- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04564781
Predicting BCG Response
April 16, 2024 updated by: Charles Rosser, Cedars-Sinai Medical Center
A Novel Multiplex Immunoassay for Predicting Intravesical BCG Response in Patients With Intermediate or High-risk Non-muscle Invasive Bladder Cancer
To date, there are no diagnostics capable of predicting treatment response to intravesical BCG.
Because of this severe limitation, nearly 50% of patients treated with BCG fail therapy and will a) require additional intravesical therapy or b) require cystectomy.
A urine-based diagnostic that possesses the potential to accurately identify patients who will respond favorably to intravesical BCG is desperately needed.
Study Overview
Status
Recruiting
Conditions
Study Type
Observational
Enrollment (Estimated)
400
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Charles Rosser, MD
- Phone Number: 3104233713
- Email: Charles.rosser@cshs.org
Study Contact Backup
- Name: Amy Oppenheimer
- Phone Number: 3104233713
- Email: Amy.Oppenheim@cshs.org
Study Locations
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Kyoto, Japan, 606-8501
- Recruiting
- Kyoto University
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Contact:
- Yuki Kita, MD
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California
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Los Angeles, California, United States, 90048
- Recruiting
- Cedars-Sinai Medical Center
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Contact:
- Amy Oppenheim
- Phone Number: 310-423-3713
- Email: Amy.Oppenheim@cshs.org
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Principal Investigator:
- Hideki Furuya, PhD
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Los Angeles, California, United States, 90095
- Recruiting
- UCLA
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Contact:
- Arnold Chin, MD
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San Francisco, California, United States, 94143
- Recruiting
- UCSF
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Contact:
- Sima Porten, MD
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Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
No
Sampling Method
Non-Probability Sample
Study Population
Patients with recently diagnosed intermediate or high risk non-muscle invasive bladder cancer, who are destined to undergo intravesical BCG therapy.
Description
Inclusion Criteria:
- Age 18 years or older
- Patients must have histologically proven Ta, carcinoma in situ (CIS) or T1 stage urothelial cell carcinoma of the bladder diagnosed within 90 days prior to scheduled BCG
- Patients must have had all grossly visible papillary tumors removed within 30 days prior to scheduled BCG or cystoscopy confirming no grossly visible papillary tumors within 30 days prior to scheduled BCG
- Patients with T1 disease must have cross-sectional imaging of abdomen/pelvis demonstrating no evidence of nodal involvement or metastatic disease (CT scan or MRI scan) within 90 days prior to scheduled BCG
- Patients must have intermediate or high-grade bladder cancer as defined by 2004 WHO/ISUP classification
- Patients must not have pure squamous cell carcinoma or adenocarcinoma.
- Patients' disease must not have micropapillary components.
- Patients must have no evidence of upper tract (renal pelvis or ureters) cancer confirmed by one of the following tests performed within 90 days prior to BCG: CT urogram, intravenous pyelogram, MR urogram, or retrograde pyelograms.
- No other prior non-bladder malignancy is allowed except for the following: adequately treated basal cell or squamous cell skin cancer, in situ cervical cancer, adequately treated Stage I or II cancer from which the patient is currently in complete remission, or any other cancer from which the patient has been disease free for five years. Patients with localized prostate cancer who are being followed by an active surveillance program are also eligible.
- Participants may be treated with immediate post-operative intravesical instillation of a chemotherapeutic agent
- Scheduled to undergo intravesical BCG therapy within 4 weeks of signing consent.
- Willing and able to give written informed consent (see Appendix 1)
- Willing to provide voided urine sample
Exclusion Criteria:
- Previous intravesical BCG therapy
- Patients must not be taking oral glucocorticoids at the time of registration.
- Patients must not be planning to receive concomitant biologic therapy, hormonal therapy, chemotherapy, surgery, or other cancer therapy while on study.
- Patients must not have known history of tuberculosis.
- Have incomplete TUR, i.e., visible residual disease
- Have had radical cystectomy
- Have a known active urinary tract infection or urinary retention
- Have active stone disease (renal or bladder) or renal insufficiency (creatinine >2.0 mg/dL) - Serum creatinine value can be up to 2 years before consent, otherwise repeat.
- Have ureteral stents, nephrostomy tubes or bowel interposition
- Have recent genitourinary instrumentation (within 7 days prior to signing consent)
- Be unable or unwilling to complete BCG induction and maintenance regimen
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Sensitivity and specificity of multiplex immunoassay will be confirmed by surveillance cystoscopy.
Time Frame: present through 04/30/2026
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present through 04/30/2026
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Secondary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Sensitivity and specificity of multiplex immunoassay will be compared to panel of urinary cytokines.
Time Frame: present through 04/30/2026
|
present through 04/30/2026
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Collaborators
Investigators
- Study Director: Charles Rosser, MD, Nonagen Bioscience Corporation
- Principal Investigator: Hideki Furuya, PhD, Cedars-Sinai Medical Center
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
September 18, 2020
Primary Completion (Estimated)
April 30, 2026
Study Completion (Estimated)
December 30, 2026
Study Registration Dates
First Submitted
September 21, 2020
First Submitted That Met QC Criteria
September 21, 2020
First Posted (Actual)
September 25, 2020
Study Record Updates
Last Update Posted (Actual)
April 18, 2024
Last Update Submitted That Met QC Criteria
April 16, 2024
Last Verified
April 1, 2024
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- CR2020-1113-0
- R01CA198887 (U.S. NIH Grant/Contract)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
Drug and device information, study documents
Studies a U.S. FDA-regulated device product
No
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.
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