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

Purpose

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

Condition

  • Intermediate Risk Non-Muscle Invasive Bladder Cancer

Eligibility

Eligible Ages
Over 18 Years
Eligible Sex
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  • Diagnosed with intermediate risk non-muscle invasive bladder cancer (IR NMIBC) as defined by American Urological Association (AUA)/Society of Urologic Oncology [SUO] Guideline (2020) - Has undergone adequate transurethral resection of bladder tumor (TURBT; with or without peri-operative chemotherapy) within 60 days prior to randomization: - Recurrence within 1 year, low-grade Ta - Solitary low-grade Ta >3 cm - Low-grade Ta, multifocal - Solitary high-grade Ta, ≤3 cm - Low-grade T1 - Restage TURBT may be done at the discretion of the investigator

Exclusion Criteria

  • Current or previous evidence of muscle invasive (muscularis propria) or metastatic disease presented at the screening visit High risk NMIBC defined as: - High-grade T1 - Any recurrent, high-grade Ta - High-grade Ta >3 cm (or multifocal) - Any carcinoma in situ (CIS) - Any Bacillus Calmette-Guérin (BCG) failure in high-grade subject - Any variant histology - Any prostatic urethral involvement Low risk NMIBC defined as: - First occurrence of low-grade solitary Ta ≤3 cm - Recurrence of low-grade solitary Ta ≤3 cm >12 months from previous occurrence - Papillary urothelial neoplasm of low malignant potential

Study Design

Phase
Phase 3
Study Type
Interventional
Allocation
Randomized
Intervention Model
Parallel Assignment
Primary Purpose
Treatment
Masking
None (Open Label)

Arm Groups

ArmDescriptionAssigned Intervention
Experimental
Arm 1 Nadofaragene Firadenovec
Participants in the nadofaragene firadenovec arm will receive quarterly instillations with nadofaragene firadenovec for 24 months. For these subjects, the disease evaluation visits will occur within 2 weeks prior to the investigation medicinal products instillation visits.
  • Drug: Nadofaragene Firadenovec
    Vector-based gene therapy for NMIBC treatment to potentiate durable therapeutic responses by interferon (IFN) alfa-2b (IFN-α2b) amplification.
    Other names:
    • Adstiladrin
No Intervention
Arm 2 - Observation
Subjects will be followed based on the surveillance schedule of the AUA/SUO guideline (quarterly) over the 24 months treatment period. .

Recruiting Locations

Medstar Georgetown University Hospital
Washington D.C. 4140963, District of Columbia 4138106 20007

More Details

Status
Recruiting
Sponsor
Ferring Pharmaceuticals

Study Contact

Ferring Pharmaceuticals
833-548-1402
disclosure@ferring.com