Effektivitet og sikkerhed af intravesikal TARA-002 sammenlignet med undersøgelseslederens valg af intravesikal kemoterapi hos deltagere med BCG-naiv højgradig ikke-muskelinvasiv blærecancer (ADVANCED-3)
En fase 3, randomiseret undersøgelse til evaluering af effektiviteten og sikkerheden af intravesikal TARA-002 sammenlignet med forsøgslederens valg af intravesikal kemoterapi hos deltagere med BCG-naiv højgradig ikke-muskelinvasiv blærekræft
The goal of this clinical trial is to learn if TARA-002 can treat high-grade non-muscle invasive bladder cancer (NMIBC) in BCG-naïve adults 18 years of age or older.
The main questions it aims to answer are:
- Can the study drug help participants with this type of cancer?
- Is the study drug safe?
- What are the side effects of the study drug?
Researchers will compare TARA-002 to chemotherapy to see if TARA-002 works to treat NMIBC.
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Undersøgelsestype
Undersøgelsestype
Tilmelding (Anslået)
Tilmelding
Fase
Fase
- Fase 3
Kontakter og lokationer
Studiekontakt
Studiekontakt
- Navn: Chief R&D Officer
- Telefonnummer: 16468440337
- E-mail: clinicaltrials@protaratx.com
Studiesteder
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Arizona
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Queen Creek, Arizona, Forenede Stater, 85140
- Rekruttering
- East Valley Urology Center of Arizona
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Kontakt:
- Use Central Contact
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Arkansas
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Little Rock, Arkansas, Forenede Stater, 72211
- Rekruttering
- Arkansas Urology
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Kontakt:
- Use Central Contact
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California
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Bakersfield, California, Forenede Stater, 93301
- Rekruttering
- Michael Oefelein Clinical Trials
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Georgia
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Atlanta, Georgia, Forenede Stater, 30319
- Rekruttering
- Urology of Greater Atlanta - Sandy Springs
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Kontakt:
- Use Central Contact
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Missouri
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St Louis, Missouri, Forenede Stater, 63110
- Rekruttering
- Renown Regional Medical Center
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Kontakt:
- Use Central Contact
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South Carolina
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Myrtle Beach, South Carolina, Forenede Stater, 29572
- Rekruttering
- START - Carolinas
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Kontakt:
- Use Central Contact
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Texas
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Arlington, Texas, Forenede Stater, 76017
- Rekruttering
- Urology Partners of North Texas
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Kontakt:
- Use Central Contact
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Austin, Texas, Forenede Stater, 78745
- Rekruttering
- Urology Austin, LLC
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Kontakt:
- Use Central Contact
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Houston, Texas, Forenede Stater, 77027
- Rekruttering
- Houston Metro Urology
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Kontakt:
- Use Central Contact
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Ivano-Frankivsk, Ukraine, 76018
- Rekruttering
- Arenia - Ivano-Frankivsk
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Kontakt:
- Use Central Contact
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Kapitanivka, Ukraine, 08111
- Rekruttering
- Arensia Kapitanivka - PPDS
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Kontakt:
- Use Central Contact
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Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
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, or participants who received ≤2 doses of BCG within the 24 months prior to the most recent CIS diagnosis
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.
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Ingen (Åben etiket)
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
|---|---|
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Eksperimentel: TARA-002 (Arm A)
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Participants will receive 6 weekly instillations of TARA-002. Participants confirmed to have a CR at Week 12 will enter the maintenance treatment period and will receive 3 additional weekly instillations of TARA-002 every 3 months up to Month 19, and then 3 weekly doses at Month 25. Participants who are eligible for reinduction at Week 12 will receive 6 additional weekly instillations of TARA-002. Participants who undergo reinduction and are confirmed to have a CR at Week 24 will enter the maintenance regimen treatment period and will receive 3 weekly instillations of TARA-002 every 3 months up to Month 19, and then 3 weekly doses at Month 25. |
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Aktiv komparator: Undersøgerens valg af intravesikal kemoterapi
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Participants will receive 6 weekly instillations of Investigator's choice of intravesical chemotherapy. Participants confirmed to have a CR at Week 12 will enter the maintenance regimen treatment period and will receive one intravesical instillation of Investigator's choice of intravesical chemotherapy every 1 month up to Month 25. |
Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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Incidence of high-grade complete response
Tidsramme: Month 6
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Incidence of high-grade complete response of intravesical TARA-002 compared to Investigator's choice of intravesical chemotherapy determined by cystoscopy, urine cytology, and bladder biopsy (if applicable) |
Month 6
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Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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Duration of high-grade complete response
Tidsramme: Up to Month 60
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Duration of high-grade complete response of intravesical TARA-002 compared to Investigator's choice of intravesical chemotherapy |
Up to Month 60
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Treatment emergent adverse events
Tidsramme: Up to Month 60
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Incidence and severity of treatment emergent adverse events (TEAEs) of intravesical TARA-002 compared to Investigator's choice of intravesical chemotherapy |
Up to Month 60
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Treatment emergent serious adverse events
Tidsramme: Up to Month 60
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Incidence and severity of treatment emergent serious adverse events (TESAEs) of intravesical TARA-002 compared to Investigator's choice of intravesical chemotherapy |
Up to Month 60
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High-grade complete response rate
Tidsramme: At Months 3, 9, 12, 15, 18, 21, 24, 27, 30, 36, 42, 48, 54, and 60
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High-grade complete response rate of intravesical TARA-002 compared to Investigator's choice of intravesical chemotherapy determined by cystoscopy, urine cytology, and bladder biopsy (if applicable) |
At Months 3, 9, 12, 15, 18, 21, 24, 27, 30, 36, 42, 48, 54, and 60
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High-grade complete response rate (CIS only)
Tidsramme: Month 6
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High-grade complete response rate of intravesical TARA-002 compared to Investigator's choice of intravesical chemotherapy determined by cystoscopy, urine cytology, and bladder biopsy (if applicable) in sub-group of participants with CIS only |
Month 6
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Event-free survival
Tidsramme: Up to Month 60
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Event-free survival (EFS) of intravesical TARA-002 compared to Investigator's choice of intravesical chemotherapy |
Up to Month 60
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Recurrence-free survival
Tidsramme: Up to Month 60
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Recurrence-free survival (RFS) of intravesical TARA-002 compared to Investigator's choice of intravesical chemotherapy |
Up to Month 60
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Progression-free survival
Tidsramme: Up to Month 60
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Progression-free survival (PFS) of intravesical TARA-002 compared to Investigator's choice of intravesical chemotherapy |
Up to Month 60
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Disease-specific progression-free survival
Tidsramme: Up ro Month 60
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Disease-specific progression-free survival (DSPFS) of intravesical TARA-002 compared to Investigator's choice of intravesical chemotherapy |
Up ro Month 60
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Overall survival
Tidsramme: Up to Month 60
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Overall survival (OS) of intravesical TARA-002 compared to Investigator's choice of intravesical chemotherapy |
Up to Month 60
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Disease-specific survival
Tidsramme: Up to Month 60
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Disease-specific survival (DSS) of intravesical TARA-002 compared to Investigator's choice of intravesical chemotherapy |
Up to Month 60
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Time to cystectomy
Tidsramme: Up to Month 60
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Time to cystectomy of intravesical TARA-002 compared to Investigator's choice of intravesical chemotherapy |
Up to Month 60
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Time to recurrence delayed cystectomy
Tidsramme: Up to Month 60
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Time to recurrence delayed cystectomy of intravesical TARA-002 compared to Investigator's choice of intravesical chemotherapy |
Up to Month 60
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Time to progression
Tidsramme: Up to Month 60
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Time to progression of intravesical TARA-002 compared to Investigator's choice of intravesical chemotherapy |
Up to Month 60
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Time to disease worsening
Tidsramme: Up to Month 60
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Time to disease worsening of intravesical TARA-002 compared to Investigator's choice of intravesical chemotherapy |
Up to Month 60
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Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Studiestart
Primær færdiggørelse (Anslået)
Primær færdiggørelse
Studieafslutning (Anslået)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
- Urogenitale sygdomme
- Urogenitale neoplasmer
- Neoplasmer efter sted
- Mandlige urogenitale sygdomme
- Urologiske sygdomme
- Urogenitale sygdomme hos kvinder
- Kvinders urogenitale sygdomme og graviditetskomplikationer
- Neoplasmer efter histologisk type
- Neoplasmer, kirtel og epitel
- Urologiske neoplasmer
- Karcinom
- Urinblæresygdomme
- Ikke-muskelinvasive blære-neoplasmer
- Neoplasmer
- Karcinom in situ
- Urinblære neoplasmer
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- TARA-002-301
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
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