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NCT06319820ClinicalTrials.gov

A Study to Evaluate TAR-210 Versus Single Agent Intravesical Cancer Treatment in Participants With Bladder Cancer

A Phase 3, Randomized Study Evaluating the Efficacy and Safety of TAR-210 Erdafitinib Intravesical Delivery System Versus Single Agent Intravesical Chemotherapy in Participants With Intermediate-risk Non-muscle Invasive Bladder Cancer (IR-NMIBC) and Susceptible FGFR Alterations

En recrutementAccepte des participants actuellement, selon la fiche du registre.
Contacter cette étude

En bref

The main purpose of this study is to compare the disease-free survival between participants receiving treatment with TAR-210 versus investigator's choice of intravesical chemotherapy for treatment of intermediate-risk NMIBC.

Phase 3641 participants recherchés193 sites20 pays

Catégories

Enregistré dans 1 registre

Une même étude peut être enregistrée dans plusieurs registres. Nous l'affichons une seule fois et renvoyons vers chaque fiche que nous détenons.

Les informations de l'essai sont affichées telles que publiées par le registre, dans leur langue d'origine.

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How this study is set up

The points below are drawn from the public registry record for this study. Each one cites the field or sentence it came from. A dash (—) means the record does not state something — not that it is missing or wrong. Many well-run studies, especially small ones, leave some of these blank.

  • Present: Registered before enrolment beganFirst posted 2024-03-20; recorded start 2024-04-18
  • Present: Has a defined primary outcomeA primary outcome measure is listed in the record
  • Present: The primary outcome states a time frameThe primary outcome measure records a time frame
  • Present: Participants are randomly assignedAllocation is recorded as randomised
  • Present: Has a comparison groupThe record lists a placebo or comparator arm, or more than one study arm
  • Not stated: Open label (no blinding)Masking is recorded as none (open label)
  • Not stated: An ethics committee is not stated in the registry recordThis registry's ingested record has no ethics-committee field
  • Not stated: Regulatory oversight (such as an IND or IDE) is not stated in the registry recordThis registry's ingested record has no regulatory-authorisation field
  • Not stated: A data monitoring committee is not stated in the registry recordThis registry's ingested record has no data-monitoring-committee fieldA data monitoring committee is not required for many smaller studies, and its absence here is not unusual.
  • Present: No cost to participants is mentioned in the recordChecked the summary, description and eligibility text; no cost-to-participant phrase found
  • Present: Sponsor has 228 other studies in this databaseCounted from the lead sponsor named in the record (Janssen Research & Development, LLC)
  • Present: Sponsor has posted results for at least one studyBased on the sponsor’s studies in this database
  • The record lists 1 condition.
  • Lead sponsor type recorded as: industry.
  • Intervention regulatory context: investigational, within a phased regulatory pathway.

Trial stature

Three independent measures of this study, described from its registry record — not a recommendation about it. A rigorous study by investigators nobody has heard of is better evidence than a weak study led by a famous one. How these are scored.

Methodological rigourSTRONG

A strong methodological design for a phase 3 study, judged from its ClinicalTrials.gov record.

How this score is built
  • Randomised allocation20/20

    Participants are randomly allocated between arms

  • Blinding0/20

    Open-label

  • Control arm15/15

    Active-comparator control arm

  • Primary-outcome specificity10/10

    Named primary outcome with a defined time frame

  • Endpoint type10/10

    Mortality / MACE endpoint (hard clinical outcome)

  • Multi-centre8/8

    Multi-centre: 193 sites

  • Data monitoring committee7/7

    A data monitoring committee is in place

  • Prospective registration5/5

    Registered before the study start date

  • Protocol / SAP posted0/5

    No protocol or SAP posted to the registry

ScaleMEDIUM

A medium-sized study, international in scope: 641 participants (target), run at 193 sites, across 20 countries.

How this score is built
  • Enrolment28/40

    641 participants (target)

  • Site count25/25

    193 sites

  • Country count15/15

    20 countries

  • Planned duration10/10

    Planned over about 106 months

  • Sponsor scale9/10

    Janssen Research & Development, LLC has led 226 trials in our corpus

Investigator standingUNKNOWN

We have no verifiable track record for the investigator named on this trial. That is common for early-career investigators and for records held outside ClinicalTrials.gov — it is not a negative signal.

How this score is built
  • Investigator standing0/100

    No investigator recorded in the registry for this trial

These describe the registry record only, and today we hold ClinicalTrials.gov data. Absent fields lower a score, and absence often reflects registration practice rather than study quality. A high-stature trial is not necessarily safer or a better choice for you — enrolling in a large definitive trial can mean a higher chance of receiving placebo, while a small early-phase study may be the only route to a new therapy.

Résumé

The main purpose of this study is to compare the disease-free survival between participants receiving treatment with TAR-210 versus investigator's choice of intravesical chemotherapy for treatment of intermediate-risk NMIBC.

Affections

  • Non-Muscle Invasive Bladder Neoplasms

Éligibilité

Éligibilité
SexeTous
Âges18 YearsAucun maximum
Volontaires sainsNon

Éligibilité telle qu'elle figure dans le registre

Inclusion Criteria: * Main study only: Have a histologically confirmed diagnosis (within 90 days of randomization) of IR-NMIBC with at least one of the following criteria fulfilled: a. Ta low grade (LG)/ Grade 1 (G1): primary or recurrent, b. Ta LG/G2: primary or recurrent and c. Greater than or equal to (\>=) 1 of the following risk factors: i. Multiple Ta LG tumors, ii. Solitary LG tumor \>= 3 cm, iii. Early recurrence (less than \[\<\] 1 year), iv. Frequent recurrence (greater than \[\>\] 1 per year), v. Recurrence after prior adjuvant intravesical treatment (single perioperative dose of chemotherapy does not fulfill this risk factor) * Substudy only: Have a histologically confirmed new diagnosis (within 90 days of randomization) of IR-NMIBC for whom MMC is deemed the therapy of choice according to local standard of care with at least 1 of the following criteria fulfilled: a. Ta LG/G1, b. Ta LG/G2, and \>=1 of the following risk factors: i) Multiple Ta LG tumors, ii) Solitary LG tumor \>=3 cm * Have a susceptible fibroblast growth factor receptor (FGFR) mutation or fusion either by urine testing or tumor tissue testing (from TURBT tissue), as determined by central or local testing * Participants must be willing to undergo all study procedures (e.g., multiple cystoscopies from Screening through the end of study and TURBT for assessment of recurrence/progression) and receive the assigned treatment, including intravesical chemotherapy if randomized into that arm. * Visible papillary disease must be fully resected prior to randomization and absence of disease must be documented at Screening cystoscopy * Can have a prior or concurrent second malignancy (other than the disease under study) which natural history or treatment is unlikely to interfere with any study endpoints of safety or the efficacy of the study treatment * Have an Eastern Cooperative Oncology Group performance status of 0 to 2 Exclusion Criteria: * Known allergies, hypersensitivity, or intolerance to any study component or its excipients, including: a. Erdafitinib excipients; b.TAR-210 drug delivery system constituent materials ; c. urinary placement catheter materials; d. MMC or chemically related drugs; e. Gemcitabine or chemically related drugs * Presence of any bladder or urethral anatomic feature (that is, urethral stricture) that, in the opinion of the investigator, may prevent the safe insertion, indwelling use, removal of TAR-210 or passage of a urethral catheter for intravesical chemotherapy * Polyuria with recorded 24-hour urine volumes \> 4000 milliliters (mL) * Current indwelling urinary catheters, however, intermittent catheterization is acceptable * Had major surgery or had significant traumatic injury and/or not fully recovered within 4 weeks before first dose (TURBT is not considered major surgery) Substudy: \- Previous diagnosis of histologically confirmed urothelial bladder carcinoma at any time prior to current qualifying diagnosis

Éligibilité en énoncés simples

Les critères de cette fiche n'ont pas encore été décomposés en énoncés distincts. Le texte du registre ci-dessus est complet et fait foi.

Conception de l'étude

Conception de l'étude
Type d'étudeInterventionnelle
PhasePhase 3
RépartitionRandomisée
Modèle d'interventionPARALLEL
Objectif principalTREATMENT
InsuNONE (0)
Recrutement641 participants recherchés

Promoteur et collaborateurs

  • Janssen Research & Development, LLC Promoteur

Groupes et interventions

  • Main Study: Group A: TAR-210EXPERIMENTAL

    Participants in Group A will have TAR-210 inserted in the bladder on Day 1 and removed after 12 weeks. One TAR-210 will be inserted every 12 weeks over a treatment period of approximately 1 year.

  • Main Study: Group B: MMC or GemcitabineACTIVE_COMPARATOR

    Participants in Group B will receive intravesical mitomycin C (MMC) or gemcitabine (investigator's choice) once weekly for 4 to 6 induction doses followed by a maintenance phase for a minimum of 6 months and up to 1 year.

  • Substudy: Group A: TAR-210EXPERIMENTAL

    Participants in Group A will have TAR-210 inserted in the bladder on Day 1 and removed after 12 weeks. One TAR-210 will be inserted every 12 weeks over a treatment period of approximately 1 year.

  • Substudy: Group B: MMCACTIVE_COMPARATOR

    Participants in substudy Group B will receive intravesical MMC once weekly for 4 to 6 induction doses followed by a maintenance phase for a minimum of 6 months and up to 1 year.

Interventions

  • Médicament Gemcitabine

    Gemcitabine will be administered intravesically.

  • Médicament MMC

    MMC will be administered intravesically.

  • Produit combiné TAR-210

    TAR-210 will be administered intravesically.

Critères de jugement

  1. Critère de jugement principal

    Disease Free Survival (DFS)

    DFS is measured as the time from randomization to the date of the first documented recurrence of Ta non-muscle invasive bladder cancer (NMIBC) of any grade, disease progression, or death due to any cause, whichever occurs first.

    Délai From randomization to the date of the first documented recurrence, disease progression or death (approximately 4 years and 2 months)

  2. Critère de jugement secondaire

    Time to next Treatment (TTNT)

    TTNT is measured as the time from randomization to the date of first documented subsequent treatment (local, systemic, surgical, or interventional) for bladder cancer.

    Délai From randomization to the date of first documented subsequent treatment (local, systemic, surgical, or interventional) for bladder cancer (approximately 4 years and 2 months)

  3. Critère de jugement secondaire

    High Grade Recurrence-free Survival (HG RFS)

    HG RFS is measured as the time from randomization to the date of first documented evidence of HG NMIBC or death, whichever occurs first

    Délai From randomization to the date of first documented evidence of HG NMIBC or death (approximately 4 years and 2 months)

  4. Critère de jugement secondaire

    Progression Free Survival (PFS)

    PFS is measured as the time from randomization to the date of first documented evidence of disease progression or death, whichever occurs first.

    Délai From randomization to the date of first documented disease progression or death (approximately 4 years and 2 months)

  5. Critère de jugement secondaire

    Number of Diagnostic and Therapeutic Invasive Urological Interventions after Study Treatment

    Number of diagnostic and therapeutic invasive urological interventions after study treatment, that is, endoscopic procedures (e.g., cystoscopies, transurethral resection of bladder tumors (TURBTs), ureteroscopies, urethral interventions, urethral stricture/bladder neck incision), catheterization (intravesical, suprapubic), intravesical treatments, major surgeries (e.g., radical cystectomy, simple cystectomy, urethroplasty) will be reported.

    Délai From study treatment completion up to trial discontinuation (approximately 4 years and 2 months)

  6. Critère de jugement secondaire

    Number of Participants With Adverse Events (Including Physical Examination, Vital Signs and Laboratory Abnormalities)

    An AE is any untoward medical occurrence in a participant participating in a clinical study participant administered a pharmaceutical (investigational or non-investigational) product, that does not necessarily have a causal relationship with the treatment. AEs will be evaluated according to National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) Version 5.0. Severity of AEs has 5 grades based on CTCAE criteria: Grade 1: Mild; Grade 2: Moderate; Grade 3: Severe; Grade 4: Life-threatening and Grade 5: Death. Number of participants with adverse events (including physical examination, vital signs and laboratory abnormalities) will be reported.

    Délai From first dose up to 30 days after last dose of study treatment (approximately 4 years and 2 months)

  7. Critère de jugement secondaire

    Overall Survival (OS)

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

    Délai From randomization to the date of death (approximately 4 years and 2 months)

  8. Critère de jugement secondaire

    European Organization for Research and Treatment of Cancer-Quality of Life Questionnaire Core-30 items (EORTC-QLQ-C30) Scores

    EORTC QLQ-C30 is a core 30-item questionnaire for evaluating the health-related quality of life (HRQoL) of participants participating in cancer clinical studies. It incorporates 5 functional scales (physical, role, cognitive, emotional, and social functioning), 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). Higher scores indicated greater severity.

    Délai Baseline, Weeks 6, 12, 24, 36, and 48

  9. Critère de jugement secondaire

    European Organization for Research and Treatment of Cancer-Quality of Life Questionnaire for Non muscle Invasive Bladder Cancer (EORTC-QLQ-NMIBC24) Scores

    EORTC QLQ-NMIBC24 is a 24-item questionnaire for evaluating the HRQoL of participants with non-muscle-invasive bladder cancer. The questionnaire is designed to supplement the QLQ C30 and incorporates 6 multi-item scales and 5 single items. Ratings for each item range from 1 (not at all) to 4 (very much). Higher scores indicated greater severity.

    Délai Baseline, Weeks 6, 12, 24, 36, and 48

  10. Critère de jugement secondaire

    Percentage of Participants With Significant Change From Baseline in EORTC-QLQ-C30 Scores

    EORTC QLQ-C30 is a core 30-item questionnaire for evaluating the HRQoL of participants participating in cancer clinical studies. It incorporates 5 functional scales (physical, role, cognitive, emotional, and social functioning), 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). Higher scores indicated greater severity.

    Délai Weeks 6, 12, 24, 36, and 48

  11. Critère de jugement secondaire

    Percentage of Participants With Significant Change From Baseline in EORTC-QLQ-NMIBC24 Scores

    EORTC QLQ-NMIBC24 is a 24-item questionnaire for evaluating the HRQoL of participants with non-muscle-invasive bladder cancer. The questionnaire is designed to supplement the QLQ C30 and incorporates 6 multi-item scales and 5 single items. Ratings for each item range from 1 (not at all) to 4 (very much). Higher scores indicated greater severity.

    Délai Weeks 6, 12, 24, 36, and 48

Dates

Dates
Date de début18 avril 2024 (réelle)
Achèvement principal28 juin 2028 (estimée)
Achèvement31 décembre 2032 (estimée)
Première publication20 mars 2024 (réelle)
Dernière mise à jour28 août 2026
Résultats publiésNon précisé dans la fiche du registre
Statut vérifié pour la dernière foisaoût 2026

Réelle signifie que l'événement a eu lieu. Estimée signifie que le promoteur s'y attend. Les deux ont un sens différent.

Lieux

83 sites sont en recrutement

Argentina

Argentina
ÉtablissementVilleÉtat ou régionStatut
Hospital Sirio LibanesBuenos AiresActif, sans recrutement
Investigaciones Clinico Moleculares (ICM)CABAActif, sans recrutement
Cemaic Centro Privado de Especialidades Medicas Ambulatorias e Investigacion ClinicaCórdobaActif, sans recrutement
Centro Urologico Profesor BengioCórdobaActif, sans recrutement
Hospital Privado de la ComunidadMar del PlataActif, sans recrutement
Sanatorio de la MujerRosarioActif, sans recrutement

Austria

Austria
ÉtablissementVilleÉtat ou régionStatut
Medizinische Universitaet GrazGrazEn recrutement
Medizinische Universitat InnsbruckInnsbruckEn recrutement
Ordensklinikum Linz GmbH ElisabethinenLinzEn recrutement
Universitaetsklinikum Salzburg LandeskrankenhausSalzburgEn recrutement
Medical University Vienna MUVViennaEn recrutement

Belgium

Belgium
ÉtablissementVilleÉtat ou régionStatut
AZORG campus Aalst MoorselbaanAalstEn recrutement
AZ Sint-JanBrugesEn recrutement
UZ AntwerpenEdegemTerminé
AZ Maria MiddelaresGhentEn recrutement
Universitair Ziekenhuis GasthuisbergLeuvenActif, sans recrutement
VitazSint-NiklaasEn recrutement
CHU UCL Namur - Site GodinneYvoirEn recrutement

Brazil

Brazil
ÉtablissementVilleÉtat ou régionStatut
Fundacao Pio XIIBarretosActif, sans recrutement
Universidade Estadual De CampinasCampinasTerminé
Liga Norte Riograndense Contra O CancerNatalActif, sans recrutement
Hospital Moinhos de VentoPorto AlegreActif, sans recrutement
Irmandade Santa Casa de Misericordia de Porto AlegrePorto AlegreActif, sans recrutement
HBA SA Assitencia Medica e HospitalarSalvadorActif, sans recrutement
Cepes - FmabcSão PauloActif, sans recrutement
Fundacao Antonio Prudente A C Camargo Cancer CenterSão PauloTerminé
Irmandade Santa Casa de Misericordia de Sao PauloSão PauloActif, sans recrutement
Fundacao Faculdade de Medicina - Instituto do Cancer do Estado de Sao PauloSão PauloActif, sans recrutement
Real e Benemérita Associação Portuguesa de BeneficênciaSão PauloActif, sans recrutement

China

China
ÉtablissementVilleÉtat ou régionStatut
Peking University Third HospitalBeijingActif, sans recrutement
Beijing Friendship Hospital Capital Medical UniversityBeijingActif, sans recrutement
Hunan Cancer hospitalChangshaActif, sans recrutement
West China School of Medicine/West China Hospital, Sichuan UniversityCheng Du ShiActif, sans recrutement
The Third People's Hospital of ChengduCheng Du ShiActif, sans recrutement
Chongqing Cancer HospitalChongqingActif, sans recrutement
Fujian Medical University Union HospitalFuzhouActif, sans recrutement
Sun Yat Sen University Cancer CenterGuangzhouActif, sans recrutement
Zhongda Hospital Southeast UniversityNanjingActif, sans recrutement
Nanjing Drum Tower HospitalNanjingActif, sans recrutement
Huadong Hospital Affiliated to Fudan UniversityShanghaiActif, sans recrutement
The Second Hospital Of Tianjin Medical UniversityTianjinActif, sans recrutement
The First Affiliated Hospital of Wenzhou Medical UniversityWenzhouActif, sans recrutement
Tongji Hospital Tongji Medical College of Huazhong University of Science and TechnologyWuhanActif, sans recrutement
The First Affiliated Hospital of Xian Jiaotong UniversityXi'anActif, sans recrutement
The Affiliated Hospital of Xuzhou Medical UniversityXuzhouActif, sans recrutement
Cancer Hospital of Xinjiang Medical UniversityÜrümqiActif, sans recrutement

Czechia

Czechia
ÉtablissementVilleÉtat ou régionStatut
Fakultni nemocnice Hradec KraloveHradec KrálovéTerminé
Fakultni nemocnice OlomoucOlomoucEn recrutement
Vseobecna fakultni nemocnice v PrazePragueEn recrutement
Fakultni Thomayerova nemocnicePragueEn recrutement

143 sites supplémentaires sont indiqués dans la fiche du registre.

Documents de l'étude

Aucun document n'est lié dans cette fiche du registre.

Évolution au fil du temps

Aucun changement n'a été enregistré depuis que nous avons intégré cette fiche pour la première fois.

Un changement est enregistré chaque fois que le promoteur met à jour la fiche du registre. Le statut, les dates, le recrutement et les sites apparaissent ici au fur et à mesure de leur évolution.