Safety and Efficacy Study of Intravesical Instillation of TARA-002 in Adults With High-grade Non-muscle Invasive Bladder Cancer

NCT ID: NCT05951179

Last Updated: 2026-01-27

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

RECRUITING

Clinical Phase

PHASE2

Total Enrollment

131 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-09-15

Study Completion Date

2030-08-31

Brief Summary

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TARA-002-101-Ph2 is an open-label study to investigate the safety and efficacy 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 efficacy 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 (within 3 months) prior to signing the 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 who are BCG unresponsive

Detailed Description

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Conditions

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Non-muscle Invasive Bladder Cancer

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

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, 15,18, and 24. Following the Third Treatment Period, all participants will continue to the Follow up Period from Month 27 until Month 60.
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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TARA-002

TARA-002 is a lyophilized biological preparation for instillation containing cells of Streptococcus pyogenes (Group A, type 3) Su strain.

Group Type EXPERIMENTAL

TARA-002

Intervention Type BIOLOGICAL

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.

Interventions

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TARA-002

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.

Intervention Type BIOLOGICAL

Eligibility Criteria

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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 CIS (± Ta/T1) who are BCG unresponsive.

Exclusion Criteria

* Penicillin allergy (participants with a questionable history of allergy to penicillin will undergo penicillin blood allergy testing via central laboratory
* Central confirmed variant histology
* 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
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Protara Therapeutics

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Chief Scientific Operations Officer

Role: STUDY_DIRECTOR

Protara Therapeutics

Locations

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Urology Centers of Alabama

Homewood, Alabama, United States

Site Status RECRUITING

Mayo Clinic

Phoenix, Arizona, United States

Site Status RECRUITING

East Valley Urology Center of Arizona

Queen Creek, Arizona, United States

Site Status RECRUITING

Arkansas Urology

Little Rock, Arkansas, United States

Site Status RECRUITING

Michael Oefelein Clinical Trials

Bakersfield, California, United States

Site Status RECRUITING

Urology Group of Southern California

Los Angeles, California, United States

Site Status RECRUITING

University of California Irvine Medical Center

Orange, California, United States

Site Status RECRUITING

Genesis Research

San Diego, California, United States

Site Status WITHDRAWN

Genesis Research LLC

Torrance, California, United States

Site Status RECRUITING

Colorado University - Anshutz

Aurora, Colorado, United States

Site Status RECRUITING

AdventHealth Medical Group Urology of Denver

Denver, Colorado, United States

Site Status RECRUITING

Advanced Urology

Lakewood, Colorado, United States

Site Status RECRUITING

Urology Associates of Denver

Lone Tree, Colorado, United States

Site Status RECRUITING

University of Florida Health Jacksonville

Gainesville, Florida, United States

Site Status WITHDRAWN

Mayo Clinic

Jacksonville, Florida, United States

Site Status RECRUITING

Comprehensive Urologic Care

Lake Barrington, Illinois, United States

Site Status RECRUITING

Southern Urology

Lafayette, Louisiana, United States

Site Status RECRUITING

Ochsner Health LSU - Regional Urology

Shreveport, Louisiana, United States

Site Status WITHDRAWN

Brigham and Women's Hospital

Boston, Massachusetts, United States

Site Status RECRUITING

Mayo Clinic

Rochester, Minnesota, United States

Site Status RECRUITING

Washington University

St Louis, Missouri, United States

Site Status RECRUITING

Specialty Clinic Research of St. Louis

St Louis, Missouri, United States

Site Status RECRUITING

AccuMed Research Associates

Garden City, New York, United States

Site Status TERMINATED

University of Rochester, Department of Urology

Rochester, New York, United States

Site Status RECRUITING

Montefiore Medical Center

The Bronx, New York, United States

Site Status RECRUITING

University of Toledo

Toledo, Ohio, United States

Site Status WITHDRAWN

University of Pittsburgh Medical Center

Pittsburgh, Pennsylvania, United States

Site Status RECRUITING

Carolina Urologic Research Center

Myrtle Beach, South Carolina, United States

Site Status RECRUITING

Conrad Person Clinic

Memphis, Tennessee, United States

Site Status RECRUITING

Urology Associates PC

Nashville, Tennessee, United States

Site Status RECRUITING

Amarillo Urology Research

Amarillo, Texas, United States

Site Status WITHDRAWN

Urology Partners of North Texas

Arlington, Texas, United States

Site Status RECRUITING

Urology Austin, LLC

Austin, Texas, United States

Site Status RECRUITING

Houston Metro Urology

Houston, Texas, United States

Site Status RECRUITING

Houston Methodist Hospital

Houston, Texas, United States

Site Status RECRUITING

Clinical Trial Network

Houston, Texas, United States

Site Status WITHDRAWN

UT Health San Antonio

San Antonio, Texas, United States

Site Status RECRUITING

Virginia Urology

Richmond, Virginia, United States

Site Status RECRUITING

Centro Argentino de Urologia

CABA, , Argentina

Site Status RECRUITING

Hospital Sirio Libanes

CABA, , Argentina

Site Status RECRUITING

Centro Urologico Profesor Bengio SA

Córdoba, , Argentina

Site Status RECRUITING

CEMAIC

Córdoba, , Argentina

Site Status RECRUITING

Clinica Privada Independencia

Munro, , Argentina

Site Status RECRUITING

Fuji City General Hospital

Nova Lima, Minas Gerais, Brazil

Site Status RECRUITING

Kyushu University Hospital

Nova Lima, Minas Gerais, Brazil

Site Status RECRUITING

Office of Lucas Nougeria MA

Nova Lima, Minas Gerais, Brazil

Site Status RECRUITING

Santa Casa de Misericordia de Porto Alegre

Porto Alegre, Rio Grande do Sul, Brazil

Site Status RECRUITING

Nucleo de Pesquisa Clinica do Rio Grande so Sul

Porto Alegre, Rio Grande do Sul, Brazil

Site Status RECRUITING

Centro de Urologia Avancada

Porto Alegre, Rio Grande do Sul, Brazil

Site Status RECRUITING

Komaki City Hospital

Porto Alegre, Rio Grande do Sul, Brazil

Site Status RECRUITING

Hospital de Clinicas da UNICAMP

Campinas, São Paulo, Brazil

Site Status RECRUITING

Instituto Dor de Pesquisa e Ensino

Jardim Paulista, São Paulo, Brazil

Site Status RECRUITING

Faculdade de Medicina ABC-CEPHO

Santo André, São Paulo, Brazil

Site Status RECRUITING

Exdeo Clinical Research Inc

Abbotsford, British Columbia, Canada

Site Status RECRUITING

Jonathan Giddes Medicine Professional Corporation

Brampton, Ontario, Canada

Site Status WITHDRAWN

Sunnybrook Research Institute

Toronto, Ontario, Canada

Site Status WITHDRAWN

UHN Princess Margaret Cancer Centre Princess Margaret Hospital

Toronto, Ontario, Canada

Site Status RECRUITING

Niigata Cancer Center Hospital

Niigata, Niigata, Japan

Site Status RECRUITING

Japanese Red Cross Osaka Hospital

Osaka, Osaka, Japan

Site Status RECRUITING

Tokyo University Medical Center Sakura Hospital

Fuji-shi, Shizuoka, Japan

Site Status RECRUITING

Arensia Kapitanivka - PPDS

Kapitanivka, , Ukraine

Site Status RECRUITING

Countries

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United States Argentina Brazil Canada Japan Ukraine

Central Contacts

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Chief Scientific Operations Officer

Role: CONTACT

16468440337

Facility Contacts

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Other Identifiers

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TARA-002-101-Ph2

Identifier Type: -

Identifier Source: org_study_id

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