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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

מגייסמקבל משתתפים כעת, לפי רשומת המרשם.
יצירת קשר עם המחקר

בקצרה

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.

שלב 3דרושים 641 משתתפים193 אתרים20 מדינות

קטגוריות

רשום במרשם אחד

מחקר יחיד יכול להיות רשום בכמה מרשמים. אנו מציגים אותו פעם אחת ומקשרים לכל רשומה שברשותנו.

מידע הניסוי מוצג כפי שפורסם על ידי המרשם, בשפת המקור שלו.

מתעניינים במחקר הזה?

התחברות או צרו חשבון כדי לרשום את התעניינותכם ולעקוב אחר המחקר הזה.

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.

תקציר

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.

מצבים רפואיים

  • Non-Muscle Invasive Bladder Neoplasms

זכאות

זכאות
מיןהכול
גילאים18 Yearsללא מקסימום
מתנדבים בריאיםלא

זכאות כפי שנכתבה במרשם

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

זכאות במשפטים פשוטים

הקריטריונים של רשומה זו טרם פורקו למשפטים נפרדים. טקסט המרשם שלמעלה שלם והוא הגרסה המחייבת.

תכנון המחקר

תכנון המחקר
סוג המחקרהתערבותי
שלבשלב 3
הקצאהאקראי
מודל ההתערבותPARALLEL
מטרה ראשיתTREATMENT
הסתרהNONE (0)
גיוסדרושים 641 משתתפים

נותן חסות ושותפים

  • Janssen Research & Development, LLC נותן חסות

זרועות והתערבויות

  • 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.

התערבויות

  • תרופה Gemcitabine

    Gemcitabine will be administered intravesically.

  • תרופה MMC

    MMC will be administered intravesically.

  • מוצר משולב TAR-210

    TAR-210 will be administered intravesically.

מדדי תוצאה

  1. מדד תוצאה ראשוני

    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.

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

  2. מדד תוצאה משני

    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.

    מסגרת זמן 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. מדד תוצאה משני

    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

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

  4. מדד תוצאה משני

    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.

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

  5. מדד תוצאה משני

    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.

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

  6. מדד תוצאה משני

    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.

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

  7. מדד תוצאה משני

    Overall Survival (OS)

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

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

  8. מדד תוצאה משני

    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.

    מסגרת זמן Baseline, Weeks 6, 12, 24, 36, and 48

  9. מדד תוצאה משני

    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.

    מסגרת זמן Baseline, Weeks 6, 12, 24, 36, and 48

  10. מדד תוצאה משני

    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.

    מסגרת זמן Weeks 6, 12, 24, 36, and 48

  11. מדד תוצאה משני

    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.

    מסגרת זמן Weeks 6, 12, 24, 36, and 48

תאריכים

תאריכים
תאריך התחלה18 באפריל 2024 (בפועל)
סיום ראשוני28 ביוני 2028 (משוער)
סיום31 בדצמבר 2032 (משוער)
פורסם לראשונה20 במרץ 2024 (בפועל)
עודכן לאחרונה28 באוגוסט 2026
התוצאות פורסמולא צוין ברשומת המרשם
המצב אומת לאחרונהאוגוסט 2026

בפועל פירושו שהאירוע התרחש. משוער פירושו שנותן החסות צופה אותו. שתי המשמעויות שונות זו מזו.

מיקומים

83 אתרים מגייסים

Argentina

Argentina
מתקןעירמדינה או אזורמצב
Hospital Sirio LibanesBuenos Airesפעיל, ללא גיוס
Investigaciones Clinico Moleculares (ICM)CABAפעיל, ללא גיוס
Cemaic Centro Privado de Especialidades Medicas Ambulatorias e Investigacion ClinicaCórdobaפעיל, ללא גיוס
Centro Urologico Profesor BengioCórdobaפעיל, ללא גיוס
Hospital Privado de la ComunidadMar del Plataפעיל, ללא גיוס
Sanatorio de la MujerRosarioפעיל, ללא גיוס

Austria

Austria
מתקןעירמדינה או אזורמצב
Medizinische Universitaet GrazGrazמגייס
Medizinische Universitat InnsbruckInnsbruckמגייס
Ordensklinikum Linz GmbH ElisabethinenLinzמגייס
Universitaetsklinikum Salzburg LandeskrankenhausSalzburgמגייס
Medical University Vienna MUVViennaמגייס

Belgium

Belgium
מתקןעירמדינה או אזורמצב
AZORG campus Aalst MoorselbaanAalstמגייס
AZ Sint-JanBrugesמגייס
UZ AntwerpenEdegemהושלם
AZ Maria MiddelaresGhentמגייס
Universitair Ziekenhuis GasthuisbergLeuvenפעיל, ללא גיוס
VitazSint-Niklaasמגייס
CHU UCL Namur - Site GodinneYvoirמגייס

Brazil

Brazil
מתקןעירמדינה או אזורמצב
Fundacao Pio XIIBarretosפעיל, ללא גיוס
Universidade Estadual De CampinasCampinasהושלם
Liga Norte Riograndense Contra O CancerNatalפעיל, ללא גיוס
Hospital Moinhos de VentoPorto Alegreפעיל, ללא גיוס
Irmandade Santa Casa de Misericordia de Porto AlegrePorto Alegreפעיל, ללא גיוס
HBA SA Assitencia Medica e HospitalarSalvadorפעיל, ללא גיוס
Cepes - FmabcSão Pauloפעיל, ללא גיוס
Fundacao Antonio Prudente A C Camargo Cancer CenterSão Pauloהושלם
Irmandade Santa Casa de Misericordia de Sao PauloSão Pauloפעיל, ללא גיוס
Fundacao Faculdade de Medicina - Instituto do Cancer do Estado de Sao PauloSão Pauloפעיל, ללא גיוס
Real e Benemérita Associação Portuguesa de BeneficênciaSão Pauloפעיל, ללא גיוס

China

China
מתקןעירמדינה או אזורמצב
Peking University Third HospitalBeijingפעיל, ללא גיוס
Beijing Friendship Hospital Capital Medical UniversityBeijingפעיל, ללא גיוס
Hunan Cancer hospitalChangshaפעיל, ללא גיוס
West China School of Medicine/West China Hospital, Sichuan UniversityCheng Du Shiפעיל, ללא גיוס
The Third People's Hospital of ChengduCheng Du Shiפעיל, ללא גיוס
Chongqing Cancer HospitalChongqingפעיל, ללא גיוס
Fujian Medical University Union HospitalFuzhouפעיל, ללא גיוס
Sun Yat Sen University Cancer CenterGuangzhouפעיל, ללא גיוס
Zhongda Hospital Southeast UniversityNanjingפעיל, ללא גיוס
Nanjing Drum Tower HospitalNanjingפעיל, ללא גיוס
Huadong Hospital Affiliated to Fudan UniversityShanghaiפעיל, ללא גיוס
The Second Hospital Of Tianjin Medical UniversityTianjinפעיל, ללא גיוס
The First Affiliated Hospital of Wenzhou Medical UniversityWenzhouפעיל, ללא גיוס
Tongji Hospital Tongji Medical College of Huazhong University of Science and TechnologyWuhanפעיל, ללא גיוס
The First Affiliated Hospital of Xian Jiaotong UniversityXi'anפעיל, ללא גיוס
The Affiliated Hospital of Xuzhou Medical UniversityXuzhouפעיל, ללא גיוס
Cancer Hospital of Xinjiang Medical UniversityÜrümqiפעיל, ללא גיוס

Czechia

Czechia
מתקןעירמדינה או אזורמצב
Fakultni nemocnice Hradec KraloveHradec Královéהושלם
Fakultni nemocnice OlomoucOlomoucמגייס
Vseobecna fakultni nemocnice v PrazePragueמגייס
Fakultni Thomayerova nemocnicePragueמגייס

143 אתרים נוספים מצוינים ברשומת המרשם.

מסמכי המחקר

לא צורפו מסמכים ברשומת מרשם זו.

שינויים לאורך זמן

לא נרשמו שינויים מאז שקלטנו רשומה זו לראשונה.

שינוי נרשם בכל פעם שנותן החסות מעדכן את רשומת המרשם. מצב, תאריכים, גיוס ואתרים מופיעים כאן ככל שהם משתנים.