Study of CG0070 Given in Combination With Pembrolizumab, in Non-Muscle Invasive Bladder Cancer, Unresponsive to Bacillus Calmette-Guerin

NCT ID: NCT04387461

Last Updated: 2024-09-25

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

35 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-12-08

Study Completion Date

2024-05-28

Brief Summary

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To evaluate the activity of intravesical administration of CG0070 and intravenous administration of Pembrolizumab in patients with tissue pathology-confirmed non-muscle invasive bladder cancer (NMIBC) who have Bacillus-Calmette-Guerin (BCG) unresponsive disease with carcinoma in situ (CIS) with or without Ta/T1 papillary disease.

Detailed Description

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An opened label trial designed to evaluate CG0070 and DDM in combination with Pembrolizumab in patients with NMIBC who have failed prior BCG therapy.

The target population of 37 subjects with CIS with or without concomitant high-grade Ta or T1 papillary disease will be enrolled.

BCG failure is defined as persistent or recurrent disease within 12 months of completion of adequate BCG therapy.

Conditions

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Non Muscle Invasive Bladder Cancer

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Single Arm

CG0070 will be administered intravesically (IVE) following a sequence of bladder washes with 5% DDM and normal saline. CG0070 will be administered weekly x 6 on Day 1 to Week 6. If the patient shows persistent high-grade disease at Week 13, the patient will receive another cycle of 6 weekly treatments. If there is no disease present at Week 13 (e.g., complete response) then the patient will receive 3 weekly treatments.

Beginning at Week 25, patients will receive weekly x 3 treatments every 3 months through Week 49 then every 24 weeks thereafter.

Pembrolizumab will be given intravenous (IV) concurrently starting on Day 1 and continue every 6 weeks for up to 2 years.

Group Type EXPERIMENTAL

CG0070

Intervention Type BIOLOGICAL

Engineered Oncolytic Adenovirus

Pembrolizumab Injection

Intervention Type BIOLOGICAL

Immune checkpoint inhibitor, Monoclonal antibody

n-dodecyl-B-D-maltoside

Intervention Type OTHER

Transduction-enhancing agent.

Interventions

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CG0070

Engineered Oncolytic Adenovirus

Intervention Type BIOLOGICAL

Pembrolizumab Injection

Immune checkpoint inhibitor, Monoclonal antibody

Intervention Type BIOLOGICAL

n-dodecyl-B-D-maltoside

Transduction-enhancing agent.

Intervention Type OTHER

Other Intervention Names

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KEYTRUDA® DDM

Eligibility Criteria

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Inclusion Criteria

* Eastern Cooperative Oncology Group (ECOG) performance status 0 to 2
* Pathologically confirmed NMIBC with CIS (with or without Ta/T1 disease)
* Unresponsive to prior BCG therapy (Lerner 2015) defined as persistent or recurrent CIS alone or with recurrent Ta/T1 (noninvasive papillary disease/tumor invades the sub- epithelial connective tissue) disease within 12 months of completion of adequate BCG therapy. An assessment within 15 months can also qualify when no assessment was performed within 12 months after completion of adequate BCG therapy.

* Adequate BCG is defined as at least 5 treatments with induction BCG followed by at least 2 BCG treatments as reinduction or maintenance
* Ineligible for radical cystectomy or refusal of radical cystectomy
* Adequate organ function

Exclusion Criteria

* Immuno-deficient due to chronic steroid or other immunosuppressant use, HIV, or prior organ transplant
* Prior treatment with adenovirus-based cancer therapy
* Prior therapy with or intolerant to prior checkpoint inhibitor therapy
* Clinically significant or active cardiac disease
* Active autoimmune disease
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Merck Sharp & Dohme LLC

INDUSTRY

Sponsor Role collaborator

CG Oncology, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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University of California - San Diego

La Jolla, California, United States

Site Status

University of California - Irvine

Orange, California, United States

Site Status

Moffitt Cancer Center

Tampa, Florida, United States

Site Status

Northwestern University

Tampa, Florida, United States

Site Status

Johns Hopkins Medical Institution

Baltimore, Maryland, United States

Site Status

Chesapeake Urology

Hanover, Maryland, United States

Site Status

Mayo Clinic - Rochester

Rochester, Minnesota, United States

Site Status

New York University

New York, New York, United States

Site Status

SUNY Upstate Medical University

Syracuse, New York, United States

Site Status

Ohio State University

Columbus, Ohio, United States

Site Status

Keystone Urology Specialists

Lancaster, Pennsylvania, United States

Site Status

Fox Chase Cancer Center

Philadelphia, Pennsylvania, United States

Site Status

Spokane Urology

Spokane, Washington, United States

Site Status

Chonnam National University Hwasun Hospital

Hwasun, , South Korea

Site Status

Korea University Anam Hospital

Seoul, , South Korea

Site Status

Seoul National University Hospital

Seoul, , South Korea

Site Status

The Catholic University of Korea Seoul St. Mary's Hospital

Seoul, , South Korea

Site Status

Severance Hospital

Sinchŏn-dong, , South Korea

Site Status

Pusan National University Yangsan Hospital

Yangsan, , South Korea

Site Status

Countries

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United States South Korea

References

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Li R, Shah PH, Stewart TF, Nam JK, Bivalacqua TJ, Lamm DL, Uchio EM, Geynisman DM, Jacob JM, Meeks JJ, Dickstein R, Pearce SM, Kang SH, Jung SI, Kamat AM, Burke JM, Keegan KA, Steinberg GD. Oncolytic adenoviral therapy plus pembrolizumab in BCG-unresponsive non-muscle-invasive bladder cancer: the phase 2 CORE-001 trial. Nat Med. 2024 Aug;30(8):2216-2223. doi: 10.1038/s41591-024-03025-3. Epub 2024 Jun 6.

Reference Type DERIVED
PMID: 38844794 (View on PubMed)

Other Identifiers

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KEYNOTE-935

Identifier Type: OTHER

Identifier Source: secondary_id

MK-3475-935

Identifier Type: OTHER

Identifier Source: secondary_id

CG2003C

Identifier Type: -

Identifier Source: org_study_id

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