A Study of TAR-200 in Combination With Cetrelimab and Cetrelimab Alone in Participants With Muscle-Invasive Urothelial Carcinoma of the Bladder

NCT ID: NCT04919512

Last Updated: 2025-11-10

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

ACTIVE_NOT_RECRUITING

Clinical Phase

PHASE2

Total Enrollment

163 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-07-07

Study Completion Date

2027-03-07

Brief Summary

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The purpose of this study is to evaluate the anti-tumor effects of TAR-200 in combination with intravenous (IV) cetrelimab and IV cetrelimab alone.

Detailed Description

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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) 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.

Conditions

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Urinary Bladder Neoplasms

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Cohort 1: TAR-200 + Cetrelimab

Participants will receive TAR-200 in combination with cetrelimab.

Group Type EXPERIMENTAL

TAR-200

Intervention Type DRUG

TAR-200 will be administered.

Cetrelimab

Intervention Type BIOLOGICAL

Cetrelimab will be administered.

Cohort 2: Cetrelimab

Participants will receive cetrelimab.

Group Type EXPERIMENTAL

Cetrelimab

Intervention Type BIOLOGICAL

Cetrelimab will be administered.

Interventions

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TAR-200

TAR-200 will be administered.

Intervention Type DRUG

Cetrelimab

Cetrelimab will be administered.

Intervention Type BIOLOGICAL

Other Intervention Names

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JNJ-17000139 JNJ-63723283

Eligibility Criteria

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Inclusion Criteria

* Histologically proven, cT2-T4a N0, M0 infiltrating urothelial carcinoma of the bladder. Initial diagnosis must have been within 120 days of randomization date. Participants with variant histologic subtypes are allowed if tumor(s) demonstrate urothelial predominance. However, the presence of small cell or neuroendocrine variants will make a participant ineligible
* Participants with no residual tumor, or intravesical tumor size of less than or equal to (\<=)3 centimeter (cm) following transurethral resection of bladder tumor (TURBT) are eligible; debulking TURBT for any residual disease is encouraged but not mandated. Participants with persistent tumors greater than (\>)3 cm at screening must undergo a second debulking, re-staging TURBT. Participants will be ineligible if any individual tumor is \>3 cm after debulking TURBT
* 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. Investigators may consult an endocrinologist for participant eligibility assessment in the case of equivocal or marginal tests results
* 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 weeks prior to starting study treatment
* Participants must not have evidence of cT4b, or N1-3, or M1 disease based on central 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
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Janssen Research & Development, LLC

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Janssen Research & Development, LLC Clinical Trial

Role: STUDY_DIRECTOR

Janssen Research & Development, LLC

Locations

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University of Alabama at Birmingham

Birmingham, Alabama, United States

Site Status

Urological Associates of Southern Arizona, P.C.

Tucson, Arizona, United States

Site Status

UAMS Winthrop P. Rockefeller Cancer Institute

Little Rock, Arkansas, United States

Site Status

Arkansas Urology

Little Rock, Arkansas, United States

Site Status

City of Hope

Duarte, California, United States

Site Status

Genesis Research

San Diego, California, United States

Site Status

Colorodo Urology- St. Anthony Hospital

Golden, Colorado, United States

Site Status

University of Florida Health Jacksonville

Jacksonville, Florida, United States

Site Status

Mayo Clinic

Jacksonville, Florida, United States

Site Status

Baptist Hospital of Miami

Miami, Florida, United States

Site Status

Winship Cancer Institute Emory University

Atlanta, Georgia, United States

Site Status

DuPage Medical Group

Lisle, Illinois, United States

Site Status

Urology of Indiana

Indianapolis, Indiana, United States

Site Status

First Urology

Jeffersonville, Indiana, United States

Site Status

University of Louisville - James Graham Brown Cancer Center

Louisville, Kentucky, United States

Site Status

University Of Maryland Medical Center

Baltimore, Maryland, United States

Site Status

Penn Medicine - PerelmanCenter for Advanced Medicine

Baltimore, Maryland, United States

Site Status

Brigham and Women's Hospital

Boston, Massachusetts, United States

Site Status

Michigan Institute of Urology, PC

Troy, Michigan, United States

Site Status

University Of Minnesota

Minneapolis, Minnesota, United States

Site Status

Mayo Clinic

Rochester, Minnesota, United States

Site Status

Ellis Fischel Cancer Center

Columbia, Missouri, United States

Site Status

Washington University School Of Medicine - Center For Advanced Medicine (CAM)

St Louis, Missouri, United States

Site Status

David C. Pratt Cancer Center

St Louis, Missouri, United States

Site Status

Robert Wood Johnson University Hospital

New Brunswick, New Jersey, United States

Site Status

Mount Sinai Queens Infusion Center

Astoria, New York, United States

Site Status

New York University Langone Medical Center

New York, New York, United States

Site Status

Memorial Sloan Kettering Cancer Center

New York, New York, United States

Site Status

SUNY Upstate Medical University

Syracuse, New York, United States

Site Status

Associated Medical Professionals

Syracuse, New York, United States

Site Status

Montefiore Medical Center

The Bronx, New York, United States

Site Status

Wake Forest University Baptist Medical Center (WFUBMC) - Comprehensive Cancer Center

Winston-Salem, North Carolina, United States

Site Status

The Ohio State University

Columbus, Ohio, United States

Site Status

MidLantic Urology

Bala-Cynwyd, Pennsylvania, United States

Site Status

University Of Pittsburgh Medical Center UPMC Hillman Cancer Center

Pittsburgh, Pennsylvania, United States

Site Status

Carolina Urologic Research Center

Myrtle Beach, South Carolina, United States

Site Status

Urology Associates

Nashville, Tennessee, United States

Site Status

Houston Metro Urology

Houston, Texas, United States

Site Status

Urology San Antonio Research

San Antonio, Texas, United States

Site Status

Huntsman Cancer Institute

Salt Lake City, Utah, United States

Site Status

University of Washington School of Medicine

Seattle, Washington, United States

Site Status

AZ Sint Jan Brugge Oostende AV

Bruges, , Belgium

Site Status

Algemeen Ziekenhuis Sint-Jan

Bruges, , Belgium

Site Status

Ziekenhuis Oost-Limburg

Genk, , Belgium

Site Status

Hopital de Jolimont

Haine Saint Paul La Louviere, , Belgium

Site Status

ZNA Jan Palfijn

Merksem, , Belgium

Site Status

Centre Interuniversitaire Ambroise Pare - Ambroise Paré

Mons, , Belgium

Site Status

Clinique Tivoli Ducos

Bordeaux, , France

Site Status

ICH Hopital A. Morvan

Brest, , France

Site Status

Hopital Henri Mondor

Créteil, , France

Site Status

Hôpital Privé Le Bois

Lille, , France

Site Status

Polyclinique de Limoges - Francois Chenieux

Limoges, , France

Site Status

Hopital de la Timone

Marseille, , France

Site Status

CHU Montpellier

Montpellier, , France

Site Status

CHU Nimes

Nîmes, , France

Site Status

Hopital Europeen Georges-Pompidou

Paris, , France

Site Status

Hopital Bichat Claude Bernard

Paris, , France

Site Status

Hospices Civils de Lyon HCL

Pierre-Bénite, , France

Site Status

Clinical La Croix Du Sud - Ramsay Santé

Quint-Fonsegrives, , France

Site Status

HIA se Sainte-Anne - Toulon

Toulon, , France

Site Status

Clinique Pasteur

Toulouse, , France

Site Status

Staedtisches Klinikum Braunschweig

Braunschweig, , Germany

Site Status

Agaplesion Frankfurter Diakonie Kliniken GmbH, Markus Krankenhaus

Frankfurt am Main, , Germany

Site Status

Universitaetsklinikum Halle Saale

Halle, , Germany

Site Status

Marien hospital Herne

Herne, , Germany

Site Status

Vivantes Klinikum Am Urban

Kreuzberg, , Germany

Site Status

Universitatsklinikum Munster

Münster, , Germany

Site Status

Rambam Health Care Campus

Haifa, , Israel

Site Status

Carmel Medical Center

Haifa, , Israel

Site Status

Hadassah Medical Center

Jerusalem, , Israel

Site Status

Rabin Medical Center - Hasharon Hospital

Petah Tikva, , Israel

Site Status

The Chaim Sheba Medical Center

Ramat Gan, , Israel

Site Status

Tel Aviv Sourasky Medical Center

Tel Aviv, , Israel

Site Status

Ospedale San Giuseppe Moscati di Avellino

Avellino, , Italy

Site Status

Ospedale Civile Ramazzini

Carpi, , Italy

Site Status

SPDC Villa Scassi

Genova, , Italy

Site Status

IRCCS Ospedale San Raffaele

Milan, , Italy

Site Status

Istituto Dei Tumori Di Milano

Milan, , Italy

Site Status

Istituto Europeo di Oncologia

Milan, , Italy

Site Status

Istituto Nazionale Tumori Fondazione G. Pascale

Napoli, , Italy

Site Status

Azienda Ospedaliero Universitaria Pisana

Pisa, , Italy

Site Status

ASL Napoli 2 Nord-SM delle Grazie Hospital

Pozzuoli, , Italy

Site Status

Istituto Nazionale Tumori Regina Elena

Roma, , Italy

Site Status

IRCCS Istituto Clinico Humanitas

Rozzano, , Italy

Site Status

Azienda Ospedaliera Universitaria Citta della Salute e della Scienza di Torino

Torino, , Italy

Site Status

Ziekenhuisgroep Twente

Almelo, , Netherlands

Site Status

Radboud Umcn

Nijmegen, , Netherlands

Site Status

Canisius-Wilhelmina Ziekenhuis

Nijmegen, , Netherlands

Site Status

Haga ziekenhuis

The Hague, , Netherlands

Site Status

Inje University Haeundae Paik Hospital

Busan, , South Korea

Site Status

Kyungpook National University Chilgok Hospital

Daegu, , South Korea

Site Status

Keimyung University Dongsan Hospital

Daegu, , South Korea

Site Status

Samsung Medical Center

Gangnam Gu, , South Korea

Site Status

National Cancer Center

Goyang-si, , South Korea

Site Status

Korea University Anam Hospital

Seoul, , South Korea

Site Status

Seoul National University Hospital

Seoul, , South Korea

Site Status

Severance Hospital

Seoul, , South Korea

Site Status

Gangnam Severance Hospital

Seoul, , South Korea

Site Status

The Catholic University of Korea Seoul St Mary s Hospital

Seoul, , South Korea

Site Status

Pusan National University Yangsan Hospital

Yangsan, , South Korea

Site Status

Hosp Univ A Coruna

A Coruña, , Spain

Site Status

Fund. Puigvert

Barcelona, , Spain

Site Status

Hosp. Univ. San Cecilio

Granada, , Spain

Site Status

Clinica Univ. de Navarra

Madrid, , Spain

Site Status

Hospital Universitario 12 de Octubre

Madrid, , Spain

Site Status

Hosp Virgen de La Victoria

Málaga, , Spain

Site Status

Hosp. Univ. Marques de Valdecilla

Santander, , Spain

Site Status

Barts Health NHS Trust

London, , United Kingdom

Site Status

Lancashire Teaching Hospitals NHS Foundation Trust Royal Preston Hospital

Preston, , United Kingdom

Site Status

Countries

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United States Belgium France Germany Israel Italy Netherlands South Korea Spain United Kingdom

References

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Necchi A, Guerrero-Ramos F, Crispen PL, Herrera-Imbroda B, Garje R, Powles T, Peyton CC, Pradere B, Ku JH, Shore N, Bogemann M, Preston MA, Xylinas E, Sanchez de Llano C, Hasan M, Stitou H, Bhanvadia S, Sweiti H, Psutka SP. TAR-200 plus cetrelimab versus cetrelimab monotherapy as neoadjuvant therapy in patients with muscle-invasive bladder cancer who are ineligible for or decline neoadjuvant cisplatin-based chemotherapy (SunRISe-4): interim analysis of a randomised, open-label phase 2 trial. Lancet Oncol. 2025 Oct;26(10):1312-1322. doi: 10.1016/S1470-2045(25)00358-4. Epub 2025 Aug 27.

Reference Type DERIVED
PMID: 40885199 (View on PubMed)

Other Identifiers

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17000139BLC2002

Identifier Type: OTHER

Identifier Source: secondary_id

2020-005565-13

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

CR109044

Identifier Type: -

Identifier Source: org_study_id