Study of Erdafitinib Intravesical Delivery System for Localized Bladder Cancer
Phase 1/2 Study of Erdafitinib Intravesical Delivery System (TAR-210) in Participants With Non-Muscle-Invasive or Muscle-Invasive Bladder Cancer
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 2
- Phase 1
Contacts and Locations
Study Contact
Study Contact
- Name: Study Contact
- Phone Number: 844-434-4210
- Email: Participate-In-This-Study1@its.jnj.com
Study Locations
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British Columbia
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Vancouver, British Columbia, Canada, V5Z 1M9
- Vancouver Prostate Centre Diamond Health Care Centre
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Nova Scotia
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Halifax, Nova Scotia, Canada, B3H 2Y9
- Nova Scotia Health Authority
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Ontario
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Hamilton, Ontario, Canada, L8N 4A6
- St Josephs Healthcare Hamilton
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Toronto, Ontario, Canada, M5G 2M9
- Princess Margaret Cancer Centre
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Dresden, Germany, 01307
- Universitätsklinikum Carl Gustav Carus Dresden
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Duisburg, Germany, 47169
- Urologicum Duisburg
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Frankfurt am Main, Germany, 60590
- Universitätsklinikum Frankfurt
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Herne, Germany, 44625
- Marien Hospital Herne
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Mettmann, Germany, 40822
- Urologie Neandertal Praxis Mettmann
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Münster, Germany, 48149
- Universitätsklinikum Münster
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Ulm, Germany, 89081
- Universitaetsklinikum Ulm
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Haifa, Israel, 3109601
- Rambam Medical Center
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Haifa, Israel, 3436212
- Carmel Medical Center
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Petah Tikva, Israel, 4941492
- Rabin Medical Center
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Tel Aviv, Israel, 64239
- Tel Aviv Sourasky Medical Center
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Fukuoka, Japan, 810 8563
- National Hospital Organization Kyushu Medical Center
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Kofu, Japan, 400-8506
- Yamanashi Prefectural Central Hospital
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Osaka, Japan, 558-8558
- Osaka General Medical Center
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Toyama, Japan, 930 0194
- Toyama University Hospital
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Nijmegen, Netherlands, 6525 GA
- Radboud Umcn
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Utrecht, Netherlands, 3584 CX
- UMC Utrecht
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Goyang-si, South Korea, 10408
- National Cancer Center
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Gwangju, South Korea, 61469
- Chonnam National University Hospital
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Seoul, South Korea, 03080
- Seoul National University Hospital
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Seoul, South Korea, 03722
- Severance Hospital Yonsei University Health System
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Seoul, South Korea, 06591
- The Catholic University of Korea Seoul St Marys Hospital
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Barcelona, Spain, 08025
- Fund. Puigvert
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Barcelona, Spain, 08036
- Hosp Clinic de Barcelona
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Barcelona, Spain, 08035
- Hosp Univ Vall D Hebron
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Córdoba, Spain, 14004
- Hosp Reina Sofia
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Madrid, Spain, 28041
- Hosp. Univ. 12 de Octubre
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Madrid, Spain, 28046
- Hosp. Univ. La Paz
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Madrid, Spain, 28040
- Hosp Univ Fund Jimenez Diaz
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Valencia, Spain, 46009
- Instituto Valenciano de Oncología
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Alabama
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Birmingham, Alabama, United States, 35294
- University of Alabama at Birmingham - The Kirklin Clinic
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California
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Los Angeles, California, United States, 90033
- University of Southern California
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Colorado
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Lone Tree, Colorado, United States, 80124
- Urology Associates of Denver
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Florida
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Hialeah, Florida, United States, 33016
- Urological Research Network
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Largo, Florida, United States, 33771
- Advanced Urology Institute
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Orlando, Florida, United States, 32804
- Advent Health Orlando
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Oxford, Florida, United States, 34484
- Advanced Urology Institute 1
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Tampa, Florida, United States, 33612
- H Lee Moffitt Cancer Center
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Illinois
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Chicago, Illinois, United States, 60611
- Northwestern University
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Chicago Ridge, Illinois, United States, 60415
- Associated Urological Specialists
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Indiana
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Greenwood, Indiana, United States, 46143
- Urology of Indiana
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Merrillville, Indiana, United States, 46410
- Urologic Specialists of Northwest Indiana
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Kentucky
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Lexington, Kentucky, United States, 40506
- University of Kentucky
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Louisiana
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Lafayette, Louisiana, United States, 70508
- Southern Urology LLC
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Massachusetts
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Plymouth, Massachusetts, United States, 02360
- Greater Boston Urology
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Missouri
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St Louis, Missouri, United States, 63141
- Specialty Clinical Research of St Louis
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New Jersey
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Hackensack, New Jersey, United States, 07601
- Hackensack University Medical Center Urology
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New York
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Syracuse, New York, United States, 13210
- Associated Medical Professionals
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North Carolina
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Charlotte, North Carolina, United States, 28204
- Levine Cancer Institute, Carolinas HealthCare System
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Ohio
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Gahanna, Ohio, United States, 43230
- Central Ohio Urology Group
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South Carolina
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Myrtle Beach, South Carolina, United States, 29572
- Carolina Urologic Research Center
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North Charleston, South Carolina, United States, 29406
- Low Country Urology Clinics
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Tennessee
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Nashville, Tennessee, United States, 37209
- Urology Associates
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Texas
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Austin, Texas, United States, 78745
- Urology Austin
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San Antonio, Texas, United States, 78229
- Urology San Antonio Research
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
Parts 1-3:
- 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
Part 4:
- Have histologically confirmed diagnosis of recurrent Intermediate-risk-non-muscle invasive bladder cancer (IR-NMIBC) Ta LG tumors
- Must not have undergone tumor debulking or selective ablation of visible lesions; partial tumor biopsy to confirm diagnosis and provide tissue for biomarker testing is permitted as long as remaining tumor is at least 5 millimeter (mm) in size
- Must submit tissue and urine for FGFR testing
- Can have a prior or concurrent second malignancy which natural history or treatment is unlikely to interfere with any study endpoints of safety or the efficacy of the study treatment
Exclusion Criteria:
Parts 1-3:
- 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
Part 4:
- Histologically confirmed diagnosis of T1 NMIBC, HR NMIBC (HG/G2 or HG/G3 or CIS) or MIBC, locally advanced, non-resectable, or metastatic urothelial carcinoma at any time prior to enrollment. Previous high grade (HG) disease is accepted as long as diagnosis date is greater than or equal to (>=5) years ago and there is documentation of low grade (LG) Ta thereafter
- Known allergies, hypersensitivity, or intolerance to any study component or its excipients
- Has a current diagnosis of newly diagnosed IR-NMIBC
- Received an investigational treatment for bladder cancer after Transurethral Resection of the Bladder Tumor (TURBT) for the current NMIBC diagnosis or within 4 weeks or the agent/therapy washout period, whichever is longer, before the planned first dose of study treatment, or is currently enrolled in an investigational study
- Evidence of current bladder perforation by cystoscopy or imaging
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
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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.
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Erdafitinib intravesical delivery system will be administered.
Other Names:
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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.
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Erdafitinib intravesical delivery system will be administered.
Other Names:
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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.
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Erdafitinib intravesical delivery system will be administered.
Other Names:
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Experimental: Part 4: Phase 2 Expansion
Participants with recurrent IR-NMIBC will be enrolled in this part to further evaluate the safety, efficacy, and PK of the selected RP2D.
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Erdafitinib intravesical delivery system will be administered.
Other Names:
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
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Part 1: Number of Participants with Dose-limiting Toxicity (DLT)
Time Frame: Up to 28 days
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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.
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Up to 28 days
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Parts 1 to 3: Number of Participants with Adverse Events (AEs)
Time Frame: Up to approximately 7 years 4 months
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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.
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Up to approximately 7 years 4 months
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Parts 1 to 3: Number of Participants with AEs by Severity
Time Frame: Up to approximately 7 years 4 months
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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.
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Up to approximately 7 years 4 months
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Part 4: Overall Complete Response (CR) in Participants with Intermediate Risk-Non-Muscle Invasive Bladder Cancer (IR-NMIBC)
Time Frame: Up to approximately 7 years 4 months
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Overall CR is defined as the negative cystoscopy or positive cystoscopy with centrally reviewed biopsy negative for malignancy.
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Up to approximately 7 years 4 months
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
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Parts 1 to 3: Plasma Concentration of Erdafitinib
Time Frame: Cohorts 1, 3 and 5: up to 6 months; Cohort 2 and 4: up to 8 weeks
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Plasma concentration of Erdafitinib will be reported.
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Cohorts 1, 3 and 5: up to 6 months; Cohort 2 and 4: up to 8 weeks
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Parts 1 to 3: Urine Concentration of Erdafitinib
Time Frame: Cohorts 1, 3 and 5: up to 6 months; Cohort 2 and 4: up to 8 weeks
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Urine concentration of Erdafitinib will be reported.
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Cohorts 1, 3 and 5: up to 6 months; Cohort 2 and 4: up to 8 weeks
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Parts 1 to 3: Cohort 3 and 5: Complete Response (CR) Rate
Time Frame: At 3 months
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CR is defined as the absence of urothelial carcinoma by cystoscopy, confirmed pathologically at first assessment, and negative urine cytology.
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At 3 months
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Parts 1 to 3: Cohort 4: Pathological Complete Response (pCR) Rate
Time Frame: Up to 8 weeks
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pCR rate is defined as percentage of participants with no pathologic evidence of intravesical disease (pT0) and no pathologic evidence of nodal involvement (pN0).
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Up to 8 weeks
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Parts 1 to 3: Cohort 4: No Pathologic Evidence of Intravesical Disease (pT0)
Time Frame: Up to 8 weeks
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pT0 rate is defined as percentage of participants with no Pathologic Evidence of Intravesical Disease.
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Up to 8 weeks
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Parts 1 to 3: Cohort 4: Rate of downstaging to Less than (<) pT2
Time Frame: Up to 8 weeks
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Rate of downstaging to <pT2 is defined as percentage of participants with pT stage <2.
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Up to 8 weeks
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Parts 1 to 3: Cohorts 1 and 2: Recurrence-Free Survival (RFS)
Time Frame: Up to approximately 7 years 4 months
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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.
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Up to approximately 7 years 4 months
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Parts 1 to 3: Cohort 3 and 5: Duration of CR
Time Frame: Up to approximately 7 years 4 months
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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.
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Up to approximately 7 years 4 months
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Part 4: Duration of CR (DoCR) in Participants with IR-NMIBC
Time Frame: Up to approximately 7 years 4 months
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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.
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Up to approximately 7 years 4 months
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Part 4: Complete Response (CR) at 3 Months in Participants with IR-NMIBC
Time Frame: At Month 3
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CR is defined as the negative cystoscopy or positive cystoscopy with centrally reviewed biopsy negative for malignancy at the first disease evaluation.
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At Month 3
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Part 4: Transurethral Resection of the Bladder Tumor (TURBT)-Free Survival in Participants With IR-NMIBC
Time Frame: Up to approximately 7 years 4 months
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Participants with TURBT-free survival will be reported.
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Up to approximately 7 years 4 months
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Part 4: Number of Participants with Treatment-Emergent Adverse Event (TEAEs) by Severity
Time Frame: Up to approximately 7 years 4 months
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TEAEs are AEs with onset during the intervention phase or that are a consequence of a pre-existing condition that has worsened since baseline.
Severity was assessed using National cancer Institute common terminology criteria for adverse events (NCI-CTCAE) version 5.0.
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.
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Up to approximately 7 years 4 months
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Part 4: Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire (EORTC-QLQ-C30) Score
Time Frame: At baseline (Week 0), Weeks 12, 24, 36, 48, and at completion or discontinuation of study treatment (up to approximately 7 years 4 months)
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The EORTC QLQ-C30, is a self-administered, 30-item questionnaire measuring the health-related quality of life (HRQoL) of participants with cancer.
EORTC QLQ-C30 includes 5 functional scales, 3 symptom scales, a global health status / quality of life scale, and 6 single items.
Responses to items 1-28 are rated on a 4-point Likert response scale ranging from 1 "Not at all" to 4 "Very much."
Two global health status items are rated on a 7-point numeric rating scale from 1 "Very Poor" to 7 "Excellent."
Higher scores indicate greater functioning, better global health status, and more severe symptoms.
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At baseline (Week 0), Weeks 12, 24, 36, 48, and at completion or discontinuation of study treatment (up to approximately 7 years 4 months)
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Part 4: Change from Baseline in European Organization for the Research and Treatment of Cancer Non-Muscle Invasive Bladder Cancer (EORTC-QLQ-NMIBC 24) Score
Time Frame: At baseline (Week 0), Weeks 12, 24, 36, 48, and at completion or discontinuation of study treatment (up to approximately 7 years 4 months)
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EORTC QLQ-NMIBC24 is a 24-item questionnaire for evaluating the HRQoL of participants with 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).
Higher scores indicated greater severity.
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At baseline (Week 0), Weeks 12, 24, 36, 48, and at completion or discontinuation of study treatment (up to approximately 7 years 4 months)
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Part 4: Percentage of Participants With Clinically Meaningful Change From Baseline in EORTC-QLQ-C30 Scores
Time Frame: At baseline (Week 0), Weeks 12, 24, 36, 48, and at completion or discontinuation of study treatment (up to approximately 7 years 4 months)
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The EORTC QLQ-C30, is a self-administered, 30-item questionnaire measuring the HRQoL of participants with cancer.
EORTC QLQ-C30 includes 5 functional scales, 3 symptom scales, a global health status/quality of life scale, and 6 single items.
Responses to items 1-28 are rated on a 4-point Likert response scale ranging from 1 "Not at all" to 4 "Very much."
Two global health status items are rated on a 7-point numeric rating scale from 1 "Very Poor" to 7 "Excellent."
Higher scores indicate greater functioning, better global health status, and more severe symptoms.
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At baseline (Week 0), Weeks 12, 24, 36, 48, and at completion or discontinuation of study treatment (up to approximately 7 years 4 months)
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Part 4: Percentage of Participants With Clinically Meaningful Change From Baseline in EORTC-QLQ-NMIBC24 Scores
Time Frame: At baseline (Week 0), Weeks 12, 24, 36, 48, and at completion or discontinuation of study treatment (up to approximately 7 years 4 months)
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EORTC QLQ-NMIBC24 is a 24-item questionnaire for evaluating the HRQoL of participants with 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).
Higher scores indicated greater severity.
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At baseline (Week 0), Weeks 12, 24, 36, 48, and at completion or discontinuation of study treatment (up to approximately 7 years 4 months)
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Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Director: Janssen Research & Development, LLC Clinical Trial, Janssen Research & Development, LLC
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
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
- Urogenital Diseases
- Urogenital Neoplasms
- Neoplasms by Site
- Neoplasms
- Male Urogenital Diseases
- Urologic Diseases
- Female Urogenital Diseases
- Female Urogenital Diseases and Pregnancy Complications
- Neoplasms by Histologic Type
- Neoplasms, Glandular and Epithelial
- Urologic Neoplasms
- Carcinoma
- Urinary Bladder Diseases
- Urinary Bladder Neoplasms
- Non-Muscle Invasive Bladder Neoplasms
- erdafitinib
Other Study ID Numbers
Other Study ID Numbers
- CR109115
- 2023 (U.S. NIH Grant/Contract: GRAMMY Museum Foundation)
- 42756493BLC1003 (Other Identifier: Janssen Research & Development, LLC)
- 2021-004144-22 (EudraCT Number)
- 2023-506265-65-00 (Registry Identifier: EUCT number)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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