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Transitional Cell Cancer of Renal Pelvis and UreterPhase 3UCM301NCT04620239

ENdoluminal LIGHT ActivatED Treatment of Upper Tract Urothelial Cancer (ENLIGHTED) Study

A Phase 3 study testing padeliporfin VTP in people with Transitional Cell Cancer of Renal Pelvis and Ureter, run by Steba Biotech S.A. at 18 sites in 5 countries.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
Search all trials

Trial summary

This is a phase 3, open label, single arm study of padeliporfin in the treatment of Upper Tract Urothelial Carcinoma (UTUC). The ENLIGHTED study will recruit patients with low-grade non-invasive upper tract urothelial carcinoma in either the kidney or the ureter. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
padeliporfin VTP
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
89 participants
Where
18 sitesin 5 countries
Study dates
22 Mar 2021to 1 Aug 2028
Phase
Phase 3
Are there results?
Not yet: the study is under way

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

  • Male and female patients 18 years or older
  • Able to understand and provide written informed consent and willing to comply with all tests and procedures associated with the study
  • New or recurrent low-grade, non-invasive UTUC disease
  • Biopsy-proven disease . A concurrence of the central pathology reader will be required for eligibility.
  • Up to 2 biopsy-proven sites of low-grade involvement with the largest tumor (index tumor) between 5 mm and 15 mm in diameter (as measured by endoscopy), both located in the calyces,renal pelvis or in the ureter of the ipsilateral kidney, with an absence of high-grade cells on cytology. (Ureter involvement should be in one anatomical location with no more than 20 mm of contiguous ureteral length)
  • Karnofsky Performance Status ≥ 50%
Show all 12Show fewer
  • Adequate organ function defined at baseline as:
  • ANC ≥1,000/ μl,
  • Platelets ≥75,000/ μl, Hb ≥9 g/dl,
  • INR ≤ 2
  • Estimated glomerular giltration rate (eGFR) ≥30 ml/min (using CKD-EPI Method)
  • Total serum bilirubin <3 mg/dL, AST/ALT ≤5× upper limit of normal

Who cannot join

  • Current high-grade or muscle invasive (>pT1) urothelial carcinoma of the bladder
  • Carcinoma in situ (CIS) current or previous in the upper urinary tract
  • History of invasive T2 or higher urothelial cancer in past 2 years
  • Participation in another clinical study involving an investigational product within 1 month before study entry
  • BCG or local chemotherapy treatment (including VEGF-targeted therapy) in the upper urinary tract within 2 months prior to inclusion
  • Systemic chemotherapy treatment (including VEGF-targeted therapy) within 2 months prior to enrollment
Show all 11Show fewer
  • Prohibited medication that could not be adjusted or discontinued prior to study treatment
  • Patients with photosensitive skin diseases or porphyria
  • Any other medical or psychiatric co-morbidities, including decompensated heart failure, unstable angina or coronary artery disease or severe pulmonary or liver disease or current heavy smoker that, in the opinion of the study investigator, would make the patient a poor candidate for the study
  • Pregnant or breast-feeding women.Women of childbearing potential (WOCBP) must undergo a negative serum pregnancy test prior to study entry.
  • Men and women of reproductive potential not willing to observe conventional and effective birth control for the duration of treatment and for 90 days following the last padeliporfin VTP treatment.

Trial locations and contacts

18 sites in 5 countries.

18 sites in 5 countries

United States12 sites
  • Albany Medical College

    Albany, New York, 12208

  • Emory University Hospital

    Atlanta, Georgia, 30322

  • The Johns Hopkins Hospital, The Sidney Kimmel Cancer Center

    Baltimore, Maryland, 21287

  • Medical University of South Carolina (MUSC)

    Charleston, South Carolina, 29425

  • The Ohio State University (OSU)

    Columbus, Ohio, 43210

  • University of Texas Southwestern Medical Center

    Dallas, Texas, 75390

  • The Pennsylvania State University (Penn State) Milton S. Hershey Medical Center

    Hershey, Pennsylvania, 17033

  • University of California - Irvine Medical Center

    Irvine, California, 92868

  • Keck School of Medicine at USC Medical Center

    Los Angeles, California, 90033

  • Carolina Urologic Research Center

    Myrtle Beach, South Carolina, 29572

  • Memorial Sloan Kettering Cancer Center

    New York, New York, 10065

  • University of Washington

    Seattle, Washington, 98195

Other trials in United States

France2 sites
  • CHU de Lille - Hopital Claude Huriez

    Lille, 59037

  • HCL Hopital Edouard Herriot

    Lyon, 69437

Other trials in France

Spain2 sites
  • Hospital Universitario de A Coruña

    A Coruña, 15006

  • Hospital Universitario Vall d'Hebron

    Barcelona, 08035

Other trials in Spain

Germany1 site
  • Universitaetsklinikum Tuebingen

    Tübingen, 72076

Other trials in Germany

Israel1 site
  • Sheba Medical Center

    Ramat Gan

Other trials in Israel

About this study

Official title: Multicenter Phase 3 Pivotal Study to Evaluate the Safety and Efficacy of TOOKAD (Padeliporfin) Vascular Targeted Photodynamic Therapy in the Treatment of Low Grade Upper Tract Urothelial Cancer

This is a phase 3, open label, single arm study of padeliporfin in the treatment of Upper Tract Urothelial Carcinoma (UTUC). The ENLIGHTED study will recruit patients with low-grade non-invasive upper tract urothelial carcinoma in either the kidney or the ureter. Patients will be treated with padeliporfin VTP in two phases: an Induction Treatment Phase and a Maintenance Treatment Phase and will be followed up for up to an additional 48 months in the long term (non intervention) follow up phase with the specific duration depending on the patient's response to treatment

Read the detailed description

Induction Treament Phase: Patients entered in the study will undergo an induction treatment phase consisting of 1-3 padeliporfin VTP treatments provided 4 weeks (28 +/-3 days) apart. The goal of this induction treatment phase will be to achieve Complete Response (CR) in the involved ipsilateral tract system. During this phase, patients will be treated with padeliporfin VTP to visually identified tumor sites in the calyces, renal pelvis and/or ureter and subsequently examined endoscopically at 28 +/- 3 days post treatment to determine whether the treatment was successful. If CR is not achieved, an additional two treatments of padeliporfin VTP are permitted 28 +/- 3 days apart for a total of up to 3 treatments during the induction treatment phase. The Primary Response Evaluation (PRE) will be performed 28 +/- 3 days after the last VTP treatment, to determine if the treatment was successful at achieving CR defined as: absence of visible tumor on endoscopy, negative urinary cytology by instrumented collection, and no evidence of tumor on biopsy (if feasible). Patients undergoing extirpative surgery of any part of the ipsilateral kidney or ureter for indications related to urothelial cancer will be considered as no longer having CR. If CR is not achieved after 3 treatments with padeliporfin VTP the treatment will be considered unsuccessful and the patient will be discontinued from the Treatment Phases.

Maintenance Treatment Phase: Patients achieving CR at the induction treatment phase will be allowed into the maintenance treatment phase of the study. The patients will then be followed over a period of 12 months post PRE, to assess the duration of response and its safety, and to provide planned maintenance treatment.

Repeated maintenance VTP treatments during this period will be provided for patients who show evidence of tumor recurrence that is deemed treatable as defined by the following criteria: low-grade tumors with the largest tumor (index tumor) betwen 5 mm and 15 mm in diameter, in up to 2 anatomical locations in the calyces, renal pelvis or the ureter with ureter involvement in one anatomical location with no more than 20 mm of contiguous ureteral length). Patients with treatable tumor recurrence post Induction Treatment Phase would be considered as no longer having 'complete response in the entire ipsilateral kidney' and time to recurrence will be recorded. Patients undergoing extirpative surgery of any part of the ipsilateral kidney or ureter for indications related to urothelial cancer will be considered as no longer having CR and time to this event will be recorded.

Long Term Follow-up Phase: Patients completing the 12 months of the maintenance treatment phase of the study, could be followed for an additional 48 months to monitor for disease related outcomes and VTP treatment related adverse events with the specific duration depending on the patient's response to treatment. No additional padeliporfin VTP treatment will be administered during this phase. Patients completing the maintenance phase of the study who are in CR in V3 will undergo additional assessments 18 and 24 months (+/- 1 month) post-PRE and annually thereafter and for up to 5 years post PRE or until recurrence, progression, death or loss to follow up, to document safety and ongoing response.

Being tested
padeliporfin VTP
Keywords
UTUC, Low Grade

What participants receive

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

  • padeliporfin VTPDrug

    Also called WST11

    During treatment, placement at the target area of an optical light fiber, through the working channel of the ureteroscope. Intravenous administration of padeliporfin at the dose of 3.66 mg/kg infused over 10 minutes. Each target area will be illuminated for 10 minutes.

Study groups in NCT04620239
Study groupRoleWhat they receive
padeliporfin VTPExperimentalInduction Treatment phase:1-3 padeliporfin VTP treatments provided 4 weeks (28 +/-3 days) apart. Maintenance Treatment Phase: Repeated maintenance VTP treatments during this period will be provided for patients who show evidence of tumor recurrence that is deemed treatable.
Receives: Drug: padeliporfin VTP

What is being measured

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

  1. Number of patients with absence of UTUC tumors in the entire ipsilateral calyces, renal pelvis and ureter

    Primary efficacy outcome is the absence of UTUC tumors in the entire ipsilateral calyces renal pelvis and ureter on endoscopic evaluation at the time of Primary Response Evaluation (PRE) (28 +/- 3 days post last treatment) during padeliporfin VTP induction treatment phase. This outcome will be determined dichotomously as either failure or success in achieving complete response.

    • Complete Response will be defined as absence of disease based on:
    • absence of visual tumor on endoscopy
    • no evidence of tumor on biopsy (if feasible)
    • negative urinary cytology by instrumented collection

    Measured: 28 +/- 3 days post last treatment

Secondary outcomes (17)
  1. Duration of response at the entire ipsilateral kidney

    The duration of response at the entire ipsilateral kidney will be defined as absence of disease in the entire ipsilateral calyces, renal pelvis and ureter, based on:

    • instrumented cytology
    • visually on endoscopy
    • biopsy pathology (if feasible) as will be measured at the 12 months maintenance treatment visit post PRE

    Measured: 12 months post PRE

  2. Duration of response at the entire ipsilateral kidney

    The duration of response at the entire ipsilateral kidney will be defined as absence of disease in the entire ipsilateral calyces, renal pelvis and ureter, based on:

    • instrumented cytology
    • visually on endoscopy
    • biopsy pathology (if feasible) as will be measured at the 3, 6, 9 months maintenance treatment visits post PRE

    Measured: 3, 6, 9 months post PRE

  3. Duration of response at the Treatment Area of the ipsilateral kidney

    Duration of response at the Treatment Area of the ipsilateral kidney will be defined as absence of disease in the ipsilateral Treatment Area, based on:

    • instrumented cytology
    • visually on endoscopy
    • biopsy pathology (if feasible) as will be measured at the 3, 6, 9, and 12 months maintenance treatment visits post PRE

    Measured: 3, 6, 9, and 12 months post PRE

  4. Overall renal function

    Overall renal functional outcome will be measured at the 6 and 12 months maintenance treatment visits post PRE, and will be evaluated by comparing pre-treatment and 12-month estimated glomerular filtration rate (eGFR), calculated from serum creatinine levels, using the CKD-Epi method including:

    • Absolute change in eGFR as well as categories of CKD will be utilized based on KDIGO 2012 criteria
    • Description will include change in eGFR, change in CKD stage/risk category

    Measured: 6 and 12 months post PRE

  5. Kidney organ loss or preservation

    Kidney organ loss or preservation will be recorded at each maintenance treatment visit post PRE at 3, 6, 9, and 12 months Maintenance Treatment visits, and will describe the reasons for organ preservation or loss. A radical nephroureterectomy, nephron-sparing surgery for UTUC or ureterectomy will be considered as organ loss.

    Measured: 3, 6, 9, and 12 months post PRE

  6. Pathological evaluation of response

    PathologicalPathological evaluation of response will be performed in kidney tissue of patients that will undergo kidney surgical removal (kidney sparing, or radical nephroureterectomy) following at least one padeliporfin VTP treatment

    Measured: After at least one VTP treatment

  7. Patients with ureteral obstruction and/or ureteral stent

    Patients with existing ureteral obstruction and/or existing ureteral stent will be permitted with radiographic evidence of pre-existing obstruction documented, to demonstrate the site and degree of obstruction with retrograde pyelography at baseline (prior to treatment) and will be repeated and recorded at 12 months maintenance treatment visit (post treatment) which will further be supported with CT Urogram results at 12 months to demonstrate the site and degree of obstruction using standard nomenclature.

    Measured: Baseline 12 months

  8. Long Term follow-up Duration of the response

    The duration of response in the ipsilateral kidney and treatment area will be defined as absence of disease, based on:

    • instrumented cytology
    • visually on endoscopy
    • biopsy pathology (if present and performed)

    Measured: 18, 24,36,48 and 60 months post PRE or 6 and 12 months post PRE

  9. Long Term follow-up Kidney organ loss or preservation

    Kidney organ loss or preservation will be recorded and will describe the reasons for organ preservation or loss. A radical nephroureterectomy, nephron-sparing surgery for UTUC or ureterectomy will be considered as organ loss and a pathology report of the removed tissue will be recorded (if available or feasible)

    Measured: 18, 24,36,48 and 60 months post PRE or 6 and 12 months post PRE

  10. Long Term follow-up Overall renal functional

    Overall renal functional outcome will be evaluated by estimated glomerular filtration rate(eGFR) using CKD-Epimethod

    Measured: 18, 24,36,48 and 60 months post PRE or 6 and 12 months post PRE

  11. Long Term follow-up Safety Follow up

    Safety follow up based and recording of adverse events

    Measured: 18, 24,36,48 and 60 months post PRE or 6 and 12 months post PRE

  12. Exploratory Endpoint

    Blood,tumor and cytology samples will be collected, centrally stored and later submitted for tumor genomic sequencing studies to explore the tumor genomic alterations, and mutation status as biomarkers with association to treatment response and progression events such as recurrence, grade transformation, increased stage and metastases.

    Measured: Baseline

  13. Pharmacokinetic Endpoint Cmax

    Patients with moderate hepatic impairment, will undergo a pharmacokinetic evaluation, blood samples will be collected to evaluate Cmax

    Measured: 0 (before injection) and 20, 40, 60, 90, 120 and 360 mn after end of injection

  14. Pharmacokinetic Endpoint Tmax

    Patients with moderate hepatic impairment, will undergo a pharmacokinetic evaluation, blood samples will be collected to evaluate Tmax

    Measured: 0 (before injection) and 20, 40, 60, 90, 120 and 360 mn after end of injection

  15. Pharmacokinetic Endpoint T1/2

    Patients with moderate hepatic impairment, will undergo a pharmacokinetic evaluation, blood samples will be collected to evaluate T1/2

    Measured: 0 (before injection) and 20, 40, 60, 90, 120 and 360 mn after end of injection

  16. Pharmacokinetic Endpoint AUC

    Patients with moderate hepatic impairment, will undergo a pharmacokinetic evaluation, blood samples will be collected to evaluate AUC

    Measured: 0 (before injection) and 20, 40, 60, 90, 120 and 360 mn after end of injection

  17. Pharmacokinetic Endpoint CL

    Patients with moderate hepatic impairment, will undergo a pharmacokinetic evaluation, blood samples will be collected to evaluate CL

    Measured: 0 (before injection) and 20, 40, 60, 90, 120 and 360 mn after end of injection

Timeline

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

  1. First posted6 Nov 2020
  2. Study start22 Mar 2021
  3. Primary completion1 Jul 2026
  4. Study completion1 Aug 2028 (estimated)

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 3
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Model description
Phase III, single arm, non randomized, multicenter trial
Masking
None (open label)
Enrolment
89 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04620239
Sponsor's protocol ID
CLIN2001 UCM301
Acronym
UCM301
Status last verified
Jul 2026
First submitted
5 Nov 2020
Last updated
30 Jul 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing padeliporfin VTP in people with Transitional Cell Cancer of Renal Pelvis and Ureter, run by Steba Biotech S.A. at 18 sites in 5 countries.

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 12 inclusion and 11 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: under way, not looking for participants, as of the sponsor's last update on 30 Jul 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 18 sites in United States, France, Spain, Germany, Israel. 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

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

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

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?

Number of patients with absence of UTUC tumors in the entire ipsilateral calyces, renal pelvis and ureter (time frame: 28 +/- 3 days post last treatment). 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 30 Jul 2026.

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