy and centrally read urine cytology at any time point.

2. Cohort 4: Disease-free Survival (DFS) (Time Frame - Up to 5 years):
DFS will be measured as the time from the date of first dose of study treatment to either the time of the first recurrence of high-risk disease, progression, or death due to any cause, whichever occurs first.

Secondary outcome:

1. Cohort 1, 2, and 3: Duration of Response (DOR) (Time Frame - Up to 5 years):
DOR is defined from the date of first CR achieved to the date of first evidence of recurrence or progression or death (whichever is earlier) for participants who achieve a CR.

2. Overall Survival (OS) (Time Frame - Up to 5 years):
OS, defined as the time from the date of first dose of study treatment to death; if a participant has not died at the time of analysis, the participant will be censored at the date last known alive.

3. Cohort 1, 2, and 4: Concentrations of Gemcitabine and 2',2' difluorodeoxyuridine (dFdU) in Urine and Plasma (Time Frame - Up to Week 21):
Concentrations of gemcitabine and its metabolite dFdU in urine and plasma will be assessed.

4. Cohort 1 and 3: Serum Concentration of Anti-cetrelimab Antibodies (Time Frame - Predose, up to 3 years):
Serum concentration of anti-cetrelimab antibodies will be assessed using a validated immunoassay for anti-drug antibody (ADA) analysis.

5. Number of Participants with Anti-cetrelimab Antibodies (Time Frame - Predose, up to 3 years):
Number of participants with anti-cetrelimab antibodies will be reported.

6. Change from Baseline in European Organisation for Research and Treatment of Cancer Quality-of-life Questionnaire (EORTC QLQ) -C30 Scores (Time Frame - Baseline, up to 3 years and 4 months):
EORTC QLQ-C30 is a core 30-item questionnaire for evaluating the health-related quality of life (HRQoL) of participants participating in cancer clinical studies. It incorporates 5 functional scales (physical, role, cognitive, emotional, and social functioning), 3 symptom scales (fatigue, pain, and nausea or vomiting), and a global health status or HRQoL scale. Ratings for each item range from 1 (not at all) to 4 (very much).

7. Change from Baseline in EORTC QLQ- Non-Muscle-Invasive Bladder Cancer (NMIBC) 24 Scores (Time Frame - Baseline, up to 3 years and 4 months):
EORTC QLQ-NMIBC24 is a 24-item questionnaire for evaluating the HRQoL of participants with superficial (non-muscle-invasive) bladder cancer. The questionnaire is designed to supplement the QLQ-C30 and incorporates 6 multi-item scales and 5 single items. Ratings for each item range from 1 (not at all) to 4 (very much).

8. Number of Participants with Adverse Events (AEs) by Severity Grades (Time Frame - Up to 5 years):
An AE is any untoward medical occurrence in a participant participating in a clinical study that does not necessarily have a causal relationship with the pharmaceutical/biological agent under study. Severity grades 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.

Studien-Arme

  • Experimental: Cohort 1: TAR-200 and Cetrelimab
    TAR-200 is placed into the bladder through a urinary placement catheter in participants with carcinoma in situ (CIS), with or without papillary disease, on Day 0 and will be dosed every 3 weeks (Q3W) for up to the first 24 weeks (6 months), then every 12 weeks through Week 99 (Year 2). In addition, Cetrelimab will be dosed Q3W through Week 78 (18 months).
  • Experimental: Cohort 2: TAR-200
    TAR-200 is placed into the bladder through a urinary placement catheter in participants with CIS, with or without papillary disease, on Day 0 and will be dosed Q3W for up to the first 24 weeks (6 months), then every 12 weeks through Week 99 (Year 2).
  • Experimental: Cohort 3: Cetrelimab
    Participants with CIS, with or without papillary disease, will receive Cetrelimab which will be dosed Q3W through Week 78 (18 months).
  • Experimental: Cohort 4: TAR-200 (Participants with Papillary Disease only)
    TAR-200 is placed into the bladder through a urinary placement catheter in participants with papillary disease only, on Day 0 and will be dosed Q3W for up to the first 24 weeks (6 months), then every 12 weeks through Week 99 (Year 2).

Geprüfte Regime

  • TAR-200 (JNJ-17000139 / Gemcitabine-Releasing Intravesical System / ):
    TAR-200 will be administered transuretherally.
  • Cetrelimab (JNJ-63723283):
    Cetrelimab will be administered.

Quelle: ClinicalTrials.gov


Sie können folgenden Inhalt einem Kollegen empfehlen:

"A Study of TAR-200 in Combination With Cetrelimab, TAR-200 Alone, or Cetrelimab Alone in Participants With Non-Muscle Invasive Bladder Cancer (NMIBC) Unresponsive to Intravesical Bacillus Calmette-Guérin Who Are Ineligible for or Elected Not to Undergo Radical Cystectomy"

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