High-Risk Non-Muscle-Invasive Bladder CancerPhase 2NCT06567743
Phase 2 Study to Evaluate Safety and Efficacy of Cretostimogene Grenadenorepvec in High-Risk NMIBC
A Phase 2 study testing Cretostimogene Grenadenorepvec in people with High-Risk Non-Muscle-Invasive Bladder Cancer, run by CG Oncology, Inc. at 80 sites in 2 countries.
Trial summary
This is a Phase 2, Multi-Arm, Multi-Cohort, Open-Label Study to Evaluate the Safety and Efficacy of Cretostimogene Grenadenorepvec in Participants with High-Risk Non-Muscle-Invasive Bladder Cancer. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- High-Risk Non-Muscle-Invasive Bladder Cancer
- What is being tested?
- Cretostimogene Grenadenorepvec
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 325 participants
- Where
- 80 sitesin 2 countries
- Study dates
- 16 Sep 2024to 30 Dec 2027
- 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
None listed.
Who cannot join
- Current or past history of muscle-invasive, locally advanced or metastatic bladder cancer.
- High-grade urothelial carcinoma in the upper urinary tract or prostatic urethra within 24 months or T2 in upper tract within 48 months or any history of locally advanced/ nodal or metastatic disease in the upper urinary tract.
- Significant immunodeficiency.
- Pregnant or breastfeeding.
- Cohort CX Only: serial intravesical gemcitabine within 24 months
Trial locations and contacts
80 sites in 2 countries. Contact the study team or a site near you to ask about taking part.
80 sites in 2 countries
United States79 sites, 75 recruiting
- Recruiting
Potomac Urology
Alexandria, Virginia, 22311
Aseem Malhotra, MD, 703-680-2111, amalhotra@potomacurology.com
Aseem Malhotra, MD
- Completed
Amarillo Urology Research
Amarillo, Texas, 79106
- Recruiting
Anne Arundel Urology
Annapolis, Maryland, 21401
Megan Lormore, 410-266-8049 ext. 139, mlormore@aaurology.com
Mara Holton, MD
- Recruiting
UPNT Research Institute, LLC
Arlington, Texas, 76017
Michael Collini, MD, 682-205-8396, michael.collini@objective.health
Michael Collini, MD
- Recruiting
Emory University
Atlanta, Georgia, 30322
Shreyas Joshi, MD, shreyas.joshi@emory.edu
Shreyas Joshi, MD
- Recruiting
Urology Austin, PLLC (Urology America)
Austin, Texas, 78745
Brian Mazzarella, MD, 512-410-3773, brian.mazzarella@urologyaustin.com
Brian Mazzarella
- Recruiting
Michael G Oefelein, MD Clinical Trials
Bakersfield, California, 93301
Michael G Oefelein, MD, 661-310-1063
Michael G Oefelein, MD
- Recruiting
Midlantic Urology (Solaris)
Bala-Cynwyd, Pennsylvania, 19004
Laurence Belkoff, MD, lbelkoff@midlanticurology.com
Laurence Belkoff, MD
- Recruiting
Brigham and Women's Hospital
Boston, Massachusetts, 02115
Mark Preston, MD, 617-525-8274, MPRESTON@BWH.HARVARD.EDU
Mark Preston, MD
- Recruiting
Urology of Indiana - Carmel
Carmel, Indiana, 46032
Chad Reichard, MD, creichard@urologyin.com
Chad Reichard, MD
- Recruiting
University of North Carolina
Chapel Hill, North Carolina, 27599
Mary Westerman, MD
Mary Westerman, MD
- Recruiting
Charleston Area Medical Center
Charleston, South Carolina, 25304
Michael Stencel, MD, Michael.stenceldo@gmail.com
Michael Stencel, MD
- Recruiting
Atrium Health/Levine Center
Charlotte, North Carolina, 28204
Justin Matulay, MD, 980-442-2000, Justin.Matulay@atriumhealth.org
Justin Matulay, MD
- Recruiting
Associated Urological Specialists
Chicago Ridge, Illinois, 60415
Aaron Berger, MD, a.berger@auspecialists.com
Aaron Berger, MD
- Recruiting
The Urology Group (Solaris)
Cincinnati, Ohio, 45212
Marc Pliskin, MD, mpliskin@urologygroup.com
Marc Pliskin, MD
- Recruiting
University of Cincinnati Cancer Center
Cincinnati, Ohio, 45267
Alberto Martini, MD, 651-999-6800, marti9a7@ucmail.uc.edu
Alberto Martini, MD
- Recruiting
Cleveland Clinic
Cleveland, Ohio, 44195
Laura Bukavina, MD, 216-444-2200, bukavil2@ccf.org
Laura Bukavina, MD
- Recruiting
Urology Center of Iowa Research
Clive, Iowa, 50325
Brian Gallagher, MD, 515-992-7718, brian.gallagher@objective.health
Brian Gallagher, MD
- Recruiting
Ohio State University
Columbus, Ohio, 43210
Deb Sundi, MD, 614-685-4263, D.Sundi@osumc.edu
Deb Sundi, MD
- Recruiting
Urology Clinics of North Texas, PLLC
Dallas, Texas, 75231
Jacob Taylor, MD, 214-556-8337, jtaylor@urologyclinics.com
Jacob Taylor, MD
- Recruiting
UT Southwestern Medical Center
Dallas, Texas, 75390
Catherine Rodriguez, 214-645-8787
Solomon Woldu, MD
- Recruiting
Central Ohio Urology Group (US Urology Partners)
Gahanna, Ohio, 43230
Benjamin Martin, MD, 614-396-2684, bmartin@centralohiourology.com
Benjamin Martin, MD
- Recruiting
University of Florida
Gainesville, Florida, 32611
Paul Crispen, 352-273-8236, Paul.Crispen@urology.ufl.edu
Padaric O'Malley, MD
- Recruiting
The Conrad Pearson Clinic (Urology America)
Germantown, Tennessee, 38138
Michael Granieri, MD, 901-236-0957, mgranieri@conradpearson.com
Michael Granieri, MD
- Recruiting
Banner MD Anderson Cancer Center
Gilbert, Arizona, 85234
Chinedu Mmeje, MD, 480-256-6444, Chinedu.Mmeje@bannerhealth.com
Chinedu Mmeje, MD
- Recruiting
Uropartners
Glenview, Illinois, 60026
Jeffrey Pearl, MD, JPearl@uropartners.com;
Jeffrey Pearl, MD
- Recruiting
Urology of Indiana, LLC (US Urology Partners)
Greenwood, Indiana, 46143
Eugene Cone, MD, 317-564-5573, econe@urologyin.com
Eugene Cone, MD
- Recruiting
Hackensack University Medical Center
Hackensack, New Jersey, 07601
Nitin Yerram, MD, 551-996-8090, nitin.yerram@hmhn.org
Nitin Yerram, MD
- Recruiting
Chesapeake Urology Research Associates
Hanover, Maryland, 21076
Rian Dickstein, MD, rdcura@chesuro.com
Rian Dickstein, MD
- Recruiting
Penn State University Milton S. Hershey Medical Center
Hershey, Pennsylvania, 17033
Susan Godfrey, 717-531-4472, sgodfrey@pennstatehealth.psu.edu
Jay Raman, MD
- Recruiting
Houston Methodist
Houston, Texas, 77030
Dharam Kaushik, MD, kaushik@uthscsa.edu
Dharam Kaushik, MD
- Recruiting
City of Hope
Irvine, California, 92518
Cory Hugen, MD, 949-671-4673, chugen@coh.org
Cory Hugen, MD
- Recruiting
Mayo Clinic Florida
Jacksonville, Florida, 32224
Andrew Zganjar, MD, Zganjar.Andrew@mayo.edu
Andrew Zganjar, MD
- Recruiting
First Urology, PSC
Jeffersonville, Indiana, 47130
Ryan Malone, MD, 812-206-8164, rmalone@1sturology.com
Ryan Malone, MD
- Recruiting
Southern Urology (Urology America)
Lafayette, Louisiana, 70508
Jason Bourque, MD, 337-422-3738, jasonbourque@gmail.com
Jason Bourque, MD
- Recruiting
Colorado Urology
Lakewood, Colorado, 80228
David Cahn, MD, Dcahn@coloradouro.com
David Cahn, MD
- Recruiting
Keystone Urology Specialists
Lancaster, Pennsylvania, 17604
Kenneth Lessans, MD, klessans@midlanticurology.com
Kenneth Lessans, MD
- Recruiting
Advanced Urology Institute (Solaris)
Largo, Florida, 33771
Matthew Truesdale, MD, matthew.truesdale@auihealth.com
Matthew Truesdale, MD
- Recruiting
Accellacare
Lisle, Illinois, 60532
Ranko Miocinovic, MD, 630-545-7760, Ranko.miocinovic@duly.com
Ranko Miocinovic, MD
- Recruiting
University of Arkansas for Medical Sciences
Little Rock, Arkansas, 72205
Ahmet Aydin, MD, 501-526-5658, maydin@uams.edu
Ahmet Aydin, MD
- Recruiting
Arkansas Urology
Little Rock, Arkansas, 72211
Jon Henderson, MD, 501-219-8900, Jon@arkansasurology.com
Jon Henderson, MD
- Recruiting
Urology Associates, Lone Tree
Lone Tree, Colorado, 80124
Daniel Mazur, MD, D.Mazur@uradenver.com
Daniel Mazur, MD
- Recruiting
Genesis Research (Greater Los Angeles)
Los Alamitos, California, 90720
Sepehr Nowfar, MD, 424-667-2280, Sepehr.Nowfar@uniohp.com
Sepehr Nowfar, MD
- Withdrawn
Advanced Urology
Los Angeles, California, 90045
- Recruiting
Urologic Specialists of Northwest Indiana (Solaris)
Merrillville, Indiana, 46410
Manoj Rao, MD, 219-769-8641, mrao@urologic-specialists.com
Manoj Rao, MD
- Recruiting
Urology Center of Southern California
Murrieta, California, 92563
Madhumitha Reddy, MD, mreddy@ucosc.com
Madhumitha Reddy, MD
- Recruiting
Carolina Urologic Research Center, LLC
Myrtle Beach, South Carolina, 229572
Neal Shore, MD, nshore@gsuro.com
Neal Shore, MD
- Recruiting
Urology Associates, PC
Nashville, Tennessee, 37209
Gautam Jayram, MD, 615-250-9208, gtjayram@ua-pc.com
Gautam Jayram, MD
- Recruiting
Ochsner Medical Center
New Orleans, Louisiana, 70121
Kyle Rose, MD, kyle.rose@ochsner.org
Kyle Rose, MD
- Recruiting
Integrated Medical Professionals, PLLC (Solaris)
New York, New York, 10016
Jed Kaminetsky, MD, jkaminetsky@imppllc.com
Jed Kaminetsky, MD
- Recruiting
Lowcountry Urology (Solaris)
North Charleston, South Carolina, 29406
Justin Ellett, MD, jellett@lcurology.com
Justin Ellett, MD
- Recruiting
Adult and Adolescent Urology
Omaha, Nebraska, 68114
Andrew Trainer, MD, atrainer@adultpediatricuro.com
Andrew Trainer, MD
- Recruiting
University of California, Irvine
Orange, California, 92868
Edward Uchio, MD, euchio@uci.edu
Edward Uchio, MD
- Recruiting
Advanced Urology Institute
Oxford, Florida, 34484
Edward King, MD, 352-259-4400, edward.king@auihealth.com
Edward King, MD
- Recruiting
University of Pennsylvania
Philadelphia, Pennsylvania, 19104
Trinity Bivalacqua, MD, trinity.bivalacqua@pennmedicine.upenn.edu
Trinity Bivalacqua, MD
- Recruiting
Mayo Clinic Arizona
Phoenix, Arizona, 85054
Mark Tyson, MD, tyson.mark@mayo.edu
Mark Tyson, MD
- Recruiting
Oregon Health & Science University
Portland, Oregon, 97239
Jen-Jane Lui, MD, 503-346-0640, jenj@ohsu.edu
Jen-Jabe Lui, ND
- Recruiting
Portland VA
Portland, Oregon, 97239
Nicholas Chakiryan, MD
Nicholas Chakiryan, MD
- Recruiting
Associated Urologist of North Carolina (Solaris)
Raleigh, North Carolina, 27612
Mark Jalkut, MD, 919-782-1255, MJalkut@auncurology.com
Mark Jalkut, MD
- Recruiting
Mayo Clinic Rochester
Rochester, Minnesota, 55905
Paras Shah, MD, Shah.Paras@mayo.edu
Paras Shah, MD
- Recruiting
University of Rochester
Rochester, New York, 14620
William Tabayoyong, MD, william_tabayoyong@urmc.rochester.edu
William Tabayoyong, MD
- Recruiting
Comprehensive Urology
Royal Oak, Michigan, 48073
Tarek Sangid, 248-336-1080 ext. 58754, TSangid@urologist.org
Adam Gadzinski, MD
- Recruiting
UC Davis
Sacramento, California, 95817
Thenappan Chandrasekar, MD, 916-734-5959, tchandrasekar@health.ucdavis.edu
Thenappan Chandrasekar, MD
- Recruiting
Urology San Antonio, PA dba USA Clinical Trials
San Antonio, Texas, 78229
Daniel Zainfeld, MD, 210-617-4116, Daniel.Zainfeld@urologysa.com
Daniel Zainfeld, MD
- Recruiting
Om research
San Diego, California, 91223
Katayune Golshan, 858-429-7050 ext. 2668, kgolshan@omclinicaltrials.com
Paul Dato, MD
- Recruiting
University of Southern California
San Diego, California, 92123
Siamak Daneshmand, MD, daneshma@med.usc.edu
Siamek Daneshmand, MD
- Recruiting
Spokane Urology
Spokane, Washington, 99202
Shane Pearce, MD, 509-747-3147, pearce.shane@gmail.com
Shane Pearce, MD
- Recruiting
Oregon Urology Institute
Springfield, Oregon, 97447
Katareanna Jeudy, 541-284-5508, kjeudy@oregonurology.com
Bryan Mehlhaff, MD
- Recruiting
Specialty Clinical Research of St. Louis
St Louis, Missouri, 63141
Gregory Auffenberg, MD, Gregory.Auffenberg@objective.health
Gregory Auffenberg, MD
- Recruiting
SUNY Upstate
Syracuse, New York, 13202
Joseph Jacob, MD, jacobj@upstate.edu
Joseph Jacob, MD
- Recruiting
Associated Medical Professionals of NY, PLLC (US Urology Partners)
Syracuse, New York, 13210
Christopher Pieczonka, MD, 315-478-4185, cpieczonka@ampofny.com
Christopher Pieczonka, MD
- Withdrawn
Advanced Urology Institute - Tallahassee (Solaris)
Tallahassee, Florida, 32308
- Recruiting
Montefiore Medical Center
The Bronx, New York, 10461
Alexander Sankin, MD, 347-842-1700, asankin@montefiore.org
Alexander Sankin, MD
- Recruiting
Genesis Research (Greater Los Angeles)
Torrance, California, 90503
Timothy Lesser, MD, 424-667-2565, Timothy.Lesser@uniohp.com
Timothy Lesser, MD
- Recruiting
Michigan Institute of Urology (Solaris)
Troy, Michigan, 48084
Jason Hafron, MD, 248-786-0467, HafronJ@michiganurology.com
Jason Hafron, MD
- Withdrawn
Arizona Urology Specialty
Tucson, Arizona, 85704
- Recruiting
Urology of Virginia
Virginia Beach, Virginia, 23462
Michael Williams, MD, mwilliams@urologyofva.net
Williams Michael, MD
- Recruiting
Wichita Urology Group
Wichita, Kansas, 67226
Philippe Nabbout, MD, pnabbout@wichitaurology.com
Philippe Nabbout, MD
- Recruiting
Minnesota Urology
Woodbury, Minnesota, 55123
Aaron Milbank, MD, 651-999-6800, amilbank@mnurology.com
Aaron Milbank, MD
Canada1 site, 1 recruiting
- Recruiting
Centre of Applied Urology Research Nova Scotia Health Authority
Halifax, Nova Scotia, B3H 2Y9
Ricardo Rendon, MD, 902.425.3940, ricardo.rendon@dal.ca
Ricardo Rendon, MD
About this study
Official title: A Phase 2, Multi-Arm, Multi-Cohort, Open-Label Study to Evaluate the Safety and Efficacy of Cretostimogene Grenadenorepvec in Participants With High-Risk Non-Muscle-Invasive Bladder Cancer (NMIBC)
This is a Phase 2, Multi-Arm, Multi-Cohort, Open-Label Study to Evaluate the Safety and Efficacy of Cretostimogene Grenadenorepvec in Participants with High-Risk Non-Muscle-Invasive Bladder Cancer.
Read the detailed description
In Cohort A, up to 125 participants will be enrolled with pathologically confirmed, high-risk high-grade non-muscle invasive bladder cancer (NMIBC) NMIBC (i.e., CIS with or without concomitant Ta or T1 disease OR HG Ta/T1 disease without CIS) which is naïve to Bacillus Calmette-Guerin (BCG) treatment. Participants with CIS with or without concomitant Ta/T1 NMIBC at baseline will be randomized 1:1 to receive cretostimogene via the current (Arm 1) or an alternative instillation procedure (Arm 2). Participants with papillary-only high-risk NMIBC (i.e., HG Ta/T1 without CIS) at baseline (Arm 3) will receive cretostimogene via the alternative instillation procedure.
In Cohort B, up to 150 participants will be enrolled with pathologically confirmed, high-risk high-grade NMIBC (i.e., CIS with or without concomitant Ta or T1 disease OR HG Ta/T1 disease without CIS) which has previously been exposed to BCG treatment. Participants with CIS-containing pathology at baseline will be recruited into Arm 1 and participants with papillary-only pathology at baseline will be recruited into Arm 2. Both Cohort B Arms 1 and 2 will receive cretostimogene via the alternative instillation procedure.
In Cohort CX, up to 50 participants will be enrolled with pathologically confirmed, high-risk high-grade NMIBC (i.e., CIS with or without concomitant Ta or T1 disease OR HG Ta/T1 disease without CIS) which has previously been exposed to or is unresponsive to BCG treatment. Participants will be randomized 1:1 to receive cretostimogene and gemcitabine either concurrently or sequentially.
In all cohorts, study treatment will be administered as a weekly induction course for the first 6 weeks with a reinduction course administered to patients who have CIS and/or high-grade Ta disease at the 3-month evaluation. Following induction, if no high-grade disease is detected, maintenance treatment will begin. This consists of a cycle of three weekly treatments every three months during the first year, and every six months during the second year, with an optional extension to the third year following the same six-month schedule.
Disease status will be assessed using urine cytology, complete bladder visualization (e.g., cystoscopy), upper tract assessment and directed resection/biopsy (if indicated) every 3 months for the first 2 years and then every 6 months for a further 2 years or until disease recurrence.
- Being tested
- Cretostimogene Grenadenorepvec
- Keywords
- Bladder Cancer
- 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.
Cretostimogene GrenadenorepvecDrug
Also called CG0070
Respective Cohort
| Study group | Role | What they receive |
|---|---|---|
| Experimental: Cohort A, Arm 1 | Experimental | Cretostimogene (1 x 1012 vp) will be administered intravesically via the current instillation method Receives: Drug: Cretostimogene Grenadenorepvec |
| Experimental: Cohort A, Arm 2 | Experimental | Cretostimogene (1 x 1012 vp) will be administered intravesically via an alternative instillation method. Receives: Drug: Cretostimogene Grenadenorepvec |
| Experimental: Cohort A, Arm 3 | Experimental | Cretostimogene (1 x 1012 vp) will be administered intravesically via an alternative instillation method. Receives: Drug: Cretostimogene Grenadenorepvec |
| Experimental: Cohort B, Arm 1 | Experimental | Cretostimogene (1 x 1012 vp) will be administered intravesically via an alternative instillation method. Receives: Drug: Cretostimogene Grenadenorepvec |
| Experimental: Cohort B, Arm 2 | Experimental | Cretostimogene (1 x 1012 vp) will be administered intravesically via an alternative instillation method. Receives: Drug: Cretostimogene Grenadenorepvec |
| Experimental: Cohort CX, Arm 1 | Experimental | At all treatment visits cretostimogene (1 x 1012 vp) will be administered intravesically via an alternative instillation method followed by gemcitabine instilled intravesically Receives: Drug: Cretostimogene Grenadenorepvec |
| Experimental: Cohort CX, Arm 2 | Experimental | Cretostimogene (1 x 1012 vp) will be administered intravesically via an alternative instillation method for two consecutive weeks, followed by gemcitabine administered intravesically in the third week on a cyclic 2:1 visit schedule basis Receives: Drug: Cretostimogene Grenadenorepvec |
What is being measured
The primary outcome is the main question the study is designed to answer.
Cohort A (Arm 1 and 2): Complete response rate
Determine the complete response rate at any time following treatment with cretostimogene in participants with BCG-naïve CIS with or without concomitant high-grade Ta or T1 disease at baseline
Measured: At 11 and 24 weeks
Cohort A (Arm 3): High- Grade Event-Free Survival
Determine the High-Grade Event-Free Survival following treatment with cretostimogene in participants with BCG-naïve HG Ta/T1 disease without concomitant CIS at baseline.
Measured: 48 months
Cohort B (Arm 1): Complete response rate
Determine the complete response rate at any time following treatment with cretostimogene in participants with BCG-exposed CIS with or without concomitant high-grade Ta or T1 disease at baseline.
Measured: At 11 and 24 weeks
Cohort B (Arm 2): High-Grade Event-Free Survival
Determine the High-Grade Event-Free Survival following treatment with cretostimogene in participants with BCG-exposed high-grade Ta/T1 papillary disease without CIS at baseline.
Measured: 48 months
Cohort CX (Arms 1 and 2): High-Grade Event-Free Survival
Determine the High-Grade Event-Free Survival following treatment with cretostimogene in participants with BCG-exposed or BCG-unresponsive high-grade NMIBC.
Measured: 48 months
Cohort CX (Arms 1 and 2): Safety
Determine the safety of concurrent cretostimogene and gemcitabine and sequential cretostimogene and gemcitabine.
Measured: 48 months
Secondary outcomes (5)
Cohort A (Arms 1 and 2): Evaluate cretostimogene instillation methods
Evaluate cretostimogene genome and GM-CSF levels, treatment efficacy, and safety by 2 different methods of cretostimogene instillation in participants with pathologically confirmed CIS-containing high-risk NMIBC who are naïve to BCG treatment.
Measured: At 11 and 24 weeks
Cohort A (Arm 3): High-Grade Event-Free Survival at 12 months
Determine the proportion of participants with BCG-naive papillary-only high-grade NMIBC at baseline who are free from high-grade events at 12 months
Measured: At 12 months
Cohort A (Arms 1 and 2) and Cohort B (Arm 1) Duration of response
Assess duration of response in participants with CIS with or without concomitant HG Ta/T1 disease at baseline
Measured: 48 months
Cohort B (Arm 2) High-Grade Event-Free Survival at 12 months
Determine the proportion of participants with BCG-exposed papillary-only high-grade NMIBC at baseline who are free from high-grade events at 12 months
Measured: At 12 months
Cohort CX (Arm 1 and 2) Complete response rate
Determine the complete response rate at any time following treatment with cretostimogene and gemcitabine in participants with BCG-exposed or BCG-unresponsive CIS with or without concomitant high-grade Ta or T1 disease at baseline.
Measured: At 11 and 24 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted23 Aug 2024
- Study start16 Sep 2024
- Primary completion31 Mar 2027 (estimated)
- Study completion30 Dec 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for High-Risk Non-Muscle-Invasive Bladder CancerStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 325 participants (estimated)
Sponsor and investigators
- Lead sponsor
- CG Oncology, Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Vijay Kasturi, MD, Study director, CG Oncology
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06567743
- Sponsor's protocol ID
- CORE-008
- Status last verified
- Sep 2026
- First submitted
- 14 Aug 2024
- Last updated
- 3 Sep 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 3 Sep 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 2, Multi-Arm, Multi-Cohort, Open-Label Study to Evaluate the Safety and Efficacy of Cretostimogene Grenadenorepvec in Participants With High-Risk Non-Muscle-Invasive Bladder Cancer (NMIBC)
- ClinicalTrials.gov ID
- NCT06567743
- Acronym / sponsor ID
- CORE-008
- Keywords
- Bladder Cancer
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 325 participants (estimated)
- Lead sponsor
- CG Oncology, Inc.Industry (pharma, biotech, devices)
- Study start
- 16 Sep 2024 (actual)
- Primary completion
- 31 Mar 2027 (estimated)
- Study completion
- 30 Dec 2027 (estimated)
- First posted
- 23 Aug 2024 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is a Phase 2, Multi-Arm, Multi-Cohort, Open-Label Study to Evaluate the Safety and Efficacy of Cretostimogene Grenadenorepvec in Participants with High-Risk Non-Muscle-Invasive Bladder Cancer.
Detailed description
In Cohort A, up to 125 participants will be enrolled with pathologically confirmed, high-risk high-grade non-muscle invasive bladder cancer (NMIBC) NMIBC (i.e., CIS with or without concomitant Ta or T1 disease OR HG Ta/T1 disease without CIS) which is naïve to Bacillus Calmette-Guerin (BCG) treatment. Participants with CIS with or without concomitant Ta/T1 NMIBC at baseline will be randomized 1:1 to receive cretostimogene via the current (Arm 1) or an alternative instillation procedure (Arm 2). Participants with papillary-only high-risk NMIBC (i.e., HG Ta/T1 without CIS) at baseline (Arm 3) will receive cretostimogene via the alternative instillation procedure.
In Cohort B, up to 150 participants will be enrolled with pathologically confirmed, high-risk high-grade NMIBC (i.e., CIS with or without concomitant Ta or T1 disease OR HG Ta/T1 disease without CIS) which has previously been exposed to BCG treatment. Participants with CIS-containing pathology at baseline will be recruited into Arm 1 and participants with papillary-only pathology at baseline will be recruited into Arm 2. Both Cohort B Arms 1 and 2 will receive cretostimogene via the alternative instillation procedure.
In Cohort CX, up to 50 participants will be enrolled with pathologically confirmed, high-risk high-grade NMIBC (i.e., CIS with or without concomitant Ta or T1 disease OR HG Ta/T1 disease without CIS) which has previously been exposed to or is unresponsive to BCG treatment. Participants will be randomized 1:1 to receive cretostimogene and gemcitabine either concurrently or sequentially.
In all cohorts, study treatment will be administered as a weekly induction course for the first 6 weeks with a reinduction course administered to patients who have CIS and/or high-grade Ta disease at the 3-month evaluation. Following induction, if no high-grade disease is detected, maintenance treatment will begin. This consists of a cycle of three weekly treatments every three months during the first year, and every six months during the second year, with an optional extension to the third year following the same six-month schedule.
Disease status will be assessed using urine cytology, complete bladder visualization (e.g., cystoscopy), upper tract assessment and directed resection/biopsy (if indicated) every 3 months for the first 2 years and then every 6 months for a further 2 years or until disease recurrence.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 7
| Arm | Type | Receives |
|---|---|---|
| Experimental: Cohort A, Arm 1 | Experimental | Drug: Cretostimogene GrenadenorepvecCretostimogene (1 x 1012 vp) will be administered intravesically via the current instillation method |
| Experimental: Cohort A, Arm 2 | Experimental | Drug: Cretostimogene GrenadenorepvecCretostimogene (1 x 1012 vp) will be administered intravesically via an alternative instillation method. |
| Experimental: Cohort A, Arm 3 | Experimental | Drug: Cretostimogene GrenadenorepvecCretostimogene (1 x 1012 vp) will be administered intravesically via an alternative instillation method. |
| Experimental: Cohort B, Arm 1 | Experimental | Drug: Cretostimogene GrenadenorepvecCretostimogene (1 x 1012 vp) will be administered intravesically via an alternative instillation method. |
| Experimental: Cohort B, Arm 2 | Experimental | Drug: Cretostimogene GrenadenorepvecCretostimogene (1 x 1012 vp) will be administered intravesically via an alternative instillation method. |
| Experimental: Cohort CX, Arm 1 | Experimental | Drug: Cretostimogene GrenadenorepvecAt all treatment visits cretostimogene (1 x 1012 vp) will be administered intravesically via an alternative instillation method followed by gemcitabine instilled intravesically |
| Experimental: Cohort CX, Arm 2 | Experimental | Drug: Cretostimogene GrenadenorepvecCretostimogene (1 x 1012 vp) will be administered intravesically via an alternative instillation method for two consecutive weeks, followed by gemcitabine administered intravesically in the third week on a cyclic 2:1 visit schedule basis |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (0 listed)
Key exclusion criteria (5 listed)
- Current or past history of muscle-invasive, locally advanced or metastatic bladder cancer.
- High-grade urothelial carcinoma in the upper urinary tract or prostatic urethra within 24 months or T2 in upper tract within 48 months or any history of locally advanced/ nodal or metastatic disease in the upper urinary tract.
- Significant immunodeficiency.
- Pregnant or breastfeeding.
- Cohort CX Only: serial intravesical gemcitabine within 24 months
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Cretostimogene GrenadenorepvecAlso: CG0070Respective Cohort | Drug | Experimental: Cohort A, Arm 1, Experimental: Cohort A, Arm 2, Experimental: Cohort A, Arm 3, Experimental: Cohort B, Arm 1, Experimental: Cohort B, Arm 2, Experimental: Cohort CX, Arm 1, Experimental: Cohort CX, Arm 2 |
Primary outcome
Cohort A (Arm 1 and 2): Complete response rate
Time frame: At 11 and 24 weeks
Determine the complete response rate at any time following treatment with cretostimogene in participants with BCG-naïve CIS with or without concomitant high-grade Ta or T1 disease at baseline
Cohort A (Arm 3): High- Grade Event-Free Survival
Time frame: 48 months
Determine the High-Grade Event-Free Survival following treatment with cretostimogene in participants with BCG-naïve HG Ta/T1 disease without concomitant CIS at baseline.
Cohort B (Arm 1): Complete response rate
Time frame: At 11 and 24 weeks
Determine the complete response rate at any time following treatment with cretostimogene in participants with BCG-exposed CIS with or without concomitant high-grade Ta or T1 disease at baseline.
Cohort B (Arm 2): High-Grade Event-Free Survival
Time frame: 48 months
Determine the High-Grade Event-Free Survival following treatment with cretostimogene in participants with BCG-exposed high-grade Ta/T1 papillary disease without CIS at baseline.
Cohort CX (Arms 1 and 2): High-Grade Event-Free Survival
Time frame: 48 months
Determine the High-Grade Event-Free Survival following treatment with cretostimogene in participants with BCG-exposed or BCG-unresponsive high-grade NMIBC.
Cohort CX (Arms 1 and 2): Safety
Time frame: 48 months
Determine the safety of concurrent cretostimogene and gemcitabine and sequential cretostimogene and gemcitabine.
5 secondary outcomes
Cohort A (Arms 1 and 2): Evaluate cretostimogene instillation methods
Time frame: At 11 and 24 weeks
Cohort A (Arm 3): High-Grade Event-Free Survival at 12 months
Time frame: At 12 months
Cohort A (Arms 1 and 2) and Cohort B (Arm 1) Duration of response
Time frame: 48 months
Cohort B (Arm 2) High-Grade Event-Free Survival at 12 months
Time frame: At 12 months
Cohort CX (Arm 1 and 2) Complete response rate
Time frame: At 11 and 24 weeks
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 3 Sep 2026.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
Vijay Kasturi, MD study director
CG Oncology
80 sites in 2 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Cretostimogene Grenadenorepvec in people with High-Risk Non-Muscle-Invasive Bladder Cancer, run by CG Oncology, Inc. at 80 sites in 2 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 0 inclusion and 5 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 3 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 80 sites in United States, Canada. 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 Rebecca Tregunna, MD (949 409-3700, Rebecca.Tregunna@cgoncology.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Cohort A (Arm 1 and 2): Complete response rate (time frame: At 11 and 24 weeks). The study lists 6 primary outcomes in all. 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 3 Sep 2026; AzTrials last refreshed its copy on 26 Oct 2026.