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Urinary Bladder CancerPhase 1NCT02720367

Safety and Tolerability of TAR-200 mg in Subjects With Non-Muscle-Invasive Bladder Cancer

A Phase 1 study testing Gemcitabine-Releasing Intravesical System (GemRIS)/TAR-200 in people with Urinary Bladder Cancer, run by Taris Biomedical LLC at 2 sites in Netherlands.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of this study is to determine if TAR-200, an investigational drug-delivery system is safe and tolerable in patients with recurrent low or intermediate risk non-muscle-invasive bladder cancer (NMIBC) between diagnosis and transurethral resection of bladder tumors (TURBT) Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Urinary Bladder Cancer
What is being tested?
Gemcitabine-Releasing Intravesical System (GemRIS)/TAR-200
Could I receive a placebo?
No, everyone receives an active treatment
How many people
12 participants
Where
2 sitesNetherlands
Study dates
Jan 2016to Mar 2020
Phase
Phase 1
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • A documented history of histologically-confirmed low or intermediate risk urothelial carcinoma of the bladder, excluding carcinoma in situ (pTis), pathologic stage pT1 (invasive into lamina propria) and high-Grade disease, judged not to be muscle infiltrating (pT2 or greater) and accessible for resection.
  • Adequate laboratory parameters.
  • Screening urinalysis showing no clinically significant abnormalities except those attributable to bladder cancer.
  • Not undergoing active treatment in last 3 months for prior or concurrent neoplastic disease and have fully recovered from treatment effects. Patients undergoing concurrent hormonal therapy treatment for prostate cancer will be allowed to enroll.

Who cannot join

  • Exposure to BCG therapy and/or any other intravesical. chemotherapeutic agent less than 1 year prior to enrollment, except single postoperative instillations.
  • Absence of visible tumor at Screening.
  • Any previous exposure to intravesical gemcitabine instillations within the past 12 months.
  • Presence of any bladder or urethral anatomical feature that in the opinion of the investigator may prevent the safe placement, indwelling use or removal of TAR-200 (i.e. bladder diverticula, complete incontinence).
  • Patients with a high-Grade urine cytology at recurrence.
  • Currently receiving other systemic or intravesical chemotherapy.
Show all 14Show fewer
  • Pelvic radiotherapy administered within 6 months prior to enrollment. Patients who received radiotherapy ≥ 6 months prior to enrollment must demonstrate no cystoscopic evidence or clinical symptoms of radiation cystitis.
  • Bladder Post-Void Residual Volume (PVR) of > 250-mL.
  • Active, uncontrolled urogenital bacterial, viral, or fungal infections, including urinary tract infection. Skin/nail fungal infections are not exclusionary. Subjects with active shingles (varicella zoster infection) will be excluded from the study.
  • History or presence of any significant cardiovascular, pulmonary, hepatic, renal, gastrointestinal, gynecological, endocrine, immunological, dermatological, neurological or psychiatric disease or disorder that, in the opinion of the investigator, contraindicates participation.
  • Concomitant immunosuppressive medications, such as methotrexate or TNF inhibitors, within 2 weeks of Study Day 0, exclusive of steroid doses ≤5 mg daily.
  • Female subject who is pregnant (as verified by urine test at time of screening) or lactating, or of childbearing potential and not using acceptable methods of contraception.
  • Unwilling or unable to provide informed consent or comply with the requirements of this protocol, including the presence of any condition (physical, mental or social) that is likely to affect the subject's return for scheduled visits and follow-up.
  • Other unspecified reasons that, in the opinion of the investigator or TARIS, make the patient unsuitable for enrollment.

Trial locations and contacts

2 sites in 1 country.

Netherlands2 sites
  • Canisius Wilhelmina Ziekenhuis

    Nijmegen

  • Radboudumc

    Nijmegen

Other trials in Netherlands

About this study

Official title: A Phase 1b, Multicenter, Open Label Study Evaluating Safety, Tolerability and Preliminary Efficacy of GemRIS 225 mg in Subjects With Non-Muscle-Invasive Urothelial Carcinoma of the Bladder

The purpose of this study is to determine if TAR-200, an investigational drug-delivery system is safe and tolerable in patients with recurrent low or intermediate risk non-muscle-invasive bladder cancer (NMIBC) between diagnosis and transurethral resection of bladder tumors (TURBT)

Being tested
Gemcitabine-Releasing Intravesical System (GemRIS)/TAR-200
Medical subject headings
Urinary Bladder Neoplasms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Gemcitabine-Releasing Intravesical System (GemRIS)/TAR-200Drug

    TAR-200 is a passive, nonresorbable gemcitabine-releasing intravesical system whose primary mode of action is the controlled release of gemcitabine into the bladder over an indwelling period.

Study groups in NCT02720367
Study groupRoleWhat they receive
7-Day RegimenExperimentalTAR-200 is placed into the bladder through an inserter on Study Day 0 and is removed on Study Day 7. TAR-200 releases gemcitabine gradually during the 7 day indwelling time. A second TAR-200 is placed in the bladder on Study Day 21 and is removed on Study Day 28, which is the day of the TURBT.
Receives: Drug: Gemcitabine-Releasing Intravesical System (GemRIS)/TAR-200
21-Day RegimenExperimentalTAR-200 is placed into the bladder through an inserter on Study Day 0 and is removed on Study Day 21. TAR-200 releases gemcitabine gradually during the 21 day indwelling time. A second TAR-200 is placed in the bladder on Study Day 21 and is removed on Study Day 42.
Receives: Drug: Gemcitabine-Releasing Intravesical System (GemRIS)/TAR-200

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Safety as defined by the number of participants with treatment emergent adverse events (TEAEs) coded with MedDRA and graded for severity with CTCAE v4.0

    Measured: From the point of signing the informed consent form through last study visit, up to 59 days.

Secondary outcomes (34)
  1. Number of participants who are tolerant of TAR-200 indwelling (Arm 1)

    Measured: From Day 0 up to Day 7

  2. Percentage of participants who are tolerant of TAR-200 indwelling (Arm 1)

    Measured: From Day 0 up to Day 7

  3. Number of participants who are tolerant of TAR-200 indwelling (Arm 1)

    Measured: From Day 21 up to Day 28

  4. Percentage of participants who are tolerant of TAR-200 indwelling (Arm 1)

    Measured: From Day 21 up to Day 28

  5. Cmax, plasma dFdU (Arm 1)

    Analysis of Cmax (maximum concentration achieved over time) of diflourodeoxyuridine (dFdU) in plasma.

    Measured: From Day 0 up to Day 32

  6. Tmax, plasma dFdU (Arm 1)

    Analysis of Tmax (Day at which maximum concentration was achieved) of diflourodeoxyuridine (dFdU) in plasma.

    Measured: From Day 0 up to Day 32

  7. Cavg, plasma dFdU (Arm 1)

    Analysis of Descriptive statistics (e.g. sample size, mean and median, quartiles, minimum and maximum and box plots) of the concentration of diflourodeoxyuridine (dFdU) in plasma.

    Measured: From Day 0 up to Day 32

  8. Cmax, plasma dFdC (Arm 1)

    Analysis of Cmax (maximum concentration achieved over time) of gemcitabine (deoxydifluorocytidine hydrochloride - dFdC) in plasma.

    Measured: From Day 0 up to Day 32

  9. Tmax, plasma dFdC (Arm 1)

    Analysis of Tmax (Day at which maximum concentration was achieved) of gemcitabine (deoxydifluorocytidine hydrochloride - dFdC) in plasma

    Measured: From Day 0 up to Day 32

  10. Cavg, plasma dFdC (Arm 1)

    Analysis of Descriptive statistics (e.g. sample size, mean and median, quartiles, minimum and maximum and box plots) of the concentration of gemcitabine (deoxydifluorocytidine hydrochloride - dFdC) in plasma.

    Measured: From Day 0 up to Day 32

  11. Cmax, urine dFdU (Arm 1)

    Analysis of Cmax (maximum concentration achieved over time) of diflourodeoxyuridine (dFdU) in urine.

    Measured: From Day 0 up to Day 32

  12. Tmax, urine dFdU (Arm 1)

    Analysis of Tmax (Day at which maximum concentration was achieved) of diflourodeoxyuridine (dFdU) in urine

    Measured: From Day 0 up to Day 32

  13. Cavg, urine dFdU (Arm 1)

    Analysis of Descriptive statistics (e.g. sample size, mean and median, quartiles, minimum and maximum and box plots) of the concentration of diflourodeoxyuridine (dFdU) in urine.

    Measured: From Day 0 up to Day 32

  14. Cmax, urine dFdC (Arm 1)

    Analysis of Cmax (maximum concentration achieved over time) of gemcitabine (deoxydifluorocytidine hydrochloride - dFdC) in urine.

    Measured: From Day 0 up to Day 32

  15. Tmax, urine dFdC (Arm 1)

    Analysis of Tmax (Day at which maximum concentration was achieved) of gemcitabine (deoxydifluorocytidine hydrochloride - dFdC) in urine.

    Measured: From Day 0 up to Day 32

  16. Cavg, urine dFdC (Arm 1)

    Analysis of Descriptive statistics (e.g. sample size, mean and median, quartiles, minimum and maximum and box plots) of the concentration of gemcitabine (deoxydifluorocytidine hydrochloride - dFdC) in urine

    Measured: From Day 0 up to Day 32

  17. Preliminary anti-tumor effects will be assessed in tumor material (post-treatment) for assessment of immunohistochemical tissue biomarkers of drug-induced cell death (AKT, CD31, Ki67, TUNEL). (Arm 1)

    Measured: Anti-tumor analysis will occur at the following study day visit Day 28

  18. Number of participants who are tolerant of TAR-200 indwelling (Arm 2)

    Measured: From Day 0 up to Day 21

  19. Percentage of participants who are tolerant of TAR-200 indwelling (Arm 2)

    Measured: From Day 0 up to Day 21

  20. Number of participants who are tolerant of TAR-200 indwelling (Arm 2)

    Measured: From Day 21 up to Day 42

  21. Percentage of participants who are tolerant of TAR-200 indwelling (Arm 2)

    Measured: From Day 21 up to Day 42

  22. Cmax, plasma dFdU (Arm 2)

    Analysis of Cmax (maximum concentration achieved over time) of diflourodeoxyuridine (dFdU) in plasma.

    Measured: From Day 0 up to Day 47

  23. Tmax, plasma dFdU (Arm 2)

    Analysis of Tmax (Day at which maximum concentration was achieved) of diflourodeoxyuridine (dFdU) in plasma.

    Measured: From Day 0 up to Day 47

  24. Cavg, plasma dFdU (Arm 2)

    Analysis of Descriptive statistics (e.g. sample size, mean and median, quartiles, minimum and maximum and box plots) of the concentration of diflourodeoxyuridine (dFdU) in plasma.

    Measured: From Day 0 up to Day 47

  25. Cmax, plasma dFdC (Arm 2)

    Analysis of Cmax (maximum concentration achieved over time) of gemcitabine (deoxydifluorocytidine hydrochloride - dFdC) in plasma.

    Measured: From Day 0 up to Day 47

  26. Tmax, plasma dFdC (Arm 2)

    Analysis of Tmax (Day at which maximum concentration was achieved) of gemcitabine (deoxydifluorocytidine hydrochloride - dFdC) in plasma

    Measured: From Day 0 up to Day 47

  27. Cavg, plasma dFdC (Arm 2)

    Analysis of Descriptive statistics (e.g. sample size, mean and median, quartiles, minimum and maximum and box plots) of the concentration of gemcitabine (deoxydifluorocytidine hydrochloride - dFdC) in plasma.

    Measured: From Day 0 up to Day 47

  28. Cmax, urine dFdU (Arm 2)

    Analysis of Cmax (maximum concentration achieved over time) of diflourodeoxyuridine (dFdU) in urine.

    Measured: From Day 0 up to Day 47

  29. Tmax, urine dFdU (Arm 2)

    Analysis of Tmax (Day at which maximum concentration was achieved) of diflourodeoxyuridine (dFdU) in urine

    Measured: From Day 0 up to Day 47

  30. Cavg, urine dFdU (Arm 2)

    Analysis of Descriptive statistics (e.g. sample size, mean and median, quartiles, minimum and maximum and box plots) of the concentration of diflourodeoxyuridine (dFdU) in urine.

    Measured: From Day 0 up to Day 47

  31. Cmax, urine dFdC (Arm 2)

    Analysis of Cmax (maximum concentration achieved over time) of gemcitabine (deoxydifluorocytidine hydrochloride - dFdC) in urine.

    Measured: From Day 0 up to Day 47

  32. Tmax, urine dFdC (Arm 2)

    Analysis of Tmax (Day at which maximum concentration was achieved) of gemcitabine (deoxydifluorocytidine hydrochloride - dFdC) in urine.

    Measured: From Day 0 up to Day 47

  33. Cavg, urine dFdC (Arm 2)

    Analysis of Descriptive statistics (e.g. sample size, mean and median, quartiles, minimum and maximum and box plots) of the concentration of gemcitabine (deoxydifluorocytidine hydrochloride - dFdC) in urine

    Measured: From Day 0 up to Day 47

  34. Preliminary anti-tumor effects will be assessed in tumor material (post-treatment) for assessment of immunohistochemical tissue biomarkers of drug-induced cell death (AKT, CD31, Ki67, TUNEL). (Arm 2)

    Measured: Anti-tumor analysis will occur at the following study day visit Day 42

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted25 Mar 2016 (estimated)
  2. Study startJan 2016
  3. Primary completionJan 2018
  4. Study completionMar 2020

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Sequential
Masking
None (open label)
Enrolment
12 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02720367
Sponsor's protocol ID
TAR-200-102
Other IDs
2016-000099-66, 2016
Status last verified
Mar 2020
First submitted
25 Feb 2016
Last updated
10 Mar 2020
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Gemcitabine-Releasing Intravesical System (GemRIS)/TAR-200 in people with Urinary Bladder Cancer, run by Taris Biomedical LLC at 2 sites in Netherlands.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 14 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 10 Mar 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in Netherlands. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Safety as defined by the number of participants with treatment emergent adverse events (TEAEs) coded with MedDRA and graded for severity with CTCAE v4.0 (time frame: From the point of signing the informed consent form through last study visit, up to 59 days.). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 10 Mar 2020.

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