Description:
The purpose of this study is to evaluate the anti-tumor effects of TAR-200 in combination
with cetrelimab and cetrelimab alone.
Title
- Brief Title: A Study of TAR-200 in Combination With Cetrelimab and Cetrelimab Alone in Participants With Muscle-Invasive Urothelial Carcinoma of the Bladder
- Official Title: A Phase 2, Open-Label, Multi-Center, Randomized Study of TAR-200 in Combination With Cetrelimab and Cetrelimab Alone in Participants With Muscle-Invasive Urothelial Carcinoma of the Bladder Who Are Scheduled for Radical Cystectomy and Are Ineligible for or Refusing Platinum-Based Neoadjuvant Chemotherapy
Clinical Trial IDs
- ORG STUDY ID:
CR109044
- SECONDARY ID:
2020-005565-13
- SECONDARY ID:
17000139BLC2002
- NCT ID:
NCT04919512
Conditions
- Urinary Bladder Neoplasms
Interventions
Drug | Synonyms | Arms |
---|
TAR-200 | JNJ-17000139 | Cohort 1: TAR-200 + Cetrelimab |
Cetrelimab | JNJ-63723283 | Cohort 1: TAR-200 + Cetrelimab |
Purpose
The purpose of this study is to evaluate the anti-tumor effects of TAR-200 in combination
with cetrelimab and cetrelimab alone.
Detailed Description
Bladder cancer is the tenth most common malignancy worldwide. Approximately 25 percent (%) of
all new bladder cancer participants present with muscle invasive bladder cancer (MIBC) at the
time of diagnosis, and roughly 50% will ultimately develop distant metastases. The
TAR-200/gemcitabine (JNJ-17000139-AAC) product is an intravesical drug delivery system
regulated as an investigational drug. The drug constituent consists of gemcitabine
minitablets and osmotic minitablets. Cetrelimab (JNJ-63723283) is a fully human
immunoglobulin G4 (IgG4) kappa monoclonal antibody (mAb) that binds programmed-cell death
protein (PD)-1. The standard of care in MIBC includes radical cystectomy (RC) with urinary
diversion and is considered the preferred treatment option for participants who are
considered surgical candidates. Study consists of a Screening phase, Treatment phase and
follow-up phase. The total duration of study will be up to 2 years and 6 months. Efficacy,
safety, pharmacokinetics (PK), and biomarkers will be assessed at specific time points during
this study.
Trial Arms
Name | Type | Description | Interventions |
---|
Cohort 1: TAR-200 + Cetrelimab | Experimental | Participants will receive TAR-200 in combination with cetrelimab. | |
Cohort 2: Cetrelimab | Experimental | Participants will receive cetrelimab. | |
Eligibility Criteria
Inclusion Criteria:
- Histologically proven, cT2-T4a N0, M0 infiltrating urothelial carcinoma of the
bladder. Initial diagnosis must have been within 90 days of randomization date.
Participants with variant histologic subtypes (example squamous differentiation) are
allowed if urothelial (transitional cell) differentiation is predominant (example,
less than [<]20 percent [%] variant histologic subtype). However, the presence of any
neuroendocrine, micropapillary, signet ring cell, plasmacytoid, or sarcomatoid
features will make a participant ineligible
- Participants with an individual intravesical tumor size of less than or equal to <=3
centimeter (cm) following transurethral resection of bladder tumor (TURBT) are
eligible. Participants with persistent multifocal tumors at screening must undergo a
second debulking, re-staging TURBT to reduce the tumor burden. Participants will be
ineligible if any individual tumor is greater than (>)3 cm
- Deemed eligible for and willing to undergo RC by the operating urologist
- Eastern Cooperative Oncology Group (ECOG) performance status Grade 0 or 1
- Thyroid function tests within normal range or stable on hormone supplementation per
investigator assessment
- All adverse events associated with any prior surgery must have resolved to common
terminology criteria for adverse events (CTCAE) version 5.0 Grade less than (<) 2
prior to randomization
Exclusion Criteria:
- Must not have received prior systemic chemotherapy, targeted small molecule therapy,
or radiation therapy within 2 years prior to starting study treatment
- Participants must not have evidence of cT4b, or N1-3, or M1 disease based on local
radiology staging (chest, abdomen, and pelvis must be performed using computed
tomography [CT] or magnetic resonance imaging [MRI]) within 42 days prior to
randomization
- Presence of any bladder or urethral anatomic feature that, in the opinion of the
Investigator, may prevent the safe placement, indwelling use, or removal of TAR-200
- Prior systemic chemotherapy for urothelial cell carcinoma of the bladder at any time
- Currently participating or has participated in a study of an investigational agent and
received study therapy or investigational device within 4 weeks prior to enrollment
- Participants with evidence of bladder perforation during diagnostic cystoscopy.
Participant is eligible if perforation has resolved prior to dosing
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Percentage of Participants with Pathologic Complete Response (pCR) |
Time Frame: | Up to Week 15 |
Safety Issue: | |
Description: | Percentage of participants with a pathologic complete response (pCR) or no evidence of pathologic intravesical disease and nodal involvement (ypT0N0) derived from analysis of radical cystectomy (RC) bladder specimen will be reported. |
Secondary Outcome Measures
Measure: | Recurrence-Free Survival (RFS) |
Time Frame: | Up to Week 108 |
Safety Issue: | |
Description: | RFS is defined as the time from randomization to first radiologic (as assessed by response evaluation criteria in solid tumors [RECIST] 1.1 criteria) or histologic evidence of nodal or metastatic disease or death due to any cause. |
Measure: | Number of Participants with Adverse Events (AEs) by Grades According to Common Terminology Criteria for Adverse Events (CTCAE) |
Time Frame: | Up to Week 108 |
Safety Issue: | |
Description: | Number of participants with AEs by severity grade as assessed by CTCAE version 5 will be reported. Grade refers to the severity of AE as follows: Grade 1- Mild; Grade 2- Moderate; Grade 3- Severe; Grade 4- Life-threatening; Grade 5- Death related to adverse event. |
Measure: | Number of Participants with Change from Baseline in Laboratory Abnormalities |
Time Frame: | Up to Week 108 |
Safety Issue: | |
Description: | Number of participants with change from baseline in laboratory abnormalities will be reported. Severity will be graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) version 5.0. Severity scale ranges from Grade 1 (Mild) to Grade 5 (Death). Grade 1= Mild, Grade 2= Moderate, Grade 3= Severe, Grade 4= Life-threatening, and Grade 5= Death related to adverse event. |
Details
Phase: | Phase 2 |
Primary Purpose: | Interventional |
Overall Status: | Not yet recruiting |
Lead Sponsor: | Janssen Research & Development, LLC |
Last Updated
August 11, 2021