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Non-muscle Invasive Bladder CancerPhase 2ADVANCED-2NCT05951179

Safety and Efficacy Study of Intravesical Instillation of TARA-002 in Adults With High-grade Non-muscle Invasive Bladder Cancer

A Phase 2 study testing TARA-002 in people with Non-muscle Invasive Bladder Cancer, run by Protara Therapeutics at 78 sites in 7 countries.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

TARA-002-101-Ph2 is an open-label study to investigate the safety and efficacy of intravesical instillation of TARA-002 in adults 18 years of age or older with high-grade CIS NMIBC (± Ta/T1). Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Non-muscle Invasive Bladder Cancer
What is being tested?
TARA-002
Could I receive a placebo?
No, everyone receives an active treatment
How many people
131 participants
Where
78 sitesin 7 countries
Study dates
15 Sep 2023to Mar 2032
Phase
Phase 2
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 or female participants 18 years of age or older at the time of signing informed consent
  • Participants who have voluntarily given written informed consent after the nature of the study has been explained according to applicable requirements prior to study entry
  • Central histologic confirmation of high-grade non-muscle invasive CIS (± Ta/T1) with active disease
  • Participants who are BCG naive, or participants who are BCG exposed and have not received intravesical BCG for at least 24 months prior to the most recent CIS diagnosis (Cohort A). Participants with CIS (± Ta/T1) who are BCG unresponsive.

Who cannot join

  • Penicillin allergy (participants with a questionable history of allergy to penicillin will undergo penicillin blood allergy testing via central laboratory
  • Central confirmed variant histology
  • Concomitant prostatic or upper tract urothelial involvement per Investigator's assessment
  • Nodal and metastatic disease are excluded if they existed at any time (whether present or in the past)
  • Any history of ≥ T2 bladder cancer that existed at any point in time in the participant's history
  • For more information on eligibility criteria, please contact the Sponsor

Trial locations and contacts

78 sites in 7 countries. Contact the study team or a site near you to ask about taking part.

Chief Scientific Operations Officer contact

16468440337

clinicaltrials@protaratx.com

78 sites in 7 countries

United States44 sites, 36 recruiting
  • Amarillo Urology Research

    Amarillo, Texas, 79106

    Withdrawn
  • Urology Partners of North Texas

    Arlington, Texas, 76017

    Use Central Contact

    Recruiting
  • Colorado University - Anshutz

    Aurora, Colorado, 80045

    Use Central Contact

    Recruiting
  • Urology Austin, LLC

    Austin, Texas, 78745

    Use Central Contact

    Recruiting
  • Michael Oefelein Clinical Trials

    Bakersfield, California, 93301

    Use Central Contact

    Recruiting
  • Minnesota Urology, Woodbury

    Bloomington, Minnesota, 55425

    Use Central Contact

    Recruiting
  • Brigham and Women's Hospital

    Boston, Massachusetts, 02115

    Use Central Contact

    Recruiting
  • Cleveland Clinic Main Campus, Cleveland

    Cleveland, Ohio, 44195

    Use Central Contact

    Recruiting
  • AdventHealth Medical Group Urology of Denver

    Denver, Colorado, 80211

    Use Central Contact

    Recruiting
  • University of Florida Health Jacksonville

    Gainesville, Florida, 32611

    Withdrawn
  • AccuMed Research Associates

    Garden City, New York, 11530

    Terminated
  • Urology Centers of Alabama

    Homewood, Alabama, 35209

    Use Central Contact

    Recruiting
  • Houston Metro Urology

    Houston, Texas, 77027

    Use Central Contact

    Recruiting
  • Houston Methodist Hospital

    Houston, Texas, 77030

    Use Central Contact

    Recruiting
  • Clinical Trial Network

    Houston, Texas, 77074

    Withdrawn
  • Mayo Clinic

    Jacksonville, Florida, 32224

    Use Central Contact

    Recruiting
  • Southern Urology

    Lafayette, Louisiana, 70508

    Use Central Contact

    Recruiting
  • Comprehensive Urologic Care

    Lake Barrington, Illinois, 60010

    Use Central Contact

    Recruiting
  • Advanced Urology

    Lakewood, Colorado, 80228

    Use Central Contact

    Recruiting
  • Arkansas Urology

    Little Rock, Arkansas, 72211

    Use Central Contact

    Recruiting
  • Urology Associates of Denver

    Lone Tree, Colorado, 80124

    Use Central Contact

    Recruiting
  • Urology Group of Southern California

    Los Angeles, California, 90017

    Terminated
  • Conrad Person Clinic

    Memphis, Tennessee, 38128

    Use Central Contact

    Recruiting
  • Carolina Urologic Research Center

    Myrtle Beach, South Carolina, 29572

    Use Central Contact

    Recruiting
  • Urology Associates PC

    Nashville, Tennessee, 37209

    Use Central Contact

    Recruiting
  • Laura & Isaac Perlmutter Cancer Center - NYU Langone Health

    New York, New York, 10016

    Use Central Contact

    Recruiting
  • University of California Irvine Medical Center

    Orange, California, 92697

    Use Central Contact

    Recruiting
  • Mayo Clinic

    Phoenix, Arizona, 85054

    Use Central Contact

    Recruiting
  • University of Pittsburgh Medical Center

    Pittsburgh, Pennsylvania, 15213

    Use Central Contact

    Recruiting
  • Greater Boston Urology, LLC

    Plymouth, Massachusetts, 02360

    Use Central Contact

    Recruiting
  • East Valley Urology Center of Arizona

    Queen Creek, Arizona, 85140

    Use Central Contact

    Recruiting
  • Virginia Urology

    Richmond, Virginia, 23235

    Use Central Contact

    Recruiting
  • Mayo Clinic

    Rochester, Minnesota, 55905

    Use Central Contact

    Recruiting
  • University of Rochester, Department of Urology

    Rochester, New York, 14642

    Use Central Contact

    Recruiting
  • UT Health San Antonio

    San Antonio, Texas, 78229

    Use Central Contact

    Recruiting
  • Genesis Research

    San Diego, California, 92123

    Withdrawn
  • Ochsner Health LSU - Regional Urology

    Shreveport, Louisiana, 71105

    Withdrawn
  • Spokane Urology

    Spokane, Washington, 99202

    Use Central Contact

    Recruiting
  • Renown Regional Medical Center

    St Louis, Missouri, 63110

    Use Central Contact

    Recruiting
  • Specialty Clinic Research of St. Louis

    St Louis, Missouri, 63141

    Use Central Contact

    Recruiting
  • Associated Medical Professionals of NY, PLLC

    Syracuse, New York, 13210

    Use Central Contact

    Recruiting
  • Montefiore Medical Center

    The Bronx, New York, 10467

    Use Central Contact

    Recruiting
  • University of Toledo

    Toledo, Ohio, 43606

    Withdrawn
  • Genesis Research LLC

    Torrance, California, 90505

    Use Central Contact

    Recruiting

Other trials in United States

Japan12 sites, 12 recruiting
  • Hyogo Prefectural Amagasaki General Medical Center

    Amagasaki-shi, Hyōgo, 660-8550

    Use Central Contact

    Recruiting
  • Toho University Medical Center Sakura Hospital

    Fuji-shi, Shizuoka, 417-8567

    Use Central Contact

    Recruiting
  • Kyushu University Hospital

    Fukuoka, Fukuoka, 812-8582

    Use Central Contact

    Recruiting
  • Funabashi Municipal Medical Center

    Funabashi-shi, Chiba, 273-8588

    Use Central Contact

    Recruiting
  • Hitachi General Hospital

    Hitachi-shi, Ibaraki, 317-0077

    Use Central Contact

    Recruiting
  • Komaki City Hospital

    Komaki-shi, Aichi-ken, 485-0044

    Use Central Contact

    Recruiting
  • Japanese Red Cross Aichi Medical Center Nayoya Daiichi

    Nagoya, Aichi-ken, 435-8511

    Use Central Contact

    Recruiting
  • Niigata Cancer Center Hospital

    Niigata, Niigata, 961-8566

    Use Central Contact

    Recruiting
  • Japanese Red Cross Osaka Hospital

    Osaka, Osaka, 543-855

    Use Central Contact

    Recruiting
  • Fuji City General Hospital

    Sakura-shi, Chiba, 285-8741

    Use Central Contact

    Recruiting
  • Toyama University Hospital

    Toyama, Toyama, 930-0152

    Use Central Contact

    Recruiting
  • Yokohama Municipal Citizen's Hospital

    Yokohama, Kanagawa, 221-0855

    Use Central Contact

    Recruiting

Other trials in Japan

Brazil8 sites, 8 recruiting
  • Hospital de Clinicas da UNICAMP

    Campinas, São Paulo, 13083-970

    Use Central Contact

    Recruiting
  • Instituto Dor de Pesquisa e Ensino

    Jardim Paulista, São Paulo, 01401-002

    Use Central Contact

    Recruiting
  • Kyushu University Hospital

    Nova Lima, Minas Gerais, 34006-059

    Use Central Contact

    Recruiting
  • Office of Lucas Nougeria MA

    Nova Lima, Minas Gerais, 34006-059

    Use Central Contact

    Recruiting
  • Santa Casa de Misericordia de Porto Alegre

    Porto Alegre, Rio Grande do Sul, 90035-070

    Use Central Contact

    Recruiting
  • Nucleo de Pesquisa Clinica do Rio Grande so Sul

    Porto Alegre, Rio Grande do Sul, 90430-001

    Use Central Contact

    Recruiting
  • Centro de Urologia Avancada

    Porto Alegre, Rio Grande do Sul, 91350-200

    Use Central Contact

    Recruiting
  • Faculdade de Medicina ABC-CEPHO

    Santo André, São Paulo, 09060-650

    Use Central Contact

    Recruiting

Other trials in Brazil

Argentina7 sites, 7 recruiting
  • Hospital Italiano de Buenos Aires (HIBA)

    Buenos Aires, C1199ABB

    Use Central Contact

    Recruiting
  • Hospital Britanico de Buenos Aires

    Buenos Aires, C1280

    Use Central Contact

    Recruiting
  • Centro Argentino de Urologia

    CABA, C1419

    Use Central Contact

    Recruiting
  • Hospital Sirio Libanes

    CABA, C1419

    Use Central Contact

    Recruiting
  • Centro Urologico Profesor Bengio SA

    Córdoba, X5000KPH

    Use Central Contact

    Recruiting
  • CEMAIC

    Córdoba, X5088

    Use Central Contact

    Recruiting
  • Clinica Privada Independencia

    Munro, 1605

    Use Central Contact

    Recruiting

Other trials in Argentina

Canada5 sites, 2 recruiting
  • Exdeo Clinical Research Inc

    Abbotsford British Columbia, British Columbia, V2T 1X8

    Terminated
  • Jonathan Giddes Medicine Professional Corporation

    Brampton, Ontario, L6T 4S5

    Withdrawn
  • The Research Institute of the McGill University Health Centre

    Montreal, Quebec, H3H 2R9

    Use Central Contact

    Recruiting
  • Sunnybrook Research Institute

    Toronto, Ontario, M4N 3M5

    Withdrawn
  • UHN Princess Margaret Cancer Centre Princess Margaret Hospital

    Toronto, Ontario, M5G 1Z5

    Recruiting

Other trials in Canada

Taiwan1 site, 1 recruiting
  • Kaohsiung Medical University Chung-Ho Memorial Hospital

    Kaohsiung City, Kanagawa, 807561

    Use Central Contact

    Recruiting

Other trials in Taiwan

Ukraine1 site, 1 recruiting
  • Arensia Kapitanivka - PPDS

    Kapitanivka, 08111

    Use Central Contact

    Recruiting

Other trials in Ukraine

About this study

Official title: A Phase 2, Open-Label Study to Evaluate the Safety and Efficacy of Intravesical Instillation of TARA-002 in Adults With High-Grade Non-Muscle Invasive Bladder Cancer

TARA-002-101-Ph2 is an open-label study to investigate the safety and efficacy of intravesical instillation of TARA-002 in adults 18 years of age or older with high-grade CIS NMIBC (± Ta/T1).

The purpose of this Phase 2 study (TARA-002-101-Ph2) is to further assess the safety and efficacy of TARA-002 at the RP2D which has been established in the Phase 1a dose finding study (TARA-002-101-Ph1a).

Read more

This Phase 2 study includes participants with CIS NMIBC (± Ta/T1) with active disease, defined as disease present at last tumor evaluation (within 3 months) prior to signing the ICF.

Participants will be enrolled into one of 2 cohorts:

Cohort A:

  • Participants with CIS (± Ta/T1) who are BCG naive, or
  • Participants with CIS (± Ta/T1) who are BCG exposed and have not received intravesical BCG for at least 24 months prior to the most recent CIS diagnosis

Cohort B:

  • Participants who are BCG unresponsive
Being tested
TARA-002
Keywords
Non-muscle invasive bladder Cancer, bladder cancer, high grade Ta, high grade NMIBC, carcinoma in situ
Medical subject headings
Non-Muscle Invasive Bladder Neoplasms, Urinary Bladder Neoplasms, Carcinoma in Situ

What participants receive

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

  • TARA-002Biological

    All participants will receive 6 weekly instillations of TARA-002 at the established RP2D (First Treatment Period). Participants who are eligible for reinduction after the First Treatment Period will receive 6 additional weekly doses of TARA-002 instillation as part of the Second Treatment Period. Participants confirmed to have a complete response after the First Treatment Period will receive 3 additional weekly doses of TARA-002 instillation as maintenance during the Second Treatment Period. All eligible participants will receive 3 weekly doses of TARA-002 instillation as part of the Third Treatment Period (maintenance) at Months 6, 9, 12, 15, 18 and 24. Following the Third Treatment Period, all participants will continue to the Follow up Period from Month 27 until Month 60.

Study groups in NCT05951179
Study groupRoleWhat they receive
TARA-002ExperimentalTARA-002 is a lyophilized biological preparation for instillation containing cells of Streptococcus pyogenes (Group A, type 3) Su strain.
Receives: Biological: TARA-002

What is being measured

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

  1. Cohort A and B: Incidence of high-grade Complete Response at any time according to central pathology after treatment with TARA-002

    Measured: Month 3 to Month 60

Secondary outcomes (17)
  1. Cohort A: Incidence of high-grade Complete Response at any time by subgroup (BCG naive and BCG exposed > 24 months) according to central pathology after treatment with TARA-002

    Measured: Month 3 to Month 60

  2. Cohort A and B: Duration of high-grade Complete Response rate at Months 3, 6, 9, 12, 15, 18, 21, 24, 27, 30, 36, 42, 48, 54, and 60 after treatment with TARA-002

    Measured: Month 3 to Month 60

  3. Cohort A and B: High-grade Complete Response rate at Months 3, 6, 9, 12, 15, 18, 21, 24, 27, 30, 36, 42, 48, 54, and 60 after treatment with TARA-002

    Measured: Month 3 to Month 60

  4. Cohort A and B: Duration of Complete Response (all recurrent bladder cancer, including low grade Ta) after treatment with TARA-002

    Measured: Month 3 to Month 60

  5. Cohort A and B: Complete Response rate (all recurrent bladder cancer, including low grade Ta) at Months 3, 6, 9, 12, 15, 18, 21, 24, 27, 30, 36, 42, 48, 54, and 60 after treatment with TARA-002

    Measured: Month 3 to Month 60

  6. Cohort A and B: Progression free survival after treatment with TARA-002

    Measured: 60 months

  7. Cohort A and B: Disease-specific progression free survival after treatment with TARA-002

    Measured: 60 months

  8. Cohort A and B: Overall survival after treatment with TARA-002

    Measured: 60 months

  9. Cohort A and B: Disease specific survival after treatment with TARA-002

    Measured: 60 months

  10. Cohort A and B: Time to cystectomy after treatment with TARA-002

    Measured: 60 months

  11. Cohort A and B: Time to recurrence delayed cystectomy after treatment with TARA-002

    Measured: 60 months

  12. Cohort A and B: Time to progression after treatment with TARA-002

    Measured: 60 months

  13. Cohort A and B: Time to disease worsening after treatment with TARA-002

    Measured: 60 months

  14. Cohort A and B: Incidence and severity of AEs, TEAEs, SAEs and TESAEs after treatment with TARA-002

    AE = adverse event; TEAE = treatment emergent adverse event; SAE = serious adverse event; TESAE = treatment emergent serious adverse event

    Measured: Day 1 to Month 60

  15. Cohort A and B: Change from baseline in urine pharmacodynamic biomarker levels (including IL-6, IL-8, IFN-γ, and TNF-α) after treatment with TARA-002

    Measured: Day 1 to Day 72

  16. Cohort A and B: Quality of Life based on the EORTC questionnaire QLQ-NMIBC24

    EORTC = European Organization for Research and Treatment of Cancer; QLQ-NMIBC24 = Questionnaire for Patients with NMIBC

    Measured: Day 1 to Month 24

  17. Cohort A and B: Quality of Life based on the EORTC questionnaire QLQ-C30

    EORTC = European Organization for Research and Treatment of Cancer; QLQ-C30 = Questionnaire for Patients with Cancer

    Measured: Day 1 to Month 24

Timeline

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

  1. First posted18 Jul 2023
  2. Study start15 Sep 2023
  3. Primary completionOct 2031 (estimated)
  4. Study completionMar 2032 (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 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Model description
All participants will receive 6 weekly instillations of TARA-002 at the established RP2D (First Treatment Period). Participants who are eligible for reinduction after the First Treatment Period will receive 6 additional weekly doses of TARA-002 instillation as part of the Second Treatment Period. Participants confirmed to have a complete response after the First Treatment Period will receive 3 additional weekly doses of TARA-002 instillation as maintenance during the Second Treatment Period. All eligible participants will receive 3 weekly doses of TARA-002 instillation as part of the Third Treatment Period (maintenance) at Months 6, 9, 12, 15,18, and 24. Following the Third Treatment Period, all participants will continue to the Follow up Period from Month 27 until Month 60.
Masking
None (open label)
Enrolment
131 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05951179
Sponsor's protocol ID
TARA-002-101-Ph2
Acronym
ADVANCED-2
Status last verified
Jan 2026
First submitted
29 Jun 2023
Last updated
24 Aug 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 2 study testing TARA-002 in people with Non-muscle Invasive Bladder Cancer, run by Protara Therapeutics at 78 sites in 7 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 4 inclusion and 6 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: looking for participants now, as of the sponsor's last update on 24 Aug 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 78 sites in United States, Japan, Brazil, Argentina, Canada and 2 more countries. 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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?

Contact Chief Scientific Operations Officer (16468440337, clinicaltrials@protaratx.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Cohort A and B: Incidence of high-grade Complete Response at any time according to central pathology after treatment with TARA-002 (time frame: Month 3 to Month 60). 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 24 Aug 2026; AzTrials last refreshed its copy on 8 Nov 2026.

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