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Trial Title: Safety and Efficacy Study of Intravesical Instillation of TARA-002 in Adults with High-grade Non-muscle Invasive Bladder Cancer

NCT ID: NCT05951179

Condition: Non-muscle Invasive Bladder Cancer

Conditions: Official terms:
Urinary Bladder Neoplasms
Non-Muscle Invasive Bladder Neoplasms

Conditions: Keywords:
Non-muscle invasive bladder Cancer
bladder cancer
high grade Ta
high grade NMIBC
carcinoma in situ

Study type: Interventional

Study phase: Phase 2

Overall status: Recruiting

Study design:

Allocation: N/A

Intervention model: Single Group Assignment

Intervention 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, and 18. Following the Third Treatment Period, all participants will continue to the Follow up Period from Month 21 until Month 60.

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Biological
Intervention name: TARA-002
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, and 18. Following the Third Treatment Period, all participants will continue to the Follow up Period from Month 21 until Month 60.
Arm group label: TARA-002

Summary: TARA-002-101-Ph2 is an open-label study to investigate the safety and anti-tumor activity 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 anti-tumor activity of TARA-002 at the RP2D which has been established in the Phase 1a dose finding study (TARA-002-101-Ph1a). This Phase 2 study includes participants with CIS NMIBC (± Ta/T1) with active disease (defined as disease present at last tumor evaluation prior to signing 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 with persistent or recurrent CIS (± Ta/T1) who are BCG unresponsive within 12 months of completion of adequate BCG therapy (minimum 5/6 doses induction and 2/3 doses maintenance or 2/6 doses reinduction)

Criteria for eligibility:
Criteria:
Inclusion Criteria: - 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 persistent or recurrent CIS (± Ta/T1) who are BCG unresponsive within 12 months of completion of adequate BCG therapy (Cohort B). Exclusion Criteria: - Penicillin allergy (participants with a questionable history of allergy to penicillin will undergo penicillin blood allergy testing via central laboratory - Predominant (defined as > 50%) adenocarcinoma, squamous cell carcinoma, or histological variants including plasmacytoid, sarcomatoid, or squamous components according to central review - 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

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: Urology Group of Southern California

Address:
City: Los Angeles
Zip: 90017
Country: United States

Status: Recruiting

Contact:
Last name: Use Central Contact

Facility:
Name: University of California Irvine Medical Center

Address:
City: Orange
Zip: 92697
Country: United States

Status: Recruiting

Contact:
Last name: Use Central Contact

Facility:
Name: Urology Associates of Denver

Address:
City: Lone Tree
Zip: 80124
Country: United States

Status: Recruiting

Contact:
Last name: Use Central Contact

Facility:
Name: Southern Urology

Address:
City: Lafayette
Zip: 70508
Country: United States

Status: Recruiting

Contact:
Last name: Use Central Contact

Facility:
Name: Brigham and Women's Hospital

Address:
City: Boston
Zip: 02115
Country: United States

Status: Recruiting

Contact:
Last name: Use Central Contact

Facility:
Name: AccuMed Research Associates

Address:
City: Garden City
Zip: 11530
Country: United States

Status: Recruiting

Contact:
Last name: Use Central Contact

Facility:
Name: University of Rochester, Department of Urology

Address:
City: Rochester
Zip: 14642
Country: United States

Status: Recruiting

Contact:
Last name: Use Central Contact

Facility:
Name: Carolina Urologic Research Center

Address:
City: Myrtle Beach
Zip: 29572
Country: United States

Status: Recruiting

Contact:
Last name: Use Central Contact

Facility:
Name: Conrad Person Clinic

Address:
City: Memphis
Zip: 38128
Country: United States

Status: Recruiting

Contact:
Last name: Use Central Contact

Facility:
Name: Urology Associates PC

Address:
City: Nashville
Zip: 37209
Country: United States

Status: Recruiting

Contact:
Last name: Use Central Contact

Facility:
Name: Urology Austin, LLC

Address:
City: Austin
Zip: 78745
Country: United States

Status: Recruiting

Contact:
Last name: Use Central Contact

Facility:
Name: Clinical Trial Network

Address:
City: Houston
Zip: 77074
Country: United States

Status: Recruiting

Contact:
Last name: Use Central Contact

Facility:
Name: Virginia Urology

Address:
City: Richmond
Zip: 23235
Country: United States

Status: Recruiting

Contact:
Last name: Use Central Contact

Facility:
Name: Exdeo Clinical Research Inc

Address:
City: Abbotsford
Zip: V2T 1X8
Country: Canada

Status: Recruiting

Contact:
Last name: Use Central Contact

Facility:
Name: Jonathan Giddes Medicine Professional Corporation

Address:
City: Brampton
Zip: L6T 4S5
Country: Canada

Status: Recruiting

Contact:
Last name: Use Central Contact

Facility:
Name: Arensia Kapitanivka - PPDS

Address:
City: Kapitanivka
Zip: 08111
Country: Ukraine

Status: Recruiting

Contact:
Last name: Use Central Contact

Start date: September 15, 2023

Completion date: August 2030

Lead sponsor:
Agency: Protara Therapeutics
Agency class: Industry

Source: Protara Therapeutics

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05951179

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