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Een klinische studie van V940 en BCG bij mensen met blaaskanker (V940-011/Interpath-011)

30 september 2026 bijgewerkt door: Merck Sharp & Dohme LLC

Een fase 2 open-label gerandomiseerde studie van V940 in combinatie met BCG versus BCG-monotherapie bij deelnemers met risicovolle niet-gespasde blaaskanker met niet-spierblaas (InterPath-011)

Researchers are looking for new ways to treat people with high-risk non-muscle invasive bladder cancer (HR NMIBC). NMIBC is cancer in the tissue that lines the inside of the bladder but has not spread to the bladder muscle or outside of the bladder. High-risk means NMIBC may have a high chance of getting worse or coming back after treatment. HR NMIBC can also include carcinoma in situ (CIS). CIS is bladder cancer that appears flat and is only in the inner layer (surface) of the bladder. CIS is not raised and is not growing toward the center of the bladder.

The standard treatment for HR NMIBC is a procedure to remove the tumor called transurethral resection of the bladder tumor (TURBT) followed by Bacillus Calmette-Guerin (BCG). Standard treatment is something that is considered the first line of treatment for a condition. BCG is an immunotherapy, which is a treatment that helps the immune system fight cancer. However, BCG may not work to treat HR NMIBC in some people. Researchers want to learn if adding intismeran autogene, the study treatment, to standard treatment can help treat HR NMIBC. Intismeran autogene is designed to help a person's immune system attack their specific cancer.

The goal of this study are to learn if people who receive V940 with BCG live longer and without the cancer growing, spreading, or coming back compared to people who receive BCG alone.

Studie Overzicht

Gedetailleerde beschrijving

As of Amendment 03 (effective 01/05/2026), outcome measures associated with the Intismeran autogene Monotherapy Arm (Cohort B) are no longer considered primary or secondary outcome measures.

Studietype

Ingrijpend

Inschrijving (Geschat)

308

Fase

  • Fase 2

Contacten en locaties

In dit gedeelte vindt u de contactgegevens van degenen die het onderzoek uitvoeren en informatie over waar dit onderzoek wordt uitgevoerd.

Studiecontact

Studie Locaties

      • La Rioja, Argentinië, F5300COE
        • Werving
        • Fundación CORI para la Investigación y Prevención del Cáncer ( Site 0301)
        • Contact:
          • Study Coordinator
          • Telefoonnummer: 543804425438
    • Buenos Aires
      • CABA, Buenos Aires, Argentinië, C1199ABD
        • Werving
        • Hospital Italiano de Buenos Aires ( Site 0307)
        • Contact:
          • Study Coordinator
          • Telefoonnummer: 541149590200
      • Ciudad Autónoma de Buenos Aires, Buenos Aires, Argentinië, C1426ANZ
        • Werving
        • Instituto Alexander Fleming ( Site 0306)
        • Contact:
          • Study Coordinator
          • Telefoonnummer: 5491153288346
      • Mar del Plata, Buenos Aires, Argentinië, B7600FZO
        • Werving
        • Instituto de Investigaciones Clinicas Mar de Plata ( Site 0305)
        • Contact:
          • Study Coordinator
          • Telefoonnummer: +542234963224
    • Buenos Aires F.D.
      • Buenos Aires, Buenos Aires F.D., Argentinië, C1419AHN
        • Werving
        • Asociación de Beneficencia Hospital Sirio Libanés ( Site 0303)
        • Contact:
          • Study Coordinator
          • Telefoonnummer: +541145740870
    • Santa Fe Province
      • Rosario, Santa Fe Province, Argentinië, S2000DEJ
        • Werving
        • Fundacion Estudios Clinicos ( Site 0304)
        • Contact:
          • Study Coordinator
          • Telefoonnummer: +5403412221472
      • Rosario, Santa Fe Province, Argentinië, S2000DSV
        • Werving
        • Sanatorio Parque ( Site 0300)
        • Contact:
          • Study Coordinator
          • Telefoonnummer: +543414268409
    • New South Wales
      • Macquarie University, New South Wales, Australië, 2109
        • Werving
        • Macquarie University ( Site 1801)
        • Contact:
          • Study Coordinator
          • Telefoonnummer: +61298122968
    • Western Australia
      • Perth, Western Australia, Australië, 6150
        • Werving
        • Fiona Stanley Hospital ( Site 1803)
        • Contact:
          • Study Coordinator
          • Telefoonnummer: +61861511130
    • Paraná
      • Curitiba, Paraná, Brazilië, 80510-130
        • Werving
        • Instituto do Câncer e Transplante de Curitiba ( Site 0402)
        • Contact:
          • Study Coordinator
          • Telefoonnummer: +5541992057755
    • Rio Grande do Sul
      • Passo Fundo, Rio Grande do Sul, Brazilië, 99010-260
        • Werving
        • Hospital de Clínicas de Passo Fundo ( Site 0406)
        • Contact:
          • Study Coordinator
          • Telefoonnummer: 55 54 981271411
    • São Paulo
      • Barretos, São Paulo, Brazilië, 14784-400
        • Werving
        • Fundação Pio XII - Hospital de Câncer de Barretos ( Site 0400)
        • Contact:
          • Study Coordinator
          • Telefoonnummer: +5517996782301
      • São Jose Do Rio Preto, São Paulo, Brazilië, 15090-000
        • Werving
        • Fundação Faculdade Regional de Medicina de São José do Rio Preto ( Site 0410)
        • Contact:
          • Study Coordinator
          • Telefoonnummer: 551732015054
    • New Brunswick
      • Moncton, New Brunswick, Canada, E1C 6Z8
        • Werving
        • The Moncton Hospital-Oncology ( Site 0200)
        • Contact:
          • Study Coordinator
          • Telefoonnummer: 5068574780
    • Quebec
      • Sherbrooke, Quebec, Canada, J1H 5N4
        • Werving
        • Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre Hospitalier Univer ( Site 0204)
        • Contact:
          • Study Coordinator
          • Telefoonnummer: 8193461110
      • Antofagasta, Chili, 1240000
        • Werving
        • Bradford Hill Norte ( Site 0503)
        • Contact:
          • Study Coordinator
          • Telefoonnummer: +56442023631
    • Los Ríos Region
      • Valdivia, Los Ríos Region, Chili, 5112129
        • Werving
        • Oncocentro Valdivia ( Site 0507)
        • Contact:
          • Study Coordinator
          • Telefoonnummer: +56958537020
    • Region M. de Santiago
      • Santiago, Region M. de Santiago, Chili, 8330032
        • Werving
        • Pontificia Universidad Catolica de Chile ( Site 0502)
        • Contact:
          • Study Coordinator
          • Telefoonnummer: +56223543334
      • Santiago, Region M. de Santiago, Chili, 8420383
        • Werving
        • Bradfordhill ( Site 0501)
        • Contact:
          • Study Coordinator
          • Telefoonnummer: +562 29490970
      • Santiago, Region M. de Santiago, Chili, 7500921
        • Werving
        • Fundación Arturo López Pérez ( Site 0500)
        • Contact:
          • Study Coordinator
          • Telefoonnummer: 56224218596
    • Valparaiso
      • Viña del Mar, Valparaiso, Chili, 2520598
        • Werving
        • ONCOCENTRO APYS ( Site 0505)
        • Contact:
          • Study Coordinator
          • Telefoonnummer: +56985719699
    • Antioquia
      • Medellín, Antioquia, Colombia, 050021
        • Actief, niet wervend
        • Promotora Médica Las Américas S.A. ( Site 0600)
    • Bogota D.C.
      • Bogotá, Bogota D.C., Colombia, 111321
        • Werving
        • Clinica Colsanitas S.A, Sede Clínica Universitaria Colombia-Center Investigator ( Site 0603)
        • Contact:
          • Study Coordinator
          • Telefoonnummer: +573016254437
    • Departamento de Córdoba
      • Montería, Departamento de Córdoba, Colombia, 230002
        • Werving
        • IMAT S.A.S ( Site 0601)
        • Contact:
          • Study Coordinator
          • Telefoonnummer: +576047862333
    • Risaralda Department
      • Pereira, Risaralda Department, Colombia, 661001
        • Werving
        • Oncólogos del Occidente S.A.S. - Sede Pereira ( Site 0604)
        • Contact:
          • Study Coordinator
          • Telefoonnummer: +573002558656
    • Valle del Cauca Department
      • Cali, Valle del Cauca Department, Colombia
        • Werving
        • Clínica Imbanaco S.A.S ( Site 0602)
        • Contact:
          • Study Coordinator
          • Telefoonnummer: +576023851000
    • Capital Region
      • Herlev, Capital Region, Denemarken, 2730
        • Werving
        • Herlev and Gentofte Hospital ( Site 3101)
        • Contact:
          • Study Coordinator
          • Telefoonnummer: +4538683868
    • Baden-Wurttemberg
      • Stuttgart, Baden-Wurttemberg, Duitsland, 70174
        • Werving
        • Klinikum Stuttgart - Katharinenhospital ( Site 0909)
        • Contact:
          • Study Coordinator
          • Telefoonnummer: +4971127854720
    • Bavaria
      • Munich, Bavaria, Duitsland, 81377
        • Werving
        • Klinikum der Universität München Großhadern ( Site 0910)
        • Contact:
          • Study Coordinator
          • Telefoonnummer: +4989440072268
    • North Rhine-Westphalia
      • Herne, North Rhine-Westphalia, Duitsland, 44625
        • Werving
        • Marienhospital Herne ( Site 0907)
        • Contact:
          • Study Coordinator
          • Telefoonnummer: +4923234990
    • Saxony-Anhalt
      • Halle, Saxony-Anhalt, Duitsland, 06120
        • Werving
        • Universitaetsklinikum Halle ( Site 0902)
        • Contact:
          • Study Coordinator
          • Telefoonnummer: +49 345 557 5810
    • Thuringia
      • Jena, Thuringia, Duitsland, 07747
        • Werving
        • Universitaetsklinikum Jena ( Site 0903)
        • Contact:
          • Study Coordinator
          • Telefoonnummer: +49 3641 9329901
    • Cote-d Or
      • Dijon, Cote-d Or, Frankrijk, 21079
        • Werving
        • CHU Dijon Bourgogne ( Site 0802)
        • Contact:
          • Study Coordinator
          • Telefoonnummer: +33380295753
    • Gironde
      • Bordeaux, Gironde, Frankrijk, 33076
        • Werving
        • Bordeaux University Hospital - Pellegrin ( Site 0806)
        • Contact:
          • Study Coordinator
          • Telefoonnummer: +33556795547
    • Haute-Normandie
      • Rouen, Haute-Normandie, Frankrijk, 76031
        • Werving
        • CHU de Rouen- urology ( Site 0803)
        • Contact:
          • Study Coordinator
          • Telefoonnummer: +33 2 32 88 89 90
    • Hauts-de-Seine
      • Suresnes, Hauts-de-Seine, Frankrijk, 92150
        • Werving
        • Hôpital Foch-Urology department ( Site 0801)
        • Contact:
          • Study Coordinator
          • Telefoonnummer: +33146252040
    • Île-de-France Region
      • Paris, Île-de-France Region, Frankrijk, 75010
        • Werving
        • Hôpital Saint-Louis ( Site 0807)
        • Contact:
          • Study Coordinator
          • Telefoonnummer: +33142499620
      • Thessaloniki, Griekenland, 570 01
        • Werving
        • European Interbalkan Medical Center-Oncology Department ( Site 1008)
        • Contact:
          • Study Coordinator
          • Telefoonnummer: 0030 2310400213
    • Attica
      • Athens, Attica, Griekenland, 155 62
        • Werving
        • Metropolitan General Hospital ( Site 1001)
        • Contact:
          • Study Coordinator
          • Telefoonnummer: 0030 2106502831
      • Athens, Attica, Griekenland, 115 26
        • Werving
        • Henry Dunant Hospital ( Site 1005)
        • Contact:
          • Study Coordinator
          • Telefoonnummer: 0030 2106972246
      • Chaidari/Athens, Attica, Griekenland, 124 62
        • Werving
        • ATTIKON GENERAL UNIVERSITY HOSPITAL ( Site 1000)
        • Contact:
          • Study Coordinator
          • Telefoonnummer: 0030 2105832549
      • Debrecen, Hongarije, 4032
        • Werving
        • Debreceni Egyetem Klinikai Kozpont ( Site 1112)
        • Contact:
          • Study Coordinator
          • Telefoonnummer: +3652255256
    • Csongrád megye
      • Szeged, Csongrád megye, Hongarije, 6725
        • Werving
        • Szegedi Tudomanyegyetem ( Site 1113)
        • Contact:
          • Study Coordinator
          • Telefoonnummer: +3662545404
    • Győr-Moson-Sopron
      • Győr, Győr-Moson-Sopron, Hongarije, 9024
        • Werving
        • Gyor- Moson- Sopron Varmegyei Petz Aladar Egyetemi Oktato Korhaz ( Site 1116)
        • Contact:
          • Study Coordinator
          • Telefoonnummer: + 36 96 507 900
    • Heves County
      • Eger, Heves County, Hongarije, 3300
        • Werving
        • Heves Vármegyei Markhot Ferenc Oktatókórház és Rendelőintézet ( Site 1118)
        • Contact:
          • Study Coordinator
          • Telefoonnummer: +3636411444/3802
    • Szabolcs-Szatmár-Bereg
      • Nyíregyháza, Szabolcs-Szatmár-Bereg, Hongarije, 4400
        • Werving
        • Szabolcs-Szatmar-Bereg Varmegyei Oktatokorhaz Nyiregyhazi Josa Andras Tagkorhaza ( Site 1117)
        • Contact:
          • Study Coordinator
          • Telefoonnummer: +36 42 599 700
      • Arezzo, Italië, 52100
        • Werving
        • Azienda USL 8 di Arezzo ( Site 1203)
        • Contact:
          • Study Coordinator
          • Telefoonnummer: 00390575255434
      • Roma, Italië, 00168
        • Werving
        • Fondazione Policlinico Universitario Agostino Gemelli IRCCS - Università Cattolica del Sacro Cuore ( Site 1200)
        • Contact:
          • Study Coordinator
          • Telefoonnummer: 0039 06 3015.7080
    • Lombardy
      • Milan, Lombardy, Italië, 20133
        • Werving
        • Fondazione IRCCS Istituto Nazionale dei Tumori ( Site 1202)
        • Contact:
          • Study Coordinator
          • Telefoonnummer: 003902.2390 4450
    • Roma
      • Rome, Roma, Italië, 00128
        • Werving
        • Istituto Nazionale Tumori Regina Elena ( Site 1201)
        • Contact:
          • Study Coordinator
          • Telefoonnummer: 003906 588961
    • Gelderland
      • Arnhem, Gelderland, Nederland, 6815 AD
        • Werving
        • Rijnstate ( Site 1307)
        • Contact:
          • Study Coordinator
          • Telefoonnummer: +31880058124
    • South Holland
      • Rotterdam, South Holland, Nederland, 3015 GD
        • Werving
        • Erasmus MC ( Site 1300)
        • Contact:
          • Study Coordinator
          • Telefoonnummer: +31 10 7041566
      • Lima, Peru, 15076
        • Actief, niet wervend
        • Hospital Militar Central Luis Arias Schereiber ( Site 0700)
    • Lima Province
      • Lima, Lima Province, Peru, 15036
        • Werving
        • Oncosalud ( Site 0701)
        • Contact:
          • Study Coordinator
          • Telefoonnummer: +515137900
    • Lima region
      • San Isidro, Lima region, Peru, 15038
        • Actief, niet wervend
        • IPOR Instituto Peruano de Oncología & Radioterapia ( Site 0702)
    • Greater Poland Voivodeship
      • Poznan, Greater Poland Voivodeship, Polen, 61-731
        • Werving
        • Clinical Research Center Spółka z ograniczoną odpowiedzialnością MEDIC-R Sp.k ( Site 1402)
        • Contact:
          • Study Coordinator
          • Telefoonnummer: +48 500 799 053
    • Lesser Poland Voivodeship
      • Tarnów, Lesser Poland Voivodeship, Polen, 33-100
        • Werving
        • Szpital Wojewódzki im. Świętego Lukasza SP ZOZ w Tarnowie ( Site 1404)
        • Contact:
          • Study Coordinator
          • Telefoonnummer: +48146315000
      • Warszawa, Lesser Poland Voivodeship, Polen, 02-781
        • Voltooid
        • Narodowy Instytut Onkologii im. Marii Sklodowskiej-Curie - P-Klinika Nowotworów Układu Moczowego ( Site 1401)
      • Madrid, Spanje, 28040
        • Werving
        • Hospital Clinico San Carlos... ( Site 1500)
        • Contact:
          • Study Coordinator
          • Telefoonnummer: +34913303000
      • Madrid, Spanje, 28041
        • Werving
        • Hospital Universitario 12 de Octubre ( Site 1507)
        • Contact:
          • Study Coordinator
          • Telefoonnummer: +34913908121
      • Madrid, Spanje, 28223
        • Werving
        • HOSPITAL UNIVERSITARIO QUIRONSALUD MADRID ( Site 1506)
        • Contact:
          • Study Coordinator
          • Telefoonnummer: +34914521987
      • Seville, Spanje, 41009
        • Werving
        • Hospital Universitario Virgen Macarena ( Site 1504)
        • Contact:
          • Study Coordinator
          • Telefoonnummer: +3495500800
    • Barcelona
      • Sabadell, Barcelona, Spanje, 08208
        • Werving
        • Hospital Universitari Parc Tauli ( Site 1505)
        • Contact:
          • Study Coordinator
          • Telefoonnummer: +34937240084
    • Canary Islands
      • Las Palmas de Gran Canaria, Canary Islands, Spanje, 35016
        • Werving
        • Hospital Insular de Gran Canaria ( Site 1502)
        • Contact:
          • Study Coordinator
          • Telefoonnummer: +34928441738
    • Bangkok
      • Dusit, Bangkok, Thailand, 10300
        • Werving
        • Bangkok Metropolitan Administration Medical College and Vajira Hospital ( Site 3002)
        • Contact:
          • Study Coordinator
          • Telefoonnummer: +6622443522
    • Changwat Khon Kaen
      • Muang, Changwat Khon Kaen, Thailand, 40002
        • Werving
        • Faculty of Medicine - Khon Kaen University ( Site 3001)
        • Contact:
          • Study Coordinator
          • Telefoonnummer: +6643363746
      • Torquay, Verenigd Koninkrijk, TQ2 7AA
        • Werving
        • Torbay Hospital ( Site 1701)
        • Contact:
          • Study Coordinator
          • Telefoonnummer: +441803614567
    • Glasgow City
      • Glasgow, Glasgow City, Verenigd Koninkrijk, G12 0YN
        • Werving
        • Gartnavel General Hospital ( Site 1702)
        • Contact:
          • Study Coordinator
          • Telefoonnummer: +441413017000
    • London, City of
      • London, London, City of, Verenigd Koninkrijk, EC1A 7BE
        • Werving
        • St Bartholomew s Hospital ( Site 1700)
        • Contact:
          • Study Coordinator
          • Telefoonnummer: +4402073777000
    • California
      • Bakersfield, California, Verenigde Staten, 93301
        • Werving
        • Michael G Oefelein Clinical Trials ( Site 0138)
        • Contact:
          • Study Coordinator
          • Telefoonnummer: 661-310-1063
      • Los Alamitos, California, Verenigde Staten, 90720
        • Actief, niet wervend
        • Genesis Research, LLC ( Site 0141)
      • Los Angeles, California, Verenigde Staten, 90033
        • Werving
        • USC Norris Comprehensive Cancer Center ( Site 0123)
        • Contact:
          • Study Coordinator
          • Telefoonnummer: 800-872-2273
      • Torrance, California, Verenigde Staten, 90503
        • Werving
        • Genesis Healthcare-Torrance ( Site 0140)
        • Contact:
          • Study Coordinator
          • Telefoonnummer: 310-542-0199
      • Torrance, California, Verenigde Staten, 90505
        • Werving
        • Genesis Research LLC ( Site 0118)
        • Contact:
          • Study Coordinator
          • Telefoonnummer: 310-534-8400
    • Colorado
      • Littleton, Colorado, Verenigde Staten, 80122
        • Werving
        • Urology Associates ( Site 0144)
        • Contact:
          • Study Coordinator
          • Telefoonnummer: 303-733-8848
    • Florida
      • Hialeah, Florida, Verenigde Staten, 33016
        • Werving
        • Urological Research Network ( Site 0133)
        • Contact:
          • Study Coordinator
          • Telefoonnummer: 786-431-2014
    • Illinois
      • Chicago Ridge, Illinois, Verenigde Staten, 60415
        • Werving
        • Associated Urological Specialists - Chicago Ridge ( Site 0139)
        • Contact:
          • Study Coordinator
          • Telefoonnummer: 708-566-6983
    • Louisiana
      • Lafayette, Louisiana, Verenigde Staten, 70508
        • Werving
        • Southern Urology, LLC ( Site 0145)
        • Contact:
          • Study Coordinator
          • Telefoonnummer: 337-233-6665
    • Missouri
      • Columbia, Missouri, Verenigde Staten, 65212
        • Werving
        • University of Missouri Health Care ( Site 0126)
        • Contact:
          • Study Coordinator
          • Telefoonnummer: 573-882-7026
    • Nebraska
      • Lincoln, Nebraska, Verenigde Staten, 68506
        • Werving
        • NHO Revive Research Institute, LLC ( Site 0137)
        • Contact:
          • Study Coordinator
          • Telefoonnummer: 402-484-4900
    • New York
      • New York, New York, Verenigde Staten, 10016
        • Werving
        • Laura and Isaac Perlmutter Cancer Center at NYU Langone Health ( Site 0111)
        • Contact:
          • Study Coordinator
          • Telefoonnummer: 646-960-1012
    • Ohio
      • Cincinnati, Ohio, Verenigde Staten, 45212
        • Werving
        • TriState Urologic Services PSC Inc. dba The Urology Group ( Site 0122)
        • Contact:
          • Study Coordinator
          • Telefoonnummer: 513-841-7700
    • Oregon
      • Portland, Oregon, Verenigde Staten, 97239
        • Werving
        • OHSU Knight Cancer Institute - South Waterfront ( Site 0110)
        • Contact:
          • Study Coordinator
          • Telefoonnummer: 503-494-4779
    • Pennsylvania
      • Bala-Cynwyd, Pennsylvania, Verenigde Staten, 19004
        • Werving
        • MidLantic Urology ( Site 0102)
        • Contact:
          • Study Coordinator
          • Telefoonnummer: 610-667-0458
    • Tennessee
      • Germantown, Tennessee, Verenigde Staten, 38138
        • Werving
        • The Conrad Pearson Clinic ( Site 0143)
        • Contact:
          • Study Coordinator
          • Telefoonnummer: 901-236-0957
    • Texas
      • Austin, Texas, Verenigde Staten, 78759
        • Werving
        • Urology Austin, PLLC ( Site 0109)
        • Contact:
          • Study Coordinator
          • Telefoonnummer: 512-410-3773
      • Austin, Texas, Verenigde Staten, 78705
        • Werving
        • Texas Oncology-Austin Central ( Site 0107)
        • Contact:
          • Study Coordinator
          • Telefoonnummer: 512-421-4235
    • Virginia
      • Virginia Beach, Virginia, Verenigde Staten, 23462
        • Werving
        • Urology of Virginia ( Site 0125)
        • Contact:
          • Study Coordinator
          • Telefoonnummer: 757-457-5100
    • Washington
      • Seattle, Washington, Verenigde Staten, 98195
        • Werving
        • University of Washington - Fred Hutchinson Cancer Center ( Site 0100)
        • Contact:
          • Study Coordinator
          • Telefoonnummer: 206-598-3300

Deelname Criteria

Onderzoekers zoeken naar mensen die aan een bepaalde beschrijving voldoen, de zogenaamde geschiktheidscriteria. Enkele voorbeelden van deze criteria zijn iemands algemene gezondheidstoestand of eerdere behandelingen.

Geschiktheidscriteria

Leeftijden die in aanmerking komen voor studie

18 jaar en ouder (Volwassen, Oudere volwassene)

Accepteert gezonde vrijwilligers

Nee

Geslachten die in aanmerking komen voor studie

Allemaal

Beschrijving

Inclusion Criteria:

The main inclusion criteria include but are not limited to the following:

- Is an individual whose most recent TURBT was performed within 12 weeks before randomization/allocation and showed BICR-confirmed high-risk NMIBC histology

Cohort A:

  • Has high-risk non-muscle invasive (HG Ta, T1, and/or CIS) UC of the bladder
  • Is BCG-naïve defined as either having never received BCG or having received BCG more than 2 years before high-risk NMIBC recurrence. Recurrence must be at least 24 months from the last exposure to BCG with evidence of complete response during the 2-year period post BCG

Cohort B:

  • Has CIS +/-papillary non-muscle invasive UC of the bladder
  • Is ineligible for, or refusing, any IVESIC therapy
  • Is either BCG-naïve (as defined above) or BCG-exposed but did not receive protocol-specified minimum dosing of BCG and experienced recurrence of high-risk NMIBC within 2 years of the last dose of BCG
  • Human immunodeficiency virus (HIV)-infected individuals must have well controlled HIV on antiretroviral therapy (ART)

Exclusion Criteria:

The main exclusion criteria include but are not limited to the following:

  • Has a history of or concurrent locally-advanced (ie, T2, T3, T4) or metastatic UC
  • Has concurrent extravesical (ie, urethra, ureter, renal pelvis) non-muscle invasive UC or a history of extravesical non-muscle invasive UC that recurred within the last 2 years, with certain exceptions
  • Has a known additional malignancy that is progressing or has required active treatment within the last 3 years
  • Has had a myocardial infarction within 6 months of randomization/allocation
  • Has received any systemic anticancer therapy including investigational agents within 4 weeks before randomization/allocation
  • Has received prior treatment with a cancer vaccine
  • Has immunodeficiency or is receiving chronic systemic steroid therapy
  • Has active autoimmune disease that has required systemic treatment in the last 2 years
  • Has any contraindication to IV contrast and gadolinium or is otherwise unable to have imaging with either computerized tomography urogram (CTU) or Magnetic resonance urography (MRU)

Cohort A:

  • Has current active tuberculosis
  • Has a known history of HIV infection

Cohort B:

- HIV-infected individuals with a history of Kaposi's sarcoma and/or Multicentric Castleman's Disease

Studie plan

Dit gedeelte bevat details van het studieplan, inclusief hoe de studie is opgezet en wat de studie meet.

Hoe is de studie opgezet?

Ontwerpdetails

  • Primair doel: Behandeling
  • Toewijzing: Gerandomiseerd
  • Interventioneel model: Parallelle opdracht
  • Masker: Geen (open label)

Wapens en interventies

Deelnemersgroep / Arm
Interventie / Behandeling
Experimenteel: Intismeran autogene + BCG

Participants in Cohort A receive 1 mg of intismeran autogene via intramuscular (IM) injection every 3 weeks (Q3W) for 9 doses. Participants also receive 50 mg of TICE® BCG once weekly for 6 weeks, then once weekly on weeks 13-15, 25-27, 49-51, and 73-75.

IM injection

Andere namen:
  • mRNA-4157
  • V940

Intravesicular instillation. BCG is a preparation of Bacillus Calmette-Guerin.

Andere namen:
  • BCG Live
  • Tice®
  • Theracys®
Actieve vergelijker: BCG

Participants in Cohort A receive 50 mg of TICE® BCG once weekly for 6 weeks, then once weekly on weeks 13-15, 25-27, 49-51, and 73-75

Intravesicular instillation. BCG is a preparation of Bacillus Calmette-Guerin.

Andere namen:
  • BCG Live
  • Tice®
  • Theracys®
Experimenteel: Intismeran autogene

Participants in Cohort B receive 1 mg of intismeran autogene via intramuscular (IM) injection every 3 weeks (Q3W) for 9 doses.

IM injection

Andere namen:
  • mRNA-4157
  • V940

Wat meet het onderzoek?

Primaire uitkomstmaten

Uitkomstmaat
Maatregel Beschrijving
Tijdsspanne
Cohort A: Event-free Survival (EFS)
Tijdsspanne: Up to approximately 5 years

EFS is defined as the time from randomization to any of the following events, as determined by blinded independent central review (BICR): High-grade (HG) non-invasive papillary carcinoma (Ta) or carcinoma in situ (CIS) in the bladder at the 24-week assessment or later; Any T1 stage disease in the bladder; Any T2 stage or greater in the bladder, including transurethral prostate stromal invasion of urothelial carcinoma (UC); High-risk disease (defined as HG Ta, CIS, ≥T1) of the urethra or upper tract (ureters, renal pelvis); Metastatic UC [defined as regional lymph node metastasis of UC (stage N1 or greater), or distant metastasis of UC including non-regional lymph nodes (stage M1)]; Or death due to any cause. The EFS for BCG-treated participants will be presented.

Up to approximately 5 years

Secundaire uitkomstmaten

Uitkomstmaat
Maatregel Beschrijving
Tijdsspanne
Cohort A: 12-Month Event-free Survival (EFS)
Tijdsspanne: Up to approximately 12 months

EFS is defined as the time from randomization to any of the following events, as determined by BICR where applicable: HG Ta or CIS in the bladder at the 24-week assessment or later; Any T1 stage disease in the bladder; Any T2 stage or greater in the bladder, including transurethral prostate stromal invasion of UC; High-risk disease (defined as HG Ta, CIS, ≥T1) of the urethra or upper tract (ureters, renal pelvis); Metastatic UC [defined as regional lymph node metastasis of UC (stage N1 or greater), or distant lymph node or visceral metastasis of UC (stage M1)]; Or death due to any cause. The EFS at 12 months for BCG-treated participants will be presented.

Up to approximately 12 months
Cohort A: 24-Month Event-free Survival (EFS)
Tijdsspanne: Up to approximately 24 months

EFS is defined as the time from randomization to any of the following events, as determined by BICR where applicable: HG Ta or CIS in the bladder at the 24-week assessment or later; Any T1 stage disease in the bladder; Any T2 stage or greater in the bladder, including transurethral prostate stromal invasion of UC; High-risk disease (defined as HG Ta, CIS, ≥T1) of the urethra or upper tract (ureters, renal pelvis); Metastatic UC [defined as regional lymph node metastasis of UC (stage N1 or greater), or distant lymph node or visceral metastasis of UC (stage M1)]; Or death due to any cause. The EFS at 24 months for BCG-treated participants will be presented.

Up to approximately 24 months
Cohort A: Recurrence-free Survival (RFS)
Tijdsspanne: Up to approximately 5 years

RFS is defined as the time from randomization to any of the following events, as determined by BICR where applicable: HG Ta or CIS in the bladder at the 24-week assessment or later; Any T1 stage disease in the bladder; Any T2 stage or greater in the bladder, including transurethral prostate stromal invasion of UC; High-risk disease (defined as HG Ta, CIS, ≥T1) of the urethra or upper tract (ureters, renal pelvis); Metastatic UC [defined as regional lymph node metastasis of UC (stage N1 or greater), or distant lymph node or visceral metastasis of UC (stage M1)]; Death due to any cause; or any other UC recurrence including low-grade (LG) Ta at any timepoint as well as HG Ta or CIS in the bladder before the 24-week assessment. The RFS will be presented.

Up to approximately 5 years
Cohort A: Disease-specific Survival (DSS)
Tijdsspanne: Up to approximately 5 years

DSS is defined as the time from randomization to death due to bladder cancer. The DSS will be presented.

Up to approximately 5 years
Cohort A: Overall Survival (OS)
Tijdsspanne: Up to approximately 5 years

OS is defined as the time from randomization to death due to any cause.

Up to approximately 5 years
Cohort A: 12 Month Overall Survival Rate (OSR)
Tijdsspanne: Up to approximately 12 months

OSR is defined as the percentage of participants who are alive at 12 months. The 12 month OSR for BCG-treated participants will be presented.

Up to approximately 12 months
Cohort A: 24 Month Overall Survival Rate (OSR)
Tijdsspanne: Up to approximately 24 months

OSR is defined as the percentage of participants who are alive at 24 months. The 24 month OSR for BCG-treated participants will be presented.

Up to approximately 24 months
Cohort A: Complete Response Rate (CRR)
Tijdsspanne: Up to approximately 5 years

CRR is defined as the percentage of participants who achieve a Complete Response (CR) defined as the absence of all of the following as determined by BICR: High-risk non-muscle invasive UC (defined as HG Ta, CIS, or any T1 disease of the bladder, urethra, or upper tract [ureters, renal pelvis]); Any T2 or greater in the bladder, including transurethral prostate stromal invasion of UC; Metastatic UC [defined as regional lymph node metastasis of UC (N1 or greater), or distant metastasis of UC including non-regional lymph nodes (M1)]. The CRR for BCG-treated participants will be presented.

Up to approximately 5 years
Cohort A: Duration of Response (DOR)
Tijdsspanne: Up to approximately 5 years

For participants who achieve a Complete Response (CR: the absence of all of the following as determined by BICR using urine cytology, biopsy, and radiology assessments as applicable, and local cystoscopy evaluation: High-risk non-muscle invasive UC (defined as HG Ta, CIS, or any T1 UC in the bladder, urethra; Any T2 or greater UC in the bladder, including transurethral prostate stromal invasion of UC; Extravesical UC as defined in CR; Metastatic UC [defined as regional lymph node metastasis of UC (N1 or greater), or distant lymph node or visceral metastasis of UC (M1)]), DOR is defined as the time from first documented CR to the first occurrence of any of the following: High-risk non-muscle invasive UC; muscle-invasive bladder cancer (MIBC) or locally-advanced or metastatic UC; Or death due to any cause. DOR as assessed by BICR will be presented.

Up to approximately 5 years
Cohort A: Time to Cystectomy
Tijdsspanne: Up to approximately 5 years

Time to cystectomy, defined as the time from randomization to the date of radical cystectomy, will be presented for BCG-treated participants.

Up to approximately 5 years
Cohort A: Number of Participants Who Experience an Adverse Event (AE)
Tijdsspanne: Up to approximately 21 months

An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a study intervention. The number of participants who experience an AE in the study will be presented.

Up to approximately 21 months
Cohort A: Number of Participants Who Discontinue Study Intervention Due to an AE
Tijdsspanne: Up to approximately 18 months

An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a study intervention. The number of participants who discontinue the study intervention due to an AE in the study will be presented.

Up to approximately 18 months

Medewerkers en onderzoekers

Hier vindt u mensen en organisaties die betrokken zijn bij dit onderzoek.

Medewerkers

Onderzoekers

  • Studie directeur: Medical Director, Merck Sharp & Dohme LLC

Publicaties en nuttige links

De persoon die verantwoordelijk is voor het invoeren van informatie over het onderzoek stelt deze publicaties vrijwillig ter beschikking. Dit kan gaan over alles wat met het onderzoek te maken heeft.

Studie record data

Deze datums volgen de voortgang van het onderzoeksdossier en de samenvatting van de ingediende resultaten bij ClinicalTrials.gov. Studieverslagen en gerapporteerde resultaten worden beoordeeld door de National Library of Medicine (NLM) om er zeker van te zijn dat ze voldoen aan specifieke kwaliteitscontrolenormen voordat ze op de openbare website worden geplaatst.

Bestudeer belangrijke data

Studie start (Werkelijk)

11 maart 2025

Primaire voltooiing (Geschat)

3 september 2031

Studie voltooiing (Geschat)

3 september 2031

Studieregistratiedata

Eerst ingediend

4 februari 2025

Eerst ingediend dat voldeed aan de QC-criteria

12 februari 2025

Eerst geplaatst (Werkelijk)

18 februari 2025

Updates van studierecords

Laatste update geplaatst (Werkelijk)

1 oktober 2026

Laatste update ingediend die voldeed aan QC-criteria

30 september 2026

Laatst geverifieerd

1 september 2026

Meer informatie

Termen gerelateerd aan deze studie

Plan Individuele Deelnemersgegevens (IPD)

Bent u van plan om gegevens van individuele deelnemers (IPD) te delen?

JA

Beschrijving IPD-plan

https://trialstransparency.msdclinicaltrials.com/pdf/ProcedureAccessClinicalTrialData.pdf

Informatie over medicijnen en apparaten, studiedocumenten

Bestudeert een door de Amerikaanse FDA gereguleerd geneesmiddel

Ja

Bestudeert een door de Amerikaanse FDA gereguleerd apparaatproduct

Nee

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 .

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