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JOURNAL ONKOLOGIE – STUDIE
SunRISe-2

A Study of TAR-200 in Combination With Cetrelimab Versus Concurrent Chemoradiotherapy in Participants With Muscle-invasive Bladder Cancer (MIBC) of the Bladder

Rekrutierend

NCT-Nummer:
NCT04658862

Studienbeginn:
Dezember 2020

Letztes Update:
24.04.2024

Wirkstoff:
Cetrelimab, TAR-200, Cisplatin, Gemcitabine

Indikation (Clinical Trials):
Urinary Bladder Neoplasms

Geschlecht:
Alle

Altersgruppe:
Erwachsene (18+)

Phase:
Phase 3

Sponsor:
Janssen Research & Development, LLC

Collaborator:
-

Studienleiter

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

Kontakt

Studienlocations
(3 von 278)

Staedtisches Klinikum Braunschweig
38126 DE Braunschweig
(Niedersachsen)
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Universitatsklinikum Carl Gustav Carus Dresden
1307 Dresden
(Sachsen)
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Urologicum Duisburg
47179 Duisburg
(Nordrhein-Westfalen)
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Darmkrebszentrum Universitätsklinikum Düsseldorf
Moorenstraße 5
40225 Düsseldorf
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Klinik und Poliklinik für Urologie
45147 Essen
(Nordrhein-Westfalen)
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Agaplesion Frankfurter Diakonie Kliniken GmbH, Markus Krankenhaus
60431 Frankfurt Am Main
(Hessen)
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Universitatsklinikum Frankfurt
60590 Frankfurt am Main
(Hessen)
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Klinikum Herne - Urologie
44625 Herne
(Nordrhein-Westfalen)
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Matthias Schulze - Germany
04416 Markkleeberg
(Sachsen)
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Universitatsklinikum Munster
48149 Münster
(Nordrhein-Westfalen)
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Klinikum Nürnberg Nord - Hautklinik
90419 Nürnberg
(Bayern)
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Loma Linda Univ Faculty Medic
92354 Loma Linda
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University of Southern California
90033 Los Angeles
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Providence Saint John's Health Center
90404 Santa Monica
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Stanford University Medical Center
94305 Stanford
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The Urology Center of Colorado
80211 Denver
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Foothills Urology - Golden Off
80401 Golden
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Boca Raton Regional Hospital
33486 Boca Raton
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Urological Research Network
33016 Hialeah
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Memorial Healthcare System
33028 Pembroke Pines
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Winship Cancer Institute of Emory University
30322 Atlanta
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University Hospitals Seidman Cancer Center
48109 Ann Arbor
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Adult Pediatric Urology & Urogynecology, P.C
68114 Omaha
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New Jersey Urology LLC
08043 Voorhees
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Cardiology Clinic at Montefiore Hutchinson Complex
10461 Bronx
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Duke University Medical Center
27710 Durham
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Vidant Urology - Greenville
27834 Greenville
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Wake Forest University Baptist Medical Center (WFUBMC) - Comprehensive Cancer Center
27103 Winston-Salem
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Wexner Medical Center at the Ohio State University
43210 Columbus
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Stephenson Cancer Center
73104 Oklahoma City
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Carolina Urologic Research Center
29572 Myrtle Beach
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37920 Knoxville
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University of Texas Medical Branch
77573 League City
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Virginia Oncology Associates
23502 Norfolk
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Sociedade Beneficente de Senhoras - Hospital Sírio Libanês
C1419AHN Buenos Aires
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410013 Changsha
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610041 Chengdu
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Chongqing University Cancer Hospital
400030 Chongqing
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510180 Guang Zhou Shi
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Sun Yat-Sen University Cancer Center
510060 Guangzhou
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310014 Hangzhou
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314001 Jiaxing
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110004 Shenyang
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Tianjin Medical University Cancer Institute and Hospital
300042 Tianjin
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The First Affiliated Hospital of Wenzhou Medical University
325000 Wenzhou Shi
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Wuhan Tongji Hospital Tongji Medical College
430030 Wuhan
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Fakultni nemocnice Plze
305 99 Plzen-Bory
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128 08 Praha 2
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150 06 Praha 5
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100 34 Praha
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33076 Bordeaux
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37170 Chambray-lès-Tours
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87000 Limoges
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69437 Lyon Cedex 03
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34298 Montpellier
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75015 Paris
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75018 Paris
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Clinical La Croix Du Sud - Ramsay Santé
31130 Quint-Fonsegrives
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42270 Saint-Etienne Cedex 2
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Centre Hospitalier Prive
35760 Saint-Grégoire
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Institut de Cancérologie de Lorraine
54500 Vandoeuvre-les-Nancy
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Alexandra General Hospital of Athens
11528 Athens
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Bioclinic - Thessaloniki
546 22 Thessaloniki
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Euromedica General Clinic
54645 Thessaloniki
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'Papageorgiou' General Hospital of Thessaloniki
TK 56403 Thessaloniki
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Orszagos Onkologiai Intezet
1122 Budapest N/a
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Eszak Pesti Centrumkorhaz Honvedkorhaz
1062 Budapest
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Bajcsy-Zsilinszky Kórház és Rendelőintézet
1106 Budapest
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Debreceni Egyetem Klinikai Kozpont
4032 Debrecen
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Szabolcs-Szatmar-Bereg Megyei Korhazak es Egyetemi Oktatokorhaz
4400 Nyíregyháza
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400601 Amravati
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560002 Bangalore
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Acharya Tulsi Regional Cancer Treatment Research Institute
334 003 Bikaner
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422005 Nashik
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110005 New Delhi
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110075 New Delhi
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Rajiv Gandhi Cancer Institute & Research Centre
110085 New Delhi
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Indira Gandhi Institute of Medical Sciences
800014 Patna
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Jehangir Clinical Development Center Pvt Ltd
411001 Pune
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Fondazione del Piemonte per I'Oncologia IRCC Candiolo
10060 Candiolo
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71100 Foggia
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80131 Napoli
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Istituto Oncologico Veneto - IRCCS
35128 Padova
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Azienda Sanitaria Locale Salerno - Po Andrea Tortora Di Pagani
84016 Pagani
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56126 Pisa
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ASL Napoli 2 Nord-SM delle Grazie Hospital
80078 Pozzuoli
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00168 Roma
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00128 Rome
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Istituto Nazionale Tumori Regina Elena
00144 Rome
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Istituto Clinico Humanitas Rozzano, IRCCS
20089 Rozzano
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Azienda Ospedaliera Universitaria Senese Policlinico Santa Maria alle Scotte
53100 Siena
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10126 Torino
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Ospedale di Circolo e Fondazione Macchi
21100 Varese
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42601 Daegu
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06351 Gangnam Gu
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10408 Goyang-si
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58128 Hwasun-gun
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405 760 Namdong
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03080 Seoul
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06273 Seoul
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06591 Seoul
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4763 Seoul
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Investigación Biomedica para el desarrollo de Farmacos, S.A. de C.V.
45070 Zapopan
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50556 Wroclaw
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3000075 Coimbra
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1649-035 Lisboa
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656045 Barnaul
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153040 Ivanovo
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660133 Krasnoyarsk
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125284 Moscow
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249031 Obninsk
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644013 Omsk
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390011 Ryazan
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197758 Saint Petersburg
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430005 Saransk
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354057 Sochi
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625041 Tyumen
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450008 Ufa
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08916 Badalona
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18014 Granada
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11407 Jerez de la Frontera
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39008 Santander
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46009 Valencia
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46010 Valencia
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807 Kaohsiung
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40447 Taichung
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407 Taichung
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06100 Ankara
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35330 Balcova
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34093 Fatih
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27584 Gaziantep
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34732 Istanbul
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44280 Malatya
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01330 Seyhan
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Chernihivskyi oblasnyi onkolohichnyi dyspanser
14029 Chernihiv
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49005 Dnipro
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61070 Kharkiv
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73000 Kherson
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02660 Kyiv
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04053 Kyiv
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04112 Kyiv
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Lviv Regional Clinical Hospital
79000 Lviv
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Alle anzeigen

Studien-Informationen

Brief Summary:

The purpose of study is to compare bladder intact-event free survival (BI-EFS) in

participants receiving TAR-200 in combination with intravenous (IV) cetrelimab versus

concurrent chemoradiotherapy.

Ein-/Ausschlusskriterien

Inclusion Criteria:

- Ineligible for or have elected not to undergo radical cystectomy

- All adverse events associated with any prior surgery and/or intravesical therapy must

have resolved to Common Terminology Criteria for Adverse Events (CTCAE) version 5.0

Grade less than (<) 2 prior to randomization

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

- Thyroid function tests are within the normal range per investigator assessment (or

stable on hormone supplementation). Investigators may consult an endocrinologist for

participant eligibility assessment in the case of equivocal or marginal test results

- Adequate bone marrow, liver, and renal function: Bone marrow function (without the

support of cytokines or erythropoiesis-stimulating agent in preceding two weeks):

Absolute neutrophil count (ANC) greater than or equal to (>=) 1,500/cubic millimeters

(mm^3); Platelet count >=80,000/mm^3; Hemoglobin >=9.0 grams per deciliter (g/dL);

Liver function: (Total bilirubin less than or equal to (<=) 1.5 * upper limit of

normal (ULN) or direct bilirubin <= ULN for participants with total bilirubin levels

greater than (>)1.5*ULN (except participants with Gilbert's Syndrome, who must have a

total bilirubin < 3.0 mg/dL), and Alanine aminotransferase (ALT) and aspartate

aminotransferase (AST) less than or equal to (<=) 2.5* institutional ULN); Renal

function: Creatinine clearance >=30 mL/min using the Cockcroft-Gault formula. 24-hour

creatinine clearance test will also be accepted for estimating renal function in

situations where Cockcroft-Gault formula is not a good predictor of estimating

adequate renal function

Exclusion Criteria:

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

the urinary bladder. Ta/T1/Carcinoma in situ (CIS) of the upper urinary tract

(including renal pelvis and ureter) is allowable if treated with complete

nephroureterectomy more than 24 months prior to initiating study

- Must not have diffuse CIS based on cystoscopy and biopsy. Diffuse, or multi-focal, CIS

is defined as the presence of at least 4 distinct CIS lesions in the bladder at the

time of the Screening re-TURBT

- Participants must not have evidence of cT4b, or N1-3, or M1 disease based on local

radiology staging (chest, abdomen, and pelvis must be performed using Computed

tomography [CT] or Magnetic resonance imaging [MRI]) within 42 days prior to

randomization

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

investigator, may prevent the safe placement, indwelling use, or removal of TAR 200

- Evidence of bladder perforation during diagnostic cystoscopy. Participant is eligible

if perforation has healed prior to randomization

Studien-Rationale

Primary outcome:

1. Time from Randomization to the First Bladder Intact Event-free Survival (BI-EFS) event (Time Frame - Up to 8 years):
Time from randomization to the first BI-EFS event includes histologically proven presence of muscle-invasive bladder cancer (MIBC), clinical evidence of nodal or metastatic disease (as assessed by RECIST 1.1 criteria), radical cystectomy (RC), or death due to any cause.



Secondary outcome:

1. Metastasis-free survival (MFS) (Time Frame - Up to 8 years):
MFS is measured from time from randomization to first radiologic (as assessed by RECIST 1.1 criteria) evidence of metastatic disease or death due to any cause.

2. Overall Survival (OS) (Time Frame - Up to 8 years):
OS is defined as time from randomization to death.

3. Overall Response Rate (ORR) (Time Frame - Up to 8 years):
ORR is defined as the proportion of participants who achieve a complete response (CR) or partial response (PR). CR is defined as Negative biopsy, and Computed tomography/Magnetic resonance imaging (CT/MRI) showing no evidence of locally advanced or metastatic disease. PR (down-staging) is defined as biopsy proven non-muscle invasive disease (Ta, T1, Tis) and CT/MRI showing no evidence of locally advanced or metastatic disease. Non-Response (NR) includes those not achieving a CR or PR. Those who do not undergo a biopsy will be considered Non-Evaluable (NE).

4. Number of Participants with Adverse Events (AEs) According to Common Terminology Criteria for Adverse Events (CTCAE) (Time Frame - Up to 8 years):
Number of Participants with AEs by Severity as assessed by CTCAE version 5 will be reported. Grade refers to the severity of the AE as follows: Grade 1- Mild, asymptomatic or mild symptoms, clinical or diagnostic observations only, intervention not indicated; Grade 2- Moderate, minimal, local or noninvasive intervention indicated, limiting age-appropriate instrumental Activities of Daily Living (ADL); Grade 3- Severe or medically significant but not immediately life-threatening, hospitalization or prolongation of hospitalization indicated, disabling, limiting self-care ADL; Grade 4- Life-threatening consequences, urgent intervention indicated; Grade 5- Death related to AE.

5. Number of Participants with AEs by Severity according to Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events (NCI PRO-CTCAE) (Time Frame - Up to 8 years):
NCI PRO-CTCAE is a patient-reported item library used to evaluate symptomatic treatment-emergent adverse events in participants on cancer clinical trials. The items selected for this study include all NCI PRO-CTCAE gastrointestinal items and urinary items. These items include taste changes, decreased appetite, nausea, vomiting, heartburn, gas, bloating, hiccups, constipation, diarrhea, abdominal pain, fecal incontinence, painful, urination, urinary urgency, urinary frequency, change in usual urine color, and urinary incontinence.

6. Number of Participants with Clinical Laboratory Abnormalities (Time Frame - Up to 8 years):
Number of participants with clinical laboratory abnormalities will be reported. 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.

Studien-Arme

  • Experimental: TAR-200 + Cetrelimab
    Participants will receive intravesical TAR-200 every 3 weeks (21 days indwelling) for first 18 weeks and thereafter from Week 24 every 12 weeks through study Year 3 in combination with intravenous (IV) Cetrelimab.
  • Active Comparator: Chemotherapy (cisplatin or gemcitabine) + Radiation Therapy
    Participants will receive chemotherapy based on investigator's choice from either cisplatin intravenously once weekly for 4 to 6 treatment weeks or gemcitabine intravenously twice weekly for 4 to 6 treatment weeks as Standard of Care (SOC) along with radiation therapy from either conventional radiotherapy (64 Gray [Gy], bladder only) for up to 6.5 treatment weeks or hypo-fractionated radiotherapy (55 Gy, bladder only) for up to 4 weeks.

Geprüfte Regime

  • Cetrelimab (JNJ-63723283):
    Participants will receive intravenous Cetrelimab.
  • TAR-200 (JNJ-17000139):
    Participants will receive intravesical TAR-200.
  • Cisplatin:
    Participants will receive cisplatin intravenously.
  • Gemcitabine:
    Participants will receive gemcitabine intravenously.
  • Conventional radiation therapy:
    Participants will receive conventional radiation therapy for bladder (64 gy).
  • Hypo-fractioned radiation therapy:
    Participants will receive hypo-fractioned radiation therapy for bladder (55 gy).

Quelle: ClinicalTrials.gov


Sie können folgenden Inhalt einem Kollegen empfehlen:

"A Study of TAR-200 in Combination With Cetrelimab Versus Concurrent Chemoradiotherapy in Participants With Muscle-invasive Bladder Cancer (MIBC) of the Bladder"

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