Safety and Efficacy Study of Intravesical Instillation of TARA-002 in Adults With High-grade Non-muscle Invasive Bladder Cancer (ADVANCED-2)
A Phase 2, Open-Label Study to Evaluate the Safety and Efficacy of Intravesical Instillation of TARA-002 in Adults With High-Grade Non-Muscle Invasive Bladder Cancer
TARA-002-101-Ph2 is an open-label study to investigate the safety and efficacy of intravesical instillation of TARA-002 in adults 18 years of age or older with high-grade CIS NMIBC (± Ta/T1).
The purpose of this Phase 2 study (TARA-002-101-Ph2) is to further assess the safety and efficacy of TARA-002 at the RP2D which has been established in the Phase 1a dose finding study (TARA-002-101-Ph1a).
This Phase 2 study includes participants with CIS NMIBC (± Ta/T1) with active disease, defined as disease present at last tumor evaluation (within 3 months) prior to signing the ICF.
Participants will be enrolled into one of 2 cohorts:
Cohort A:
- Participants with CIS (± Ta/T1) who are BCG naive, or
- Participants with CIS (± Ta/T1) who are BCG exposed and have not received intravesical BCG for at least 24 months prior to the most recent CIS diagnosis
Cohort B:
- Participants who are BCG unresponsive
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Phase 2
Contacts and Locations
Study Contact
Study Contact
- Name: Chief Scientific Operations Officer
- Phone Number: 16468440337
- Email: clinicaltrials@protaratx.com
Study Locations
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Buenos Aires, Argentina, C1199ABB
- Recruiting
- Hospital Italiano de Buenos Aires (HIBA)
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Contact:
- Use Central Contact
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Buenos Aires, Argentina, C1280
- Recruiting
- Hospital Británico de Buenos Aires
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Contact:
- Use Central Contact
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CABA, Argentina, C1419
- Recruiting
- Centro Argentino de Urologia
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Contact:
- Use Central Contact
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CABA, Argentina, C1419
- Recruiting
- Hospital Sírio Libanês
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Contact:
- Use Central Contact
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Córdoba, Argentina, X5000KPH
- Recruiting
- Centro Urologico Profesor Bengio SA
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Contact:
- Use Central Contact
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Córdoba, Argentina, X5088
- Recruiting
- CEMAIC
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Contact:
- Use Central Contact
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Munro, Argentina, 1605
- Recruiting
- Clinica Privada Independencia
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Contact:
- Use Central Contact
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Minas Gerais
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Nova Lima, Minas Gerais, Brazil, 34006-059
- Recruiting
- Kyushu University Hospital
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Contact:
- Use Central Contact
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Nova Lima, Minas Gerais, Brazil, 34006-059
- Recruiting
- Office of Lucas Nougeria MA
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Contact:
- Use Central Contact
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Rio Grande do Sul
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Porto Alegre, Rio Grande do Sul, Brazil, 90035-070
- Recruiting
- Santa Casa de Misericordia de Porto Alegre
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Contact:
- Use Central Contact
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Porto Alegre, Rio Grande do Sul, Brazil, 90430-001
- Recruiting
- Nucleo de Pesquisa Clinica do Rio Grande so Sul
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Contact:
- Use Central Contact
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Porto Alegre, Rio Grande do Sul, Brazil, 91350-200
- Recruiting
- Centro de Urologia Avancada
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Contact:
- Use Central Contact
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São Paulo
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Campinas, São Paulo, Brazil, 13083-970
- Recruiting
- Hospital de Clinicas da UNICAMP
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Contact:
- Use Central Contact
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Jardim Paulista, São Paulo, Brazil, 01401-002
- Recruiting
- Instituto Dor de Pesquisa e Ensino
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Contact:
- Use Central Contact
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Santo André, São Paulo, Brazil, 09060-650
- Recruiting
- Faculdade de Medicina ABC-CEPHO
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Contact:
- Use Central Contact
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British Columbia
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Abbotsford British Columbia, British Columbia, Canada, V2T 1X8
- Terminated
- Exdeo Clinical Research Inc
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Ontario
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Brampton, Ontario, Canada, L6T 4S5
- Withdrawn
- Jonathan Giddes Medicine Professional Corporation
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Toronto, Ontario, Canada, M4N 3M5
- Withdrawn
- Sunnybrook Research Institute
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Toronto, Ontario, Canada, M5G 1Z5
- Recruiting
- UHN Princess Margaret Cancer Centre Princess Margaret Hospital
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Quebec
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Montreal, Quebec, Canada, H3H 2R9
- Recruiting
- The Research Institute of the McGill University Health Centre
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Contact:
- Use Central Contact
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Aichi-ken
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Komaki-shi, Aichi-ken, Japan, 485-0044
- Recruiting
- Komaki City Hospital
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Contact:
- Use Central Contact
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Nagoya, Aichi-ken, Japan, 435-8511
- Recruiting
- Japanese Red Cross Aichi Medical Center Nayoya Daiichi
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Contact:
- Use Central Contact
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Chiba
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Funabashi-shi, Chiba, Japan, 273-8588
- Recruiting
- Funabashi Municipal Medical Center
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Contact:
- Use Central Contact
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Sakura-shi, Chiba, Japan, 285-8741
- Recruiting
- Fuji City General Hospital
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Contact:
- Use Central Contact
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Fukuoka
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Fukuoka, Fukuoka, Japan, 812-8582
- Recruiting
- Kyushu University Hospital
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Contact:
- Use Central Contact
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Hyōgo
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Amagasaki-shi, Hyōgo, Japan, 660-8550
- Recruiting
- Hyogo Prefectural Amagasaki General Medical Center
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Contact:
- Use Central Contact
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Ibaraki
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Hitachi-shi, Ibaraki, Japan, 317-0077
- Recruiting
- Hitachi General Hospital
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Contact:
- Use Central Contact
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Kanagawa
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Yokohama, Kanagawa, Japan, 221-0855
- Recruiting
- Yokohama Municipal Citizen's Hospital
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Contact:
- Use Central Contact
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Niigata
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Niigata, Niigata, Japan, 961-8566
- Recruiting
- Niigata Cancer Center Hospital
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Contact:
- Use Central Contact
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Osaka
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Osaka, Osaka, Japan, 543-855
- Recruiting
- Japanese Red Cross Osaka Hospital
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Contact:
- Use Central Contact
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Shizuoka
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Fuji-shi, Shizuoka, Japan, 417-8567
- Recruiting
- Toho University Medical Center Sakura Hospital
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Contact:
- Use Central Contact
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Toyama
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Toyama, Toyama, Japan, 930-0152
- Recruiting
- Toyama University Hospital
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Contact:
- Use Central Contact
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Kanagawa
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Kaohsiung City, Kanagawa, Taiwan, 807561
- Recruiting
- Kaohsiung Medical University Chung-Ho Memorial Hospital
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Contact:
- Use Central Contact
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Kapitanivka, Ukraine, 08111
- Recruiting
- Arensia Kapitanivka - PPDS
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Contact:
- Use Central Contact
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Alabama
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Homewood, Alabama, United States, 35209
- Recruiting
- Urology Centers of Alabama
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Contact:
- Use Central Contact
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Arizona
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Phoenix, Arizona, United States, 85054
- Recruiting
- Mayo Clinic
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Contact:
- Use Central Contact
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Queen Creek, Arizona, United States, 85140
- Recruiting
- East Valley Urology Center of Arizona
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Contact:
- Use Central Contact
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Arkansas
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Little Rock, Arkansas, United States, 72211
- Recruiting
- Arkansas Urology
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Contact:
- Use Central Contact
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California
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Bakersfield, California, United States, 93301
- Recruiting
- Michael Oefelein Clinical Trials
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Contact:
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Los Angeles, California, United States, 90017
- Terminated
- Urology Group of Southern California
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Orange, California, United States, 92697
- Recruiting
- University Of California Irvine Medical Center
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Contact:
- Use Central Contact
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San Diego, California, United States, 92123
- Withdrawn
- Genesis Research
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Torrance, California, United States, 90505
- Recruiting
- Genesis Research LLC
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Contact:
- Use Central Contact
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Colorado
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Aurora, Colorado, United States, 80045
- Recruiting
- Colorado University - Anshutz
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Contact:
- Use Central Contact
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Denver, Colorado, United States, 80211
- Recruiting
- AdventHealth Medical Group Urology of Denver
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Contact:
- Use Central Contact
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Lakewood, Colorado, United States, 80228
- Recruiting
- Advanced Urology
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Contact:
- Use Central Contact
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Lone Tree, Colorado, United States, 80124
- Recruiting
- Urology Associates of Denver
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Contact:
- Use Central Contact
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Florida
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Gainesville, Florida, United States, 32611
- Withdrawn
- University of Florida Health Jacksonville
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Jacksonville, Florida, United States, 32224
- Recruiting
- Mayo Clinic
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Contact:
- Use Central Contact
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Illinois
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Lake Barrington, Illinois, United States, 60010
- Recruiting
- Comprehensive Urologic Care
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Contact:
- Use Central Contact
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Louisiana
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Lafayette, Louisiana, United States, 70508
- Recruiting
- Southern Urology
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Contact:
- Use Central Contact
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Shreveport, Louisiana, United States, 71105
- Withdrawn
- Ochsner Health LSU - Regional Urology
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Massachusetts
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Boston, Massachusetts, United States, 02115
- Recruiting
- Brigham and Women's Hospital
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Contact:
- Use Central Contact
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Plymouth, Massachusetts, United States, 02360
- Recruiting
- Greater Boston Urology, LLC
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Contact:
- Use Central Contact
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Minnesota
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Bloomington, Minnesota, United States, 55425
- Recruiting
- Minnesota Urology, Woodbury
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Contact:
- Use Central Contact
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Rochester, Minnesota, United States, 55905
- Recruiting
- Mayo Clinic
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Contact:
- Use Central Contact
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Missouri
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St Louis, Missouri, United States, 63141
- Recruiting
- Specialty Clinic Research of St. Louis
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Contact:
- Use Central Contact
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St Louis, Missouri, United States, 63110
- Recruiting
- Renown Regional Medical Center
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Contact:
- Use Central Contact
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New York
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Garden City, New York, United States, 11530
- Terminated
- AccuMed Research Associates
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New York, New York, United States, 10016
- Recruiting
- Laura & Isaac Perlmutter Cancer Center - NYU Langone Health
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Contact:
- Use Central Contact
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Rochester, New York, United States, 14642
- Recruiting
- University of Rochester, Department of Urology
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Contact:
- Use Central Contact
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Syracuse, New York, United States, 13210
- Recruiting
- Associated Medical Professionals of NY, PLLC
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Contact:
- Use Central Contact
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The Bronx, New York, United States, 10467
- Recruiting
- Montefiore Medical Center
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Contact:
- Use Central Contact
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Ohio
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Cleveland, Ohio, United States, 44195
- Recruiting
- Cleveland Clinic Main Campus, Cleveland
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Contact:
- Use Central Contact
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Toledo, Ohio, United States, 43606
- Withdrawn
- University of Toledo
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Pennsylvania
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Pittsburgh, Pennsylvania, United States, 15213
- Recruiting
- University of Pittsburgh Medical Center
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Contact:
- Use Central Contact
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South Carolina
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Myrtle Beach, South Carolina, United States, 29572
- Recruiting
- Carolina Urologic Research Center
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Contact:
- Use Central Contact
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Tennessee
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Memphis, Tennessee, United States, 38128
- Recruiting
- Conrad Person Clinic
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Contact:
- Use Central Contact
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Nashville, Tennessee, United States, 37209
- Recruiting
- Urology Associates PC
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Contact:
- Use Central Contact
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Texas
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Amarillo, Texas, United States, 79106
- Withdrawn
- Amarillo Urology Research
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Arlington, Texas, United States, 76017
- Recruiting
- Urology Partners of North Texas
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Contact:
- Use Central Contact
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Austin, Texas, United States, 78745
- Recruiting
- Urology Austin, LLC
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Contact:
- Use Central Contact
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Houston, Texas, United States, 77030
- Recruiting
- Houston Methodist Hospital
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Contact:
- Use Central Contact
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Houston, Texas, United States, 77027
- Recruiting
- Houston Metro Urology
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Contact:
- Use Central Contact
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Houston, Texas, United States, 77074
- Withdrawn
- Clinical Trial Network
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San Antonio, Texas, United States, 78229
- Recruiting
- UT Health San Antonio
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Contact:
- Use Central Contact
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Virginia
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Richmond, Virginia, United States, 23235
- Recruiting
- Virginia Urology
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Contact:
- Use Central Contact
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Washington
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Spokane, Washington, United States, 99202
- Recruiting
- Spokane Urology
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Contact:
- Use Central Contact
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Male or female participants 18 years of age or older at the time of signing informed consent
- Participants who have voluntarily given written informed consent after the nature of the study has been explained according to applicable requirements prior to study entry
- Central histologic confirmation of high-grade non-muscle invasive CIS (± Ta/T1) with active disease
- Participants who are BCG naive, or participants who are BCG exposed and have not received intravesical BCG for at least 24 months prior to the most recent CIS diagnosis (Cohort A). Participants with CIS (± Ta/T1) who are BCG unresponsive.
Exclusion Criteria:
- Penicillin allergy (participants with a questionable history of allergy to penicillin will undergo penicillin blood allergy testing via central laboratory
- Central confirmed variant histology
- Concomitant prostatic or upper tract urothelial involvement per Investigator's assessment
- Nodal and metastatic disease are excluded if they existed at any time (whether present or in the past)
- Any history of ≥ T2 bladder cancer that existed at any point in time in the participant's history
For more information on eligibility criteria, please contact the Sponsor
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
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Experimental: TARA-002
TARA-002 is a lyophilized biological preparation for instillation containing cells of Streptococcus pyogenes (Group A, type 3) Su strain.
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All participants will receive 6 weekly instillations of TARA-002 at the established RP2D (First Treatment Period).
Participants who are eligible for reinduction after the First Treatment Period will receive 6 additional weekly doses of TARA-002 instillation as part of the Second Treatment Period.
Participants confirmed to have a complete response after the First Treatment Period will receive 3 additional weekly doses of TARA-002 instillation as maintenance during the Second Treatment Period.
All eligible participants will receive 3 weekly doses of TARA-002 instillation as part of the Third Treatment Period (maintenance) at Months 6, 9, 12, 15, 18 and 24.
Following the Third Treatment Period, all participants will continue to the Follow up Period from Month 27 until Month 60.
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
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Cohort A and B: Incidence of high-grade Complete Response at any time according to central pathology after treatment with TARA-002
Time Frame: Month 3 to Month 60
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Month 3 to Month 60
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Cohort A: Incidence of high-grade Complete Response at any time by subgroup (BCG naive and BCG exposed > 24 months) according to central pathology after treatment with TARA-002
Time Frame: Month 3 to Month 60
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Month 3 to Month 60
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Cohort A and B: Duration of Complete Response (all recurrent bladder cancer, including low grade Ta) after treatment with TARA-002
Time Frame: Month 3 to Month 60
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Month 3 to Month 60
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Cohort A and B: Progression free survival after treatment with TARA-002
Time Frame: 60 months
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60 months
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Cohort A and B: Disease-specific progression free survival after treatment with TARA-002
Time Frame: 60 months
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60 months
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Cohort A and B: Overall survival after treatment with TARA-002
Time Frame: 60 months
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60 months
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Cohort A and B: Disease specific survival after treatment with TARA-002
Time Frame: 60 months
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60 months
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Cohort A and B: Time to cystectomy after treatment with TARA-002
Time Frame: 60 months
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60 months
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Cohort A and B: Time to recurrence delayed cystectomy after treatment with TARA-002
Time Frame: 60 months
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60 months
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Cohort A and B: Time to progression after treatment with TARA-002
Time Frame: 60 months
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60 months
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Cohort A and B: Time to disease worsening after treatment with TARA-002
Time Frame: 60 months
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60 months
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Cohort A and B: Incidence and severity of AEs, TEAEs, SAEs and TESAEs after treatment with TARA-002
Time Frame: Day 1 to Month 60
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AE = adverse event; TEAE = treatment emergent adverse event; SAE = serious adverse event; TESAE = treatment emergent serious adverse event
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Day 1 to Month 60
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Cohort A and B: Change from baseline in urine pharmacodynamic biomarker levels (including IL-6, IL-8, IFN-γ, and TNF-α) after treatment with TARA-002
Time Frame: Day 1 to Day 72
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Day 1 to Day 72
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Cohort A and B: Quality of Life based on the EORTC questionnaire QLQ-NMIBC24
Time Frame: Day 1 to Month 24
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EORTC = European Organization for Research and Treatment of Cancer; QLQ-NMIBC24 = Questionnaire for Patients with NMIBC
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Day 1 to Month 24
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Cohort A and B: Quality of Life based on the EORTC questionnaire QLQ-C30
Time Frame: Day 1 to Month 24
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EORTC = European Organization for Research and Treatment of Cancer; QLQ-C30 = Questionnaire for Patients with Cancer
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Day 1 to Month 24
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Cohort A and B: Duration of high-grade Complete Response rate at Months 3, 6, 9, 12, 15, 18, 21, 24, 27, 30, 36, 42, 48, 54, and 60 after treatment with TARA-002
Time Frame: Month 3 to Month 60
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Month 3 to Month 60
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Cohort A and B: High-grade Complete Response rate at Months 3, 6, 9, 12, 15, 18, 21, 24, 27, 30, 36, 42, 48, 54, and 60 after treatment with TARA-002
Time Frame: Month 3 to Month 60
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Month 3 to Month 60
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Cohort A and B: Complete Response rate (all recurrent bladder cancer, including low grade Ta) at Months 3, 6, 9, 12, 15, 18, 21, 24, 27, 30, 36, 42, 48, 54, and 60 after treatment with TARA-002
Time Frame: Month 3 to Month 60
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Month 3 to Month 60
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Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Director: Chief Scientific Operations Officer, Protara Therapeutics
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
Keywords
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
- Non-Muscle Invasive Bladder Neoplasms
- Carcinoma in Situ
- Urinary Bladder Neoplasms
Other Study ID Numbers
Other Study ID Numbers
- TARA-002-101-Ph2
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.