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NCT06510374ClinicalTrials.gov

Trial of Nadofaragene Firadenovec vs. Observation in Participants With Intermediate Risk Non-Muscle Invasive Bladder Cancer

A Phase 3b, Randomized, Controlled Trial of Nadofaragene Firadenovec vs. Observation in Participants With Intermediate Risk Non-Muscle Invasive Bladder Cancer

RecruitingTaking participants now, according to the registry record.
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In brief

A phase 3b, Randomized, Controlled Trial of Nadofaragene Firadenovec vs. Observation in Participants with Intermediate Risk Non-Muscle Invasive Bladder Cancer (IR NMIBC)

Phase 3454 participants sought107 sites9 countries

Categories

Registered in 1 registry

One study can be registered in several registries. We show it once and link every record we hold.

Trial information is shown as published by the registry, in its original language.

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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 2024-07-19; recorded start 2024-10-01
  • 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 16 other studies in this databaseCounted from the lead sponsor named in the record (Ferring Pharmaceuticals)
  • Not stated: No posted results from this sponsor are in this database yetBased 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 rigourMODERATE

A moderately rigorous 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 arm0/15

    No comparator arm stated in the record

  • 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: 103 sites

  • Data monitoring committee0/7

    Data monitoring committee not stated in the record

  • 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: 454 participants (target), run at 107 sites, across 9 countries.

How this score is built
  • Enrolment26/40

    454 participants (target)

  • Site count23/25

    103 sites

  • Country count12/15

    9 countries

  • Planned duration10/10

    Planned over about 82 months

  • Sponsor scale4/10

    Ferring Pharmaceuticals has led 17 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.

Summary

A phase 3b, Randomized, Controlled Trial of Nadofaragene Firadenovec vs. Observation in Participants with Intermediate Risk Non-Muscle Invasive Bladder Cancer (IR NMIBC)

Conditions

  • Intermediate Risk Non-Muscle Invasive Bladder Cancer

Eligibility

Eligibility
SexAll
Ages18 YearsNo maximum
Healthy volunteersNo

Eligibility as written in the registry

Inclusion Criteria: * Diagnosed with intermediate risk non-muscle invasive bladder cancer (IR NMIBC) as defined by American Urological Association (AUA)/Society of Urologic Oncology \[SUO\] Guideline (2020) * Has undergone adequate transurethral resection of bladder tumor (TURBT; with or without peri-operative chemotherapy) within 60 days prior to randomization: * Recurrence within 1 year, low-grade Ta * Solitary low-grade Ta \>3 cm * Low-grade Ta, multifocal * Solitary high-grade Ta, ≤3 cm * Low-grade T1 * Patients with T1 disease should undergo resection at the base of the lesion and biopsies should contain muscle fibres. * Restage TURBT may be done at the discretion of the investigator Exclusion Criteria: * Current or previous evidence of muscle invasive (muscularis propria) or metastatic disease presented at the screening visit High risk NMIBC defined as: * High-grade T1 * Any recurrent, high-grade Ta * High-grade Ta \>3 cm (or multifocal) * Any carcinoma in situ (CIS) * Any Bacillus Calmette-Guérin (BCG) failure in high-grade subject * Any variant histology * Any prostatic urethral involvement Low risk NMIBC defined as: * First occurrence of low-grade solitary Ta ≤3 cm * Recurrence of low-grade solitary Ta ≤3 cm \>12 months from previous occurrence * Papillary urothelial neoplasm of low malignant potential

Eligibility in plain statements

This record's criteria have not been broken into separate statements yet. The registry text above is complete and is the authoritative version.

Study design

Study design
Study typeInterventional
PhasePhase 3
AllocationRandomised
Intervention modelPARALLEL
Primary purposeTREATMENT
MaskingNONE (0)
Enrolment454 participants sought

Sponsor and collaborators

  • Ferring Pharmaceuticals Sponsor

Arms and interventions

  • Arm 1 Nadofaragene FiradenovecEXPERIMENTAL

    Participants in the nadofaragene firadenovec arm will receive quarterly instillations with nadofaragene firadenovec for 24 months. For these subjects, the disease evaluation visits will occur within 2 weeks prior to the investigation medicinal products instillation visits.

  • Arm 2 - ObservationNO_INTERVENTION

    Subjects will be followed based on the surveillance schedule of the AUA/SUO guideline (quarterly) over the 24 months treatment period. .

Interventions

  • Drug Nadofaragene Firadenovec

    Vector-based gene therapy for NMIBC treatment to potentiate durable therapeutic responses by interferon (IFN) alfa-2b (IFN-α2b) amplification.

Outcome measures

  1. Primary outcome

    Recurrence Free survival

    Recurrence-free survival, defined as the time from the date of randomization to the date of first documented recurrence, progression or death (due to any cause), whichever occurs first during the treatment period.

    Time frame 24 months

  2. Secondary outcome

    Adverse Events

    Frequency and intensity of adverse events will be recorded from the signed informed consent for participation in the trial up to month 24

    Time frame up to 24 months

  3. Secondary outcome

    Recurrence Free Survival at 12 Months

    Recurrence free survival at 12 months defined as whether a subject is alive and is documented recurrence and progression-free for up to 12 months

    Time frame 12 months

  4. Secondary outcome

    Recurrence Free Survival at 24 Months

    Recurrence free survival at 24 months defined as whether a subject is alive and is documented recurrence and progression-free for up to 24 months

    Time frame 24 Months

Dates

Dates
Start dateOctober 1, 2024 (actual)
Primary completionJune 30, 2028 (estimated)
CompletionJune 30, 2031 (estimated)
First postedJuly 19, 2024 (actual)
Last updatedSeptember 4, 2026
Results postedNot stated in the registry record
Status last verifiedMay 2026

Actual means the event happened. Estimated means the sponsor expects it. The two mean different things.

Locations

105 sites are recruiting

Canada

Canada
FacilityCityState or regionStatus
G kenneth Jansz Medicine Professional CorporationBurlingtonOntarioRecruiting
Prostate Cancer CentreCalgaryAlbertaRecruiting
University Health Network UHN - Princess Margaret Cancer CentreTorontoOntarioRecruiting

Czechia

Czechia
FacilityCityState or regionStatus
Kromerizska Nemocnice A SKroměřížRecruiting
Krajska Nemocnice LiberecLiberecRecruiting
Fakultní Thomayerova NemocnicePraguePragueRecruiting
Fakultní Thomayerova NemocnicePragueRecruiting
Androgeos, spol. s r.o. LocationPraguePragueRecruiting

Denmark

Denmark
FacilityCityState or regionStatus
Aarhus University HospitalAarhusRecruiting

France

France
FacilityCityState or regionStatus
CHU de Bordeaux - Hôpital PellegrinBordeauxNew AquitaineRecruiting
CHU Clermont Ferrand - Hopital Gabriel MontpiedClermont-FerrandAuvergne-Rhône-AlpesRecruiting
Hospices Civils de Lyon - Edouard Herriot Hosp.LyonRhône-AlpsRecruiting
Centre Hospitaliser Universitaire de Lyon SudLyonRhone-AlpeRecruiting
CHU Nantes - Hotel DieuNantesNantesRecruiting
Centre Hospitalier Universitaire De Nimes (Nîmes)NîmesOccitanieRecruiting
Hopital La Pitie SalpetriereParisRecruiting
APHP - Hopital BichatParisÎle-de-France RegionRecruiting
CHU de Rouen - Hopital Charles-NicolleRouenNormandyRecruiting
CHU Toulouse - Hopital RangueilToulouseHaute-GaronneRecruiting

Japan

Japan
FacilityCityState or regionStatus
Institute of Science Tokyo HospitalBunkyō-KuTokyoRecruiting
Kyushu University HospitalFukuokaFukuokaRecruiting
Hiroshima University HospitalHiroshimaHiroshimaRecruiting
Hitachi General HospitalHitachiIbarakiRecruiting
Nara Medical University HospitalKashiharaNaraRecruiting
St. Marianna University HospitalKawasakiKanagawaRecruiting
Kobe University HospitalKobeHyōgoRecruiting
National Hospital Organization Shikoku Cancer CenterMatsuyamaEhimeRecruiting
Aichi Medical University HospitalNagakuteAichi-kenRecruiting
Nagoya University HospitalNagoyaAichi-kenRecruiting
Kochi Medical School HospitalNankokuKochiRecruiting
Japanese Red Cross Narita HospitalNaritaChibaRecruiting
Mie University HospitalTsuMie-kenRecruiting
University of Tsukuba HospitalTsukubaIbarakiRecruiting
Wakayama Medical University HospitalWakayamaWakayamaRecruiting
Yokohama City University HospitalYokohamaKanagawaRecruiting

Poland

Poland
FacilityCityState or regionStatus
IN-VIVO BydgoszczBydgoszczKuyavian-Pomeranian VoivodeshipRecruiting
Clinical Research Center Spółka z ograniczoną odpowiedzialnością Medic-R Sp.k.PoznanWielkopolskaRecruiting
Medical Concierge Centrum MedyczneWarsawWoj. MazowieckieRecruiting

South Korea

South Korea
FacilityCityState or regionStatus
National Cancer CenterGoyang-siGyeonggi-doRecruiting
Samsung Medical CenterSeoulSeoulRecruiting
Korea University Anam HospitalSeoulSeoulRecruiting
Seoul National University HospitalSeoulSongpa-guRecruiting
Asan Medical CenterSeoulSongpa-guRecruiting
Pusan National University Yangsan HospitalYangsanGyeongsangnam-doRecruiting

Spain

Spain
FacilityCityState or regionStatus
Hospital Universitario de A CorunaA CoruñaGaliciaRecruiting
Hospital Universitario Fundacion AlcorconAlcorcónMadridRecruiting
Hospital del MarBarcelonaCataloniaRecruiting
Hospital Universitario BasurtoBilbaoVizcayaRecruiting
Hospital Universitario Reina SofiaCórdobaCórdobaRecruiting
Hospital Universitario Virgen De Las NievesGranadaGranadaRecruiting

57 further sites are listed in the registry record.

Study documents

No documents are linked in this registry record.

Changes over time

  1. September 4, 2026

    Site added

    1 site added (107 total)

    106107

  2. August 6, 2026

    Site added

    3 sites added (106 total)

    103106