A Study to Evaluate TAR-210 Versus Intravesical Chemotherapy Treatment in Participants With High Risk Non-Muscle-Invasive Bladder Cancer

NCT ID: NCT06919965

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

RECRUITING

Clinical Phase

PHASE3

Total Enrollment

220 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-09-10

Study Completion Date

2032-03-16

Brief Summary

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The main purpose of this study is to compare the disease-free survival (the length of time after randomization that a participant survives without any signs or symptoms of the cancer returning, or progressing) between Bacillus Calmette-Guérin (BCG) treated participants receiving treatment with TAR-210 versus investigator's choice of intravesical chemotherapy for treatment of high-risk non-muscle-invasive bladder cancer (HR-NMIBC).

Detailed Description

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Conditions

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Non-Muscle Invasive 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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Group A: TAR-210

Participants in Group A will have TAR-210 inserted in the bladder on Day 1. TAR-210 will be inserted over a treatment duration of approximately 2 years.

Group Type EXPERIMENTAL

TAR-210

Intervention Type DRUG

TAR-210 will be administered intravesically.

Group B: Mitomycin C (MMC) or Gemcitabine

Participants in Group B will receive intravesical mitomycin C (MMC) or gemcitabine (investigator's choice) once weekly for 4 to 6 induction doses followed by maintenance dosing once monthly for up to 1 year. An optional second year of additional maintenance can be added at the investigator's discretion.

Group Type ACTIVE_COMPARATOR

Mitomycin C

Intervention Type DRUG

MMC will be administered intravesically.

Gemcitabine

Intervention Type DRUG

Gemcitabine will be administered intravesically.

Interventions

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TAR-210

TAR-210 will be administered intravesically.

Intervention Type DRUG

Mitomycin C

MMC will be administered intravesically.

Intervention Type DRUG

Gemcitabine

Gemcitabine will be administered intravesically.

Intervention Type DRUG

Other Intervention Names

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JNJ-42756493

Eligibility Criteria

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Inclusion Criteria

* Histologically confirmed diagnosis by local pathology of papillary-only HR-NMIBC (defined as high-grade Ta or any T1, no CIS). Mixed histology tumors are allowed if urothelial differentiation is predominant. However, neuroendocrine, and small cell variants will be excluded
* Have a susceptible fibroblast growth factor receptor (FGFR) mutation or fusion either by urine testing or tumor tissue testing (from TURBT tissue) as determined by central or local testing
* All visible tumor completely resected prior to randomization. Urine cytology must not be positive or suspicious for high grade UC before randomization. For participants with lamina propria invasion (T1) on the screening biopsy/TURBT, muscularis propria must be present to rule out MIBC
* Participants must have had either: a. Adequate Induction (5 of 6 doses) and either 2 of 3 doses of Maintenance or 2 of 6 doses of second Induction of BCG with high-grade T1 disease at first disease assessment after induction or high-grade Ta/any T1 disease within 6 months after last BCG (BCG-unresponsive population); b. had adequate induction (5 or 6 doses) with or without maintenance BCG with high-grade Ta/any T1 disease within 12 months after last BCG excluding BCG-unresponsive (BCG-experienced population); or c. been unable to complete an induction course of BCG with at least 5 doses due to grade \>= 2 toxicity requiring BCG discontinuation (BCG intolerant population)
* Have an Eastern Cooperative Oncology Group (ECOG) performance status Grade of 0, 1, or 2
* Must be ineligible for or refusing radical cystectomy (RC)

Exclusion Criteria

* Presence of CIS at any point from time of diagnosis of papillary-only HR-NMIBC recurrence to randomization. Additionally, presence or history of histologically confirmed, muscle-invasive, locally advanced, nonresectable, or metastatic urothelial carcinoma (that is \[i.e.\], T2, T3, T4, N+, and/or M+)
* Active malignancies (i.e., progressing or requiring treatment change in the last 24 months) other than the disease being treated under study. Allowed recent second or prior malignancies: a. Any malignancy that was not progressing nor requiring treatment change in the last 12 months; b. Malignancies treated within the last 12 months and considered at very low risk for recurrence for example (e.g.): non-melanoma skin cancers (treated with curative therapy or localized melanoma treated with curative surgical resection alone), non-invasive cervical cancer, breast cancer (adequately treated lobular CIS or ductal CIS, localized breast cancer and receiving antihormonal agents), localized prostate cancer (\[N0, M0\] with a Gleason score less than or equal to \[\<=\] 7a, treated locally only \[radical prostatectomy/radiation therapy/focal treatment\]) and other malignancy that is considered at minimal risk of recurrence
* 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 210
* A history of clinically significant polyuria with recorded 24 hour urine volumes greater than (\>) 4,000 milliliters (mL)
* Indwelling catheters are not permitted; however, intermittent catheterization is acceptable
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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Georgia Urology

Atlanta, Georgia, United States

Site Status RECRUITING

UroHealth Partners

Omaha, Nebraska, United States

Site Status RECRUITING

Dayton Physicians Network Urology

Centerville, Ohio, United States

Site Status RECRUITING

Helios Clinical Research, LLC

Middleburg Heights, Ohio, United States

Site Status RECRUITING

MidLantic Urology

Bala-Cynwyd, Pennsylvania, United States

Site Status RECRUITING

MidLantic Urology

Lancaster, Pennsylvania, United States

Site Status RECRUITING

The Conrad Pearson Clinic

Germantown, Tennessee, United States

Site Status RECRUITING

Urology Austin

Austin, Texas, United States

Site Status RECRUITING

Urology San Antonio PA dba USA Clinical Trials

San Antonio, Texas, United States

Site Status RECRUITING

Liga Norte Riograndense Contra O Cancer

Natal, , Brazil

Site Status RECRUITING

Hospital Regional do Cancer - Hospital de Esperança

Presidente Prudente, , Brazil

Site Status RECRUITING

Fundacao Faculdade Regional De Medicina De Sao Jose Do Rio Preto

São José do Rio Preto, , Brazil

Site Status RECRUITING

Real e Benemerita Associacao Portuguesa de Beneficencia

São Paulo, , Brazil

Site Status RECRUITING

West China Hospital Sichuan University

Chengdu, , China

Site Status RECRUITING

Nanjing Drum Tower Hospital

Nanjing, , China

Site Status RECRUITING

The First Affiliated Hospital of Ningbo University

Ningbo, , China

Site Status RECRUITING

The Second Hospital Of Tianjin Medical University

Tianjin, , China

Site Status RECRUITING

The First Affiliated Hospital of Wenzhou Medical University

Wenzhou, , China

Site Status RECRUITING

Rambam Medical Center

Haifa, , Israel

Site Status RECRUITING

Meir Medical Center

Kfar Saba, , Israel

Site Status RECRUITING

Sheba Medical Center

Ramat Gan, , Israel

Site Status RECRUITING

Tel Aviv Sourasky Medical Center

Tel Aviv, , Israel

Site Status RECRUITING

Funabashi Municipal Medical Center

Funabashi Shi, , Japan

Site Status RECRUITING

Hakodate Goryoukaku Hospital

Hakodate, , Japan

Site Status RECRUITING

St Marianna University Hospital

Kawasaki, , Japan

Site Status RECRUITING

Toho University Sakura Medical Center

Sakura, , Japan

Site Status RECRUITING

Yokohama Municipal Citizen's Hospital

Yokohama, , Japan

Site Status RECRUITING

Yokohama City University Medical Center

Yokohama, , Japan

Site Status RECRUITING

Chungbuk National University Hospital

Cheongju-si, , South Korea

Site Status RECRUITING

Samsung Medical Center

Gangnam Gu, , South Korea

Site Status RECRUITING

Seoul National University Bundang Hospital

Seongnam-si, , South Korea

Site Status RECRUITING

Seoul National University Hospital

Seoul, , South Korea

Site Status RECRUITING

Severance Hospital Yonsei University Health System

Seoul, , South Korea

Site Status RECRUITING

Hull University Teaching Hospitals NHS Trust

Cottingham, , United Kingdom

Site Status RECRUITING

St Bartholomews Hospital

London, , United Kingdom

Site Status RECRUITING

Southampton University Hospital

Southampton, , United Kingdom

Site Status RECRUITING

Lister Hospital

Stevenage, , United Kingdom

Site Status RECRUITING

Royal Marsden Hospital

Surrey, , United Kingdom

Site Status RECRUITING

Countries

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United States Brazil China Israel Japan South Korea United Kingdom

Central Contacts

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Study Contact

Role: CONTACT

Phone: 844-434-4210

Email: [email protected]

Other Identifiers

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42756493BLC3005

Identifier Type: OTHER

Identifier Source: secondary_id

2024-519493-39-00

Identifier Type: REGISTRY

Identifier Source: secondary_id

42756493BLC3005

Identifier Type: -

Identifier Source: org_study_id