Een onderzoek naar TAR-200 versus intravesicale chemotherapie bij deelnemers met recidiverende niet-spierinvasieve blaaskanker met hoog risico (HR-NMIBC) na Bacillus Calmette-Guérin (BCG) (SunRISe-5)
Een fase 3, gerandomiseerde, open-label, multicentrische studie waarin de werkzaamheid en veiligheid van TAR-200 worden geëvalueerd versus de keuze van de onderzoeker voor intravesicale chemotherapie bij deelnemers die Bacillus Calmette-Guérin (BCG) kregen en opnieuw last kregen van niet-spier- invasieve blaaskanker (HR-NMIBC) en die niet in aanmerking komen voor of ervoor gekozen hebben om geen radicale cystectomie te ondergaan
The purpose of this study is to compare disease free survival (DFS) in participants with recurrence of papillary-only high-risk non-muscle-invasive bladder cancer (HR-NMIBC) within 1 year of last dose of Bacillus Calmette-Guérin (BCG) therapy and who refused or are unfit for Radical Cystectomy (RC), receiving TAR-200 versus investigator's choice of single agent intravesical chemotherapy.
Studie Overzicht
Toestand
Toestand
Conditie
Conditie
Interventie / Behandeling
Interventie / Behandeling
Studietype
Studietype
Inschrijving (Werkelijk)
Inschrijving
Fase
Fase
- Fase 3
Contacten en locaties
Studie Locaties
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Buenos Aires, Argentinië, C1406
- Clinica Santa Isabel
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CABA, Argentinië, C1425
- Investigaciones Clinico Moleculares (ICM)
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Córdoba, Argentinië, 5000
- Cemaic Centro Privado de Especialidades Medicas Ambulatorias e Investigacion Clinica
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Córdoba, Argentinië, X5000KPH
- Centro Urologico Profesor Bengio
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Mar del Plata, Argentinië, B7602
- Hospital Privado de la Comunidad
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Bruges, België, 8000
- AZ Sint-Jan
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Brussels, België, 1200
- Cliniques Universitaires Saint Luc
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Genk, België, 3600
- Ziekenhuis Oost-Limburg
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Ghent, België, 9000
- Algemeen ziekenhuis Maria Middelares
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Roeselare, België, 8800
- Algemeen Ziekenhuis Delta
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Barretos, Brazilië, 14784-400
- Fundacao Pio XII
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Bauru, Brazilië, 17030-495
- NAIC Nair Antunes Instituto do Cancer
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Campinas, Brazilië, 13083-872
- Hospital das Clinicas da Universidade Estadual de Campinas UNICAMP
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Curitiba, Brazilië, 81520-060
- Hospital Erasto Gaertner- Liga Paranaense de Combate ao Cancer
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Porto Alegre, Brazilië, 90020-090
- Irmandade Santa Casa de Misericordia de Porto Alegre
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Salvador, Brazilië, 41810-011
- Hospital da Bahia
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São Paulo, Brazilië, 01308 901
- Sociedade Beneficente de Senhoras Hospital Sirio Libanes
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São Paulo, Brazilië, 01509 900
- Fundacao Antonio Prudente A C Camargo Cancer Center
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São Paulo, Brazilië, 01323 900
- Real e Benemérita Associação Portuguesa de Beneficência
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Beijing, China, 100034
- Peking University First Hospital
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Cheng Du Shi, China, 610041
- West China School of Medicine/West China Hospital, Sichuan University
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Chongqing, China, 400033
- Chongqing Cancer Hospital
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Guangzhou, China, 510060
- Sun Yat Sen University Cancer Center
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Shenyang, China, 110055
- Shengjing Hospital Of China Medical University
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Tianjin, China, 300060
- Tianjin Medical University Cancer Institute and Hospital
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Tianjin, China, 300211
- The Second Hospital Of Tianjin Medical University
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Wenzhou, China, 325015
- The First Affiliated Hospital of Wenzhou Medical University
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Wuhan, China, 430032
- Tongji Medical College of Huazhong University Science Technology of Medicine Health Management
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Xi'an, China, 710063
- Xi an Jiaotong University Hospital
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Cologne, Duitsland, 50937
- Universitaetsklinikum Koeln
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Halle, Duitsland, 06120
- Universitaetsklinikum Halle Saale
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Leverkusen, Duitsland, 51375
- Klinikum Leverkusen gGmbH
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Lübeck, Duitsland, 23538
- Universitatsklinikum Schleswig Holstein Campus Lubeck
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Mettmann, Duitsland, 40822
- Urologie Neandertal Praxis Mettmann
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München, Duitsland, 81377
- Klinikum der Universitaet Muenchen
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Lille, Frankrijk, 59000
- Hopital Claude Huriez
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Limoges, Frankrijk, 87000
- Polyclinique de Limoges - Francois Chenieux
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Marseille, Frankrijk, 13009
- Institut Paoli Calmettes
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Paris, Frankrijk, 75018
- APHP - Hopital Bichat - Claude Bernard
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Quint-Fonsegrives, Frankrijk, 31130
- Clinique de la Croix du Sud
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Rennes, Frankrijk, 35000
- Chu Rennes Hopital Pontchaillou
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Suresnes, Frankrijk, 92150
- Hopital Foch
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Arezzo, Italië, 52100
- Ospedale San Donato
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Milan, Italië, 20132
- San Raffaele Hospital
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Milan, Italië, 20133
- Istituto Dei Tumori Di Milano
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Province of Macerata, Italië, 62100
- Ospedale Provinciale di Macerata
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Ravenna, Italië, 48121
- Ospedale S. Maria Delle Croci
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Roma, Italië, 00144
- Istituto Nazionale Tumori Regina Elena
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Roma, Italië, 00128
- Universita Campus Bio-Medico di Roma
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Rozzano, Italië, 20089
- Istituto Clinico Humanitas
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Torino, Italië, 10126
- PO Molinette Azienda Ospedaliero Universitaria Citta della Salute e della Scienza di Torino
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Funabashi Shi, Japan, 273 8588
- Funabashi Municipal Medical Center
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Hakodate, Japan, 040 8611
- Hakodate Goryoukaku Hospital
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Hyōgo, Japan, 660-8550
- Hyogo Prefectural Amagasaki General Medical Center
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Niigata, Japan, 951-8566
- Niigata Cancer Center Hospital
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Okayama, Japan, 701-1192
- National Hospital Organization Okayama Medical Center
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Sakura, Japan, 285-8741
- Toho University Sakura Medical Center
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Tokyo, Japan, 105-8470
- Toranomon Hospital
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Yokohama, Japan, 232 0024
- Yokohama City University Medical Center
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Bialystok, Polen, 15 276
- Uniwersytecki Szpital Kliniczny w Bialymstoku
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Bydgoszcz, Polen, 85 048
- IN VIVO Sp. z o.o
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Krakow, Polen, 30 688
- Szpital Uniwersytecki w Krakowie
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Lublin, Polen, 20 090
- Uniwersytecki Szpital Kliniczny nr 4
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Przemyśl, Polen, 37 700
- Wojewodzki Szpital im Sw Ojca Pio w Przemyslu
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Tarnów, Polen, 33 100
- Szpital Wojewodzki im Sw Lukasza SP ZOZ
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Torun, Polen, 87-100
- MICS Centrum Medyczne Torun
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Wieliszew, Polen, 05-135
- Mazowiecki Szpital Onkologiczny
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Wroclaw, Polen, 53 413
- Dolnoslaskie Centrum Onkologii
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Brasov, Roemenië, 500091
- Centrul Medical Unirea SRL
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Bucharest, Roemenië, 014142
- Ponderas Academic Hospital
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Cluj-Napoca, Roemenië, 400015
- Institutul Oncologic Ion Chiricuta
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Cluj-Napoca, Roemenië, 400117
- Regina Maria
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Timișoara, Roemenië, 300723
- Spitalul Clinic Judetean de Urgenta Pius Brinzeu
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Badalona, Spanje, 08916
- Hosp. Univ. Germans Trias I Pujol
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Barcelona, Spanje, 08025
- Fund. Puigvert
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Madrid, Spanje, 28041
- Hosp. Univ. 12 de Octubre
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Madrid, Spanje, 28007
- Hosp. Gral. Univ. Gregorio Maranon
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Málaga, Spanje, 29010
- Hosp Virgen de La Victoria
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Sabadell, Spanje, 08208
- Hosp.Univ.Parc Tauli
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Santander, Spanje, 39008
- Hosp. Univ. Marques de Valdecilla
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Seville, Spanje, 41013
- Hosp. Virgen Del Rocio
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Valencia, Spanje, 46010
- Hosp. Clinico Univ. de Valencia
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London, Verenigd Koninkrijk, EC1A 7BE
- St Bartholomews Hospital
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Salford, Verenigd Koninkrijk, M6 8HD
- Salford Royal Hospital
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Southampton, Verenigd Koninkrijk, SO16 6YD
- Southampton University Hospital
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Stevenage, Verenigd Koninkrijk, SG1 4AB
- Lister Hospital
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Arkansas
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Little Rock, Arkansas, Verenigde Staten, 72211
- Arkansas Urology
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California
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Los Alamitos, California, Verenigde Staten, 90720
- Genesis Research LLC 1
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Los Angeles, California, Verenigde Staten, 90033
- USC Norris Comprehensive Cancer Center
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Orange, California, Verenigde Staten, 92868
- University of California Irvine Medical Center
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San Francisco, California, Verenigde Staten, 94158 2549
- University of California San Francisco
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Torrance, California, Verenigde Staten, 90503
- Genesis Research LLC
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Colorado
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Lakewood, Colorado, Verenigde Staten, 80228
- Colorado Clinical Research
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Florida
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Riverview, Florida, Verenigde Staten, 33578
- Florida Urology Partners
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Illinois
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Chicago, Illinois, Verenigde Staten, 60611
- Northwestern University
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Chicago Ridge, Illinois, Verenigde Staten, 60415
- UroPartners
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Indiana
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Carmel, Indiana, Verenigde Staten, 46032
- Urology of Indiana
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Jeffersonville, Indiana, Verenigde Staten, 47130
- First Urology, PSC
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Kansas
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Wichita, Kansas, Verenigde Staten, 67226
- Wichita Urology Group
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Michigan
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Royal Oak, Michigan, Verenigde Staten, 48073
- Comprehensive Urology
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Missouri
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St Louis, Missouri, Verenigde Staten, 63141
- Specialty Clinical Research of St Louis
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New York
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Syracuse, New York, Verenigde Staten, 13210
- Associated Medical Professionals
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Ohio
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Cincinnati, Ohio, Verenigde Staten, 45212
- The Urology Group
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Gahanna, Ohio, Verenigde Staten, 43230
- Central Ohio Urology Group
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Pennsylvania
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Bala-Cynwyd, Pennsylvania, Verenigde Staten, 19004
- Centers for Advanced Urology LLC d b a MidLantic Urology
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South Carolina
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Charleston, South Carolina, Verenigde Staten, 29401
- Ralph H. Johnson Veterans Affairs Medical Center
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Myrtle Beach, South Carolina, Verenigde Staten, 29572
- Carolina Urologic Research Center
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North Charleston, South Carolina, Verenigde Staten, 29406
- Low Country Urology Clinics
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Tennessee
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Nashville, Tennessee, Verenigde Staten, 37232
- Vanderbilt University Medical Center
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Nashville, Tennessee, Verenigde Staten, 37209
- Urology Associates
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Texas
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Austin, Texas, Verenigde Staten, 78759
- Urology Austin
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Dallas, Texas, Verenigde Staten, 75390
- University of Texas Southwestern Medical Center
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Dallas, Texas, Verenigde Staten, 75231
- Urology Clinics of North Texas
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Houston, Texas, Verenigde Staten, 77027
- Houston Metro Urology
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Washington
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Spokane, Washington, Verenigde Staten, 99202
- Spokane Urology
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Chungcheongbuk Do, Zuid -Korea, 28644
- Chungbuk National University Hospital
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Daegu, Zuid -Korea, 42601
- Keimyung University Dongsan Hospital
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Gyeonggi-do, Zuid -Korea, 10408
- National Cancer Center
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Jeollanam-do, Zuid -Korea, 58128
- Chonnam National University Hwasun Hospital
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Seoul, Zuid -Korea, 03080
- Seoul National University Hospital
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Seoul, Zuid -Korea, 06351
- Samsung Medical Center
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Seoul, Zuid -Korea, 06591
- The Catholic University of Korea Seoul St Mary s Hospital
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Yangsan, Zuid -Korea, 50612
- Pusan National University Yangsan Hospital
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Deelname Criteria
Geschiktheidscriteria
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
Accepteert gezonde vrijwilligers
Geslachten die in aanmerking komen voor studie
Beschrijving
Inclusion Criteria:
- Histologically confirmed diagnosis by local pathology (within 90 days of documented informed consent) of recurrent, papillary-only high-risk non-muscle-invasive bladder cancer (HR-NMIBC) [defined as high-grade Ta or any T1, no carcinoma in situ (CIS)]
- Participants with variant histologic subtypes are allowed if tumor(s) demonstrate urothelial (transitional cell histology) predominance. However, neuroendocrine, and small cell variants will be excluded
- Participants must be ineligible for or have elected not to undergo Radical Cystectomy (RC)
- Have an Eastern Cooperative Oncology Group (ECOG) performance status Grade of 0, 1, or 2
Exclusion Criteria:
- Presence of CIS at any point from time of diagnosis of papillary-only HR-NMIBC recurrence to randomization. Additionally, presence or history of histologically confirmed, muscle-invasive, locally advanced, nonresectable, or metastatic urothelial carcinoma (that is, T2, T3, T4, N+, and/or M+)
- Presence of any bladder or urethral anatomic feature that, in the opinion of the Investigator, may prevent the safe placement, indwelling use, or removal of TAR-200. Participants with tumors involving the prostatic urethra in men will be excluded
- A history of clinically significant polyuria with recorded 24-hour urine volumes greater than 4000 milliliters (>4000 mL)
- Indwelling catheters are not permitted; however, intermittent catheterization is acceptable
- Previous treatment with TAR-200
Studie plan
Hoe is de studie opgezet?
Ontwerpdetails
- Primair doel: Behandeling
- Toewijzing: Gerandomiseerd
- Interventioneel model: Parallelle opdracht
- Masker: Geen (open label)
Aantal wapens
Wapens en interventies
Deelnemersgroep / ArmDeelnemersgroep / Arm |
Interventie / BehandelingInterventie / Behandeling |
|---|---|
|
Experimenteel: Group A: TAR-200
Participants will receive intravesical TAR-200 every 3 weeks during an induction phase and every 12 weeks during a maintenance phase. |
Participants will receive TAR-200 intravesically.
Andere namen:
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Actieve vergelijker: Group B: Mitomycin C (MMC) or Gemcitabine
Participants will receive either single agent intravesical MMC or gemcitabine every week during an induction phase and every 4 weeks during a maintenance phase. |
Participants will receive MMC intravesically. Participants will receive gemcitabine intravesically. |
Wat meet het onderzoek?
Primaire uitkomstmaten
Primaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
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Disease-free Survival (DFS)
Tijdsspanne: Up to 6 years 7 months
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DFS will be measured as the time from randomization to the time of the first recurrence of high-risk non-muscle-invasive bladder cancer (HR-NMIBC) [high grade (HG) Ta, any T1 or carcinoma in situ (CIS)], progression, or death due to any cause, whichever occurs first. |
Up to 6 years 7 months
|
Secundaire uitkomstmaten
Secundaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
|
Recurrence-Free Survival (RFS)
Tijdsspanne: Up to 6 years 7 months
|
RFS will be measured as the time from randomization to the time of the first recurrence of HR-NMIBC (HG Ta, any T1 or CIS), or death due to any cause, whichever occurs first. |
Up to 6 years 7 months
|
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Time to Next Intervention (TTNI)
Tijdsspanne: Up to 6 years 7 months
|
TTNI will be measured as the time from randomization to the time of next intervention (localized or systemic) for the treatment of bladder cancer. |
Up to 6 years 7 months
|
|
Time to Disease Worsening (TTDW)
Tijdsspanne: Up to 6 years 7 months
|
TTDW is measured as the time from randomization to cystectomy, systemic therapy, or radiation therapy (treatments of disease worsening). |
Up to 6 years 7 months
|
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Time to Progression (TTP)
Tijdsspanne: Up to 6 years 7 months
|
TTP will be measured as the time from randomization to the time of first documented evidence of disease progression (that is, progression to muscle-invasive bladder cancer [MIBC] [T greater than or equal to {>=} 2], lymph node disease [N+], or distant disease [M+]), or death due to disease progression, whichever occurs first. |
Up to 6 years 7 months
|
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Overall Survival (OS)
Tijdsspanne: Up to 6 years 7 months
|
OS is defined as the time from randomization to death, due to any cause. |
Up to 6 years 7 months
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DFS Rate at 12 and 24 Months
Tijdsspanne: At 12 and 24 months
|
DFS rate that is percentage of participants with DFS at 12 and 24 months will be reported. |
At 12 and 24 months
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Number of Participants with Adverse Events (AEs) According to Common Terminology Criteria for Adverse Events (CTCAE)
Tijdsspanne: Up to 6 years 7 months
|
Number of participants with AEs by severity grade as assessed by CTCAE version 5 will be reported. Grade refers to the severity of AE as follows: Grade 1- Mild; Grade 2- Moderate; Grade 3- Severe; Grade 4- Life-threatening; Grade 5- Death related to adverse event. |
Up to 6 years 7 months
|
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Number of Participants With Change from Baseline in Laboratory Abnormalities
Tijdsspanne: Up to 6 years 7 months
|
Number of participants with change from baseline in laboratory abnormalities (including hematology, clinical chemistry and routine urinalysis) will be reported. |
Up to 6 years 7 months
|
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Number of Participants With Change from Baseline in Vital Signs Abnormalities
Tijdsspanne: Up to 6 years 7 months
|
Number of participants with change from baseline in vital signs including temperature, pulse/heart rate, respiratory rate, and blood pressure (systolic and diastolic) (supine) will be reported. |
Up to 6 years 7 months
|
|
Change from Baseline in European Organisation for Research and Treatment of Cancer Quality-of-life Questionnaire (EORTC QLQ) - C30 Scores
Tijdsspanne: Up to 5 years
|
EORTC QLQ-C30 is a 30-item questionnaire for evaluating the health-related quality of life (HRQoL) of participants participating in cancer clinical studies. It includes 5 functional scales (physical, role, cognitive, emotional, and social), 3 symptom scales (fatigue, pain, and nausea or vomiting), and a global health status or HRQoL scale. Ratings for each item range from 1 (not at all) to 4 (very much). |
Up to 5 years
|
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Change from Baseline in EORTC QLQ- Non-Muscle-Invasive Bladder Cancer (NMIBC) 24 Scores
Tijdsspanne: Up to 5 years
|
EORTC QLQ-NMIBC24 is a 24-item questionnaire for evaluating the HRQoL of participants with NMIBC. The questionnaire is designed to supplement the QLQ-C30 and incorporates 6 multi-item scales (urinary symptoms, malaise, future worries, bloating and flatulence, sexual function and male sexual problems) and 5 single items (intravesical treatment issues, sexual intimacy, worries about risk of contaminating partner, sexual enjoyment, and female sexual problems). Ratings for each item range from 1 (not at all) to 4 (very much). |
Up to 5 years
|
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Proportion of Participants With Meaningful Change in EORTC QLQ-C30 and EORTC QLQ-NMIBC24 Scores
Tijdsspanne: Up to 5 years
|
Proportion of participants with meaningful change in EORTC QLQ-C30 and EORTC QLQ-NMIBC24 scores will be reported. |
Up to 5 years
|
Medewerkers en onderzoekers
Sponsor
Sponsor
Onderzoekers
Onderzoekers
- Studie directeur: Janssen Research & Development, LLC Clinical trial, Janssen Research & Development, LLC
Studie record data
Bestudeer belangrijke data
Studie start (Werkelijk)
Studie start
Primaire voltooiing (Geschat)
Primaire voltooiing
Studie voltooiing (Geschat)
Studie voltooiing
Studieregistratiedata
Eerst ingediend
Eerst ingediend
Eerst ingediend dat voldeed aan de QC-criteria
Eerst ingediend dat voldeed aan de QC-criteria
Eerst geplaatst (Werkelijk)
Eerst geplaatst
Updates van studierecords
Laatste update geplaatst (Werkelijk)
Laatste update geplaatst
Laatste update ingediend die voldeed aan QC-criteria
Laatste update ingediend die voldeed aan QC-criteria
Laatst geverifieerd
Laatst geverifieerd
Meer informatie
Termen gerelateerd aan deze studie
Aanvullende relevante MeSH-voorwaarden
- Urogenitale ziekten
- Urogenitale neoplasmata
- Neoplasmata per site
- Neoplasmata
- Mannelijke urogenitale ziekten
- Urologische ziekten
- Vrouwelijke urogenitale ziekten
- Vrouwelijke urogenitale ziekten en zwangerschapscomplicaties
- Neoplasmata per histologisch type
- Neoplasmata, glandulair en epitheel
- Urologische neoplasmata
- Carcinoom
- Ziekten van de urineblaas
- Neoplasmata van de urineblaas
- Niet-spierinvasieve blaasneoplasmata
- Organische chemicaliën
- Heterocyclische verbindingen, 1-ring
- Heterocyclische verbindingen
- Heterocyclische verbindingen, 2-ring
- Heterocyclische verbindingen, gefuseerd ring
- Indolen
- Deoxycytidine
- Cytidine
- Pyrimidine -nucleosiden
- Pyrimidines
- Chinones
- Azirines
- Mitomycines
- Indolequinonen
- Gemcitabine
- Mitomycine
Andere studie-ID-nummers
Andere studie-ID-nummers
- 17000139BLC3004
- 17000139BLC3004 (Andere identificatie: Janssen Research & Development, LLC)
- 2023-507685-10-00 (Register-ID: EUCT number)
- 2023 (Subsidie/contract van de Amerikaanse NIH)
Plan Individuele Deelnemersgegevens (IPD)
Bent u van plan om gegevens van individuele deelnemers (IPD) te delen?
Beschrijving IPD-plan
The data sharing policy of Johnson & Johnson Innovative Medicine is available at www.innovativemedicine.jnj.com/our-innovation/clinical-trials/transparency. As noted on this site, requests for access to the study data can be submitted through Yale Open Data Access (YODA) Project site at yoda.yale.edu.
Informatie over medicijnen en apparaten, studiedocumenten
Bestudeert een door de Amerikaanse FDA gereguleerd geneesmiddel
Bestudeert een door de Amerikaanse FDA gereguleerd apparaatproduct
Deze informatie is zonder wijzigingen rechtstreeks van de website clinicaltrials.gov gehaald. Als u verzoeken heeft om uw onderzoeksgegevens te wijzigen, te verwijderen of bij te werken, neem dan contact op met register@clinicaltrials.gov. Zodra er een wijziging wordt doorgevoerd op clinicaltrials.gov, wordt deze ook automatisch bijgewerkt op onze website .