First Line Comparative Study of EN3348 (MCC) vs BCG in NMIBC
Randomized, Double-blind, Multi-center Study Comparing MCC to BCG as First Line Immunotherapy in Patients With Non-muscle Invasive (Superficial) Bladder Cancer at High Risk of Recurrence or Progression
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Phase
Phase
- Phase 3
Contacts and Locations
Study Locations
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California
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Laguna Hills, California, United States
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Los Angeles, California, United States
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San Diego, California, United States
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-
Colorado
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Englewood, Colorado, United States
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Florida
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Daytona Beach, Florida, United States
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-
Kansas
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Overland Park, Kansas, United States
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Louisiana
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Shreveport, Louisiana, United States
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New York
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Garden City, New York, United States
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New York, New York, United States
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Pennsylvania
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Pittsburgh, Pennsylvania, United States
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South Carolina
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Myrtle Beach, South Carolina, United States
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Texas
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McAllen, Texas, United States
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Utah
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Salt Lake City, Utah, United States
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Virginia
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Norfolk, Virginia, United States
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- histologically confirmed urothelial carcinoma of the bladder (high grade Ta or T1 papillary lesions, CIS)
- histologically confirmed diagnosis within 42 days of study treatment
- life expectancy of greater than 5 years
- ECOG performance status of 2 or less
- absence of urothelial carcinoma involving the upper urinary tract or prostatic urethra within 12 months from start of study treatment
Exclusion Criteria:
- current or previous history of muscle invasive bladder tumors (>T2)
- current or previous history of lymph node and/or distant metastases from bladder cancer
- current evidence of squamous cell carcinoma, adenocarcinoma or undifferentiated carcinoma of the bladder
- current systemic cancer therapy
- previous immunotherapy for bladder cancer
- previous intravesical chemotherapy treatment
- contraindication to use BCG of known tolerance to BCG
- history of malignancy of any organ system within the past 5 years (with the exception of basal cell or squamous cell carcinoma, stage T1 prostate cancer, carcinoma in situ of the cervix, colon polyps)
- patients who cannot tolerate intravesical administration or intravesical surgical manipulation (cystoscopy or biopsy)
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: MCC
Intravesical Administration of Mycobacterial Cell-Wall DNA Complex
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8 mg/50 mL (sterile WFI) Intravesical Administration; one weekly instillation per week for 6 week Induction Phase; three weekly instillations per month at Months 3, 6, 12, 18, and 24 followed by Maintenance Phase.
|
|
Active Comparator: BCG
Intravesical Administration of Bacillus Calmette-Guerin
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mg/50 mL (sterile saline) Intravesical Administration; one weekly instillation per week for 6 week Induction Phase; three weekly instillations per month at Months 3, 6, 12, 18, and 24 followed by Maintenance Phase.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Duration of disease-free survival (time to recurrence, progression or death) in all patients
Time Frame: Baseline, Month 3, 6, 9, 12, 15, 18, 21, and 24
|
Baseline, Month 3, 6, 9, 12, 15, 18, 21, and 24
|
|
Percent of patients who due to study drug-related AEs experience 2 consecutive treatment delays or discontinue due to drug related AEs
Time Frame: Baseline through 24 months
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Baseline through 24 months
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Disease-free survival rate at 2 years
Time Frame: Month 24
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Month 24
|
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Frequency, severity, and nature of drug-related AEs
Time Frame: Baseline through 24 Months
|
Baseline through 24 Months
|
|
Duration of progression-free survival (time to progression or death) in all patients
Time Frame: Baseline, Month 3, 6, 9, 12, 15, 18, 21, 24, 30, 36, 42, 48 and 60
|
Baseline, Month 3, 6, 9, 12, 15, 18, 21, 24, 30, 36, 42, 48 and 60
|
|
Frequency, severity, and nature of drug-related SAEs
Time Frame: Baseline through 24 months
|
Baseline through 24 months
|
|
Number of treatment delays and their reason
Time Frame: Baseline, Month 3, 6, 9, 12, 15, 18, 21, and 24
|
Baseline, Month 3, 6, 9, 12, 15, 18, 21, and 24
|
|
Frequency, severity and nature of all AEs
Time Frame: Baseline through 24 months
|
Baseline through 24 months
|
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Number of treatment discontinuations and their reason
Time Frame: Baseline through 24 months
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Baseline through 24 months
|
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Duration of Survival (time to death from any cause) in all patients
Time Frame: Baseline through month 60
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Baseline through month 60
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Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Anticipated)
Primary Completion
Study Completion (Anticipated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Estimate)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- EN3348-302
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