A Phase 3 Study of NDV-01 as an Intravesical Administration to Patients With BCG-Unresponsive Non-Muscle Invasive Bladder Cancer (NMIBC), Refractory to First-line Therapy

NCT ID: NCT07342517

Last Updated: 2026-01-15

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

NOT_YET_RECRUITING

Clinical Phase

PHASE3

Total Enrollment

85 participants

Study Classification

INTERVENTIONAL

Study Start Date

2026-06-30

Study Completion Date

2028-06-30

Brief Summary

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This is a Phase 3, open-label single-arm trial designed to evaluate the safety and efficacy of NDV-01 (sustained-release gemcitabine-docetaxel) in adult participants with NMIBC with CIS who have failed BCG therapy and who have failed first-line therapy for BCG-unresponsive NMIBC (approved or in development) and are recommended for radical cystectomy.

Detailed Description

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This is a Phase 3, open-label single-arm trial designed to evaluate the safety and efficacy of NDV-01 (sustained-release gemcitabine-docetaxel) in adult participants with NMIBC with CIS who have failed BCG therapy and who have failed first-line therapy for BCG-unresponsive NMIBC (approved or in development) and are recommended for radical cystectomy.

Participants will receive an induction course and then monthly maintenance courses of NDV-1 (sustained-release gemcitabine-docetaxel) through 3 years, if there is no disease recurrence.

Participants will received an induction course of NDV-01 (6-bi-weekly intravesical instillations). Those who achieve a complete response (CR) at 3 months will be eligible for monthly maintenance instillations through year 3.

Disease status will be assessed using urine cytology, cystoscopy, and directed TURBT/biopsy (if indicated) every 3 months for the first 2 years after randomization or until disease recurrence.

Conditions

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Bladder (Urothelial, Transitional Cell) Cancer Bladder (Urothelial, Transitional Cell) Cancer Superficial (Non-Invasive) Urothelial Carcinoma Bladder Urothelial Carcinoma Recurrent Urologic Cancer

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

A Phase 3, Open-label Single-arm Study of NDV-01
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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NDV-01 (sustained-release gemcitabine-docetaxel)

Drug: NDV-01 (sustained-release gemcitabine-docetaxel) Description: Intravesical instillation of NDV-01 (sustained-release gemcitabine-docetaxel)

Group Type EXPERIMENTAL

NDV-01 (sustained-release gemcitabine-docetaxel)

Intervention Type DRUG

Intravesical instillation of NDV-01 (sustained-release gemcitabine-docetaxel)

Interventions

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NDV-01 (sustained-release gemcitabine-docetaxel)

Intravesical instillation of NDV-01 (sustained-release gemcitabine-docetaxel)

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. BCG-unresponsive NMIBC with CIS of the bladder, with or without coexisting papillary Ta/T1 tumor(s) who are ineligible for or have elected not to undergo cystectomy at the time of enrollment and have experienced 1) CIS disease within 12 months of treatment.
2. Participants with BCG-unresponsive disease must have received up to two first-line therapies or BCG-unresponsive disease and who are recommended for radical cystectomy. Such therapies may include agents approved or in development (e.g., pembrolizumab, nadofaragene firodenovec, nogapendekin alfa inbakicept-pmln, cretostimogene grenadenorepvec, detalimogene voraplasmid, TARA-002, gemcitabine intravesical system (INLEXZO®), gemcitabine, MMC, or valrubicin monotherapy. Participants will have demonstrated recurrence or intolerance after one or two first-line therapy(ies).
3. All specimens must be predominantly urothelial (transitional cell) carcinoma with or without squamous or glandular differentiation. Pure squamous or glandular tumors will not be included. Participants with less than 10% micropapillary histology will be included. All other variant histology (e.g. plasmacytoid, small cell, nested, trophoblastic variants) will not be included.

Exclusion Criteria

1\. Has had urothelial carcinoma outside of the urinary bladder (i.e., urethra, ureter, or renal pelvis) or has a predominant histological variant of UC. Ta/any T1, CIS of the upper urinary tract is allowable if treated with complete nephroureterectomy more than 24 months prior to initiating study: Participant has tumor(s) involving the prostatic urethra (ductal or stromal); N+ and/or M+ per computerized tomography (CT)/Magnetic Resonance Imagery (MR) urography. History of prior T2/T3 urothelial carcinoma of the bladder.
Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Relmada Therapeutics, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Central Contacts

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Scott White, MPH

Role: CONTACT

+16464285264

Karrie Hilsinger

Role: CONTACT

1-973-975-2256

References

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Klein H, Teichmann R. Isotachophoretic assay of aminoglycosides and lincomycins in pharmaceuticals. J Chromatogr. 1982 Nov 26;250:152-6. doi: 10.1016/s0021-9673(00)95228-2. No abstract available.

Reference Type BACKGROUND
PMID: 6218180 (View on PubMed)

Related Links

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Other Identifiers

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REL-NDV01-302

Identifier Type: -

Identifier Source: org_study_id

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