Clinical trial • Phase II • Oncology
GEMCITABINE HYDROCHLORIDE for Bladder cancer | Non-muscle invasive bladder cancer (Ta low-grade)
Phase II trial of GEMCITABINE HYDROCHLORIDE for Bladder cancer | Non-muscle invasive bladder cancer (Ta low-grade).
Overview
- Trial Therapeutic Area
- Oncology
- Trial Disease
- Bladder cancer | Non-muscle invasive bladder cancer (Ta low-grade)
- Trial Stage
- Phase II
- Drug Modality
- Small molecule
Key dates
- Initial CTIS Submission Date
- 24-09-2024
- First CTIS Authorization Date
- 30-10-2024
Trial design
open-label, none/not specified-controlled Phase II trial across 1 site in Austria.
- Open Label
- Yes
- Comparator
- None/Not specified
- Target Sample Size
- 47
Eligibility
Recruits 47 No vulnerable populations selected (isVulnerablePopulationSelected: false). Participants must be willing and able to provide informed consent (principal inclusion criterion). No assent procedures or paediatric consent described..
- Pregnancy Exclusion
- Female patients who are pregnant/breastfeeding
- Vulnerable Population
- No vulnerable populations selected (isVulnerablePopulationSelected: false). Participants must be willing and able to provide informed consent (principal inclusion criterion). No assent procedures or paediatric consent described.
Inclusion criteria
- {"criterion_text":"- Diagnosis of a recurrent tumor and a history of TaLG BCa or diagnosis of primary TaLG BCa histologically confirmed by cold cup biopsy at screening or within 8 weeks before screening\n- Female patients of childbearing potential must have a negative serum pregnancy test within 2 weeks prior to enrollment. Female patients of childbearing potential must use adequate contraception during study period\n- Willing and able to provide informed consent\n- On screening cystoscopy: Diameter of the largest lesion ≤15mm\n- Number of lesions ≤5\n- Cystoscopy with bladder diagram including number, site, size and appearance of the tumors with photo documentation\n- Patient who has recurrence of and not other than TaLG NMIBC (low or intermediate EAU risk)\n- NMIBC requiring treatment with transurethral resection of bladder tumors (TURBT)\n- Negative voiding cytology for high grade (HG) disease within 8 weeks before Screening\n- No lymph node metastasis or distant metastasi\n- Male and female patients must use an effective contraceptive method during the study and for a minimum of 6 months after study treatment"}
Exclusion criteria
- {"criterion_text":"- Tumors that clinicians suspect to be HG\n- History of neurogenic bladder; active urinary retention; any other condition that would prohibit normal voiding\n- Evidence of active urinary tract infection (UTI) that in the Investigator's opinion cannot be treated and resolved prior to biopsy and/or administration of study treatment\n- Patient refused to participate\n- Positive human immunodeficiency virus (HIV) test\n- Female patients who are pregnant/breastfeeding\n- Female patients of childbearing potential not using adequate contraception\n- Positive HG cytology according to Paris criteria\n- Diameter of tumor >15 mm\n- Number of lesions >5\n- Any previous intravesical therapy within 1 year\n- Previous HG NMIBC (within the last 3 years). It is allowed to include patients who had history of HG disease longer than 3 years ago\n- Past or current muscle invasive bladder cancer (i.e., T2, T3, T4) or metastatic UC\n- History of upper tract urothelial carcinoma (UTUC)\n- Clinically significant urethral stricture that would preclude passage of a urethral catheter"}
Endpoints
Primary endpoints
- {"endpoint_text":"- Clinical complete response (cCR, absence of the macroscopic tumor after chemoablation)","definition_or_measurement_approach":"cCR defined as absence of the macroscopic tumor after chemoablation (as stated in the endpoint text)"}
Secondary endpoints
- {"endpoint_text":"- Pathological complete response (pCR)","definition_or_measurement_approach":""}
- {"endpoint_text":"- Overall response (cCR + pCR)","definition_or_measurement_approach":""}
- {"endpoint_text":"- Treatment-related adverse events evaluated using the National Cancer Institute’s Common Terminology Criteria for Adverse Events (version 5.0)","definition_or_measurement_approach":"Adverse events evaluated using NCI CTCAE v5.0"}
- {"endpoint_text":"- Rate of treatment discontinuation (at least 5 from 6 instillations within 8 weeks)","definition_or_measurement_approach":"Discontinuation defined as receiving fewer than 5 of 6 instillations within an 8-week period (as stated)"}
- {"endpoint_text":"- Health-related quality of life","definition_or_measurement_approach":""}
Recruitment
- Planned Sample Size
- 47
- Recruitment Window Months
- 17
- Consent Approach
- Participants must be willing and able to provide informed consent (principal inclusion criterion). Subject information and informed consent form available (document L1_ICF). No details provided on assent, age-specific documents, or languages.
Geography
- Total Number Of Sites
- 1
- Total Number Of Participants
- 47
Austria
- Earliest CTIS Part Ii Submission Date
- 07-10-2024
- Latest Decision Or Authorization Date
- 30-10-2024
- Processing Time Days
- 23
- Number Of Sites
- 1
- Number Of Participants
- 47
Sites
- Site Name
- Medical University Of Vienna
- Department Name
- Department of Urology
- Principal Investigator Name
- Shahrokh Shariat
- Principal Investigator Email
- shahrokh.shariat@meduniwien.ac.at
- Contact Person Name
- Shahrokh Shariat
- Contact Person Email
- shahrokh.shariat@meduniwien.ac.at
Sponsor
Primary sponsor
- Full Name
- Medical University Of Vienna
- Organisation Type
- Educational Institution
- Country Of Registered Address
- Austria
Investigational products
- Investigational Product Name
- GEMSOL
- Active Substance
- GEMCITABINE HYDROCHLORIDE
- Modality
- Small molecule
- Routes Of Administration
- Intravesical use
- Route
- Intravesical use
- Authorisation Status
- Marketing authorisation present (marketingAuthNumber: 040278044; authorisationCountryCode: IT)
- Maximum Dose
- 2000 mg daily; total 12000 mg
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