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Trial details imported from ClinicalTrials.gov

For full trial details, please see the original record at https://clinicaltrials.gov/study/NCT04658862




Registration number
NCT04658862
Ethics application status
Date submitted
19/11/2020
Date registered
9/12/2020
Date last updated
26/10/2024

Titles & IDs
Public title
A Study of TAR-200 in Combination With Cetrelimab Versus Concurrent Chemoradiotherapy in Participants With Muscle-invasive Bladder Cancer (MIBC) of the Bladder
Scientific title
A Phase 3, Multi-center, Randomized Study Evaluating Efficacy of TAR-200 in Combination With Cetrelimab Versus Concurrent Chemoradiotherapy in Participants With Muscle-Invasive Urothelial Carcinoma (MIBC) of the Bladder Who Are Not Receiving Radical Cystectomy
Secondary ID [1] 0 0
2020-002620-36
Secondary ID [2] 0 0
CR108917
Universal Trial Number (UTN)
Trial acronym
SunRISe-2
Linked study record

Health condition
Health condition(s) or problem(s) studied:
Urinary Bladder Neoplasms 0 0
Condition category
Condition code
Cancer 0 0 0 0
Bladder - transitional cell cancer

Intervention/exposure
Study type
Interventional
Description of intervention(s) / exposure
Treatment: Other - Cetrelimab
Treatment: Drugs - TAR-200
Treatment: Drugs - Cisplatin
Treatment: Drugs - Gemcitabine
Treatment: Other - Conventional radiation therapy
Treatment: Other - Hypo-fractioned radiation therapy

Experimental: TAR-200 + Cetrelimab - Participants will receive intravesical TAR-200 every 3 weeks (21 days indwelling) for first 18 weeks and thereafter from Week 24 every 12 weeks through study Year 3 in combination with intravenous (IV) Cetrelimab.

Active comparator: Chemotherapy (cisplatin or gemcitabine) + Radiation Therapy - Participants will receive chemotherapy based on investigator's choice from either cisplatin intravenously once weekly for 4 to 6 treatment weeks or gemcitabine intravenously twice weekly for 4 to 6 treatment weeks as Standard of Care (SOC) along with radiation therapy from either conventional radiotherapy (64 Gray \[Gy\], bladder only) for up to 6.5 treatment weeks or hypo-fractionated radiotherapy (55 Gy, bladder only) for up to 4 weeks.


Treatment: Other: Cetrelimab
Participants will receive intravenous Cetrelimab.

Treatment: Drugs: TAR-200
Participants will receive intravesical TAR-200.

Treatment: Drugs: Cisplatin
Participants will receive cisplatin intravenously.

Treatment: Drugs: Gemcitabine
Participants will receive gemcitabine intravenously.

Treatment: Other: Conventional radiation therapy
Participants will receive conventional radiation therapy for bladder (64 gy).

Treatment: Other: Hypo-fractioned radiation therapy
Participants will receive hypo-fractioned radiation therapy for bladder (55 gy).
Intervention code [1] 0 0
Treatment: Other
Intervention code [2] 0 0
Treatment: Drugs
Comparator / control treatment
Control group

Outcomes
Primary outcome [1] 0 0
Time from Randomization to the First Bladder Intact Event-free Survival (BI-EFS) event
Timepoint [1] 0 0
Up to 8 years
Secondary outcome [1] 0 0
Metastasis-free survival (MFS)
Timepoint [1] 0 0
Up to 8 years
Secondary outcome [2] 0 0
Overall Survival (OS)
Timepoint [2] 0 0
Up to 8 years
Secondary outcome [3] 0 0
Overall Response Rate (ORR)
Timepoint [3] 0 0
Up to 8 years
Secondary outcome [4] 0 0
Number of Participants with Adverse Events (AEs) According to Common Terminology Criteria for Adverse Events (CTCAE)
Timepoint [4] 0 0
Up to 8 years
Secondary outcome [5] 0 0
Number of Participants with AEs by Severity according to Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events (NCI PRO-CTCAE)
Timepoint [5] 0 0
Up to 8 years
Secondary outcome [6] 0 0
Number of Participants with Clinical Laboratory Abnormalities
Timepoint [6] 0 0
Up to 8 years

Eligibility
Key inclusion criteria
* Ineligible for or have elected not to undergo radical cystectomy
* All adverse events associated with any prior surgery and/or intravesical therapy must have resolved to Common Terminology Criteria for Adverse Events (CTCAE) version 5.0 Grade less than (<) 2 prior to randomization
* Eastern Cooperative Oncology Group (ECOG) performance status Grade 0, 1, or 2
* Thyroid function tests are within the normal range per investigator assessment (or stable on hormone supplementation). Investigators may consult an endocrinologist for participant eligibility assessment in the case of equivocal or marginal test results
* Adequate bone marrow, liver, and renal function: Bone marrow function (without the support of cytokines or erythropoiesis-stimulating agent in preceding two weeks): Absolute neutrophil count (ANC) greater than or equal to (>=) 1,500/cubic millimeters (mm^3); Platelet count >=80,000/mm^3; Hemoglobin >=9.0 grams per deciliter (g/dL); Liver function: (Total bilirubin less than or equal to (<=) 1.5 * upper limit of normal (ULN) or direct bilirubin <= ULN for participants with total bilirubin levels greater than (>)1.5*ULN (except participants with Gilbert's Syndrome, who must have a total bilirubin < 3.0 mg/dL), and Alanine aminotransferase (ALT) and aspartate aminotransferase (AST) less than or equal to (<=) 2.5* institutional ULN); Renal function: Creatinine clearance >=30 mL/min using the Cockcroft-Gault formula. 24-hour creatinine clearance test will also be accepted for estimating renal function in situations where Cockcroft-Gault formula is not a good predictor of estimating adequate renal function
Minimum age
18 Years
Maximum age
No limit
Sex
Both males and females
Can healthy volunteers participate?
No
Key exclusion criteria
* Must not have had urothelial carcinoma or histological variant at any site outside of the urinary bladder. Ta/T1/Carcinoma in situ (CIS) of the upper urinary tract (including renal pelvis and ureter) is allowable if treated with complete nephroureterectomy more than 24 months prior to initiating study
* Must not have diffuse CIS based on cystoscopy and biopsy. Diffuse, or multi-focal, CIS is defined as the presence of at least 4 distinct CIS lesions in the bladder at the time of the Screening re-TURBT
* Participants must not have evidence of cT4b, or N1-3, or M1 disease based on local 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
* Evidence of bladder perforation during diagnostic cystoscopy. Participant is eligible if perforation has healed prior to randomization

Study design
Purpose of the study
Treatment
Allocation to intervention
Randomised controlled trial
Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Masking / blinding
Open (masking not used)
Who is / are masked / blinded?



Intervention assignment
Parallel
Other design features
Phase
Phase 3
Type of endpoint/s
Statistical methods / analysis

Recruitment
Recruitment status
Active, not recruiting
Data analysis
Reason for early stopping/withdrawal
Other reasons
Date of first participant enrolment
Anticipated
Actual
7/12/2020
Date of last participant enrolment
Anticipated
Actual
Date of last data collection
Anticipated
26/12/2029
Actual
Sample size
Target
Accrual to date
Final
518
Recruitment in Australia
Recruitment state(s)
Recruitment hospital [1] 0 0
Flinders Medical Centre - Bedford Park
Recruitment postcode(s) [1] 0 0
5042 - Bedford Park
Recruitment outside Australia
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Country [213] 0 0
Turkey
State/province [213] 0 0
Balcova
Country [214] 0 0
Turkey
State/province [214] 0 0
Fatih
Country [215] 0 0
Turkey
State/province [215] 0 0
Gaziantep
Country [216] 0 0
Turkey
State/province [216] 0 0
Istanbul
Country [217] 0 0
Turkey
State/province [217] 0 0
Izmir
Country [218] 0 0
Turkey
State/province [218] 0 0
Malatya
Country [219] 0 0
Turkey
State/province [219] 0 0
Melikgazi
Country [220] 0 0
Turkey
State/province [220] 0 0
Seyhan
Country [221] 0 0
Ukraine
State/province [221] 0 0
Chernihiv
Country [222] 0 0
Ukraine
State/province [222] 0 0
Dnipro
Country [223] 0 0
Ukraine
State/province [223] 0 0
Kharkiv
Country [224] 0 0
Ukraine
State/province [224] 0 0
Kherson
Country [225] 0 0
Ukraine
State/province [225] 0 0
Kiev
Country [226] 0 0
Ukraine
State/province [226] 0 0
Kyiv
Country [227] 0 0
Ukraine
State/province [227] 0 0
Lviv

Funding & Sponsors
Primary sponsor type
Commercial sector/industry
Name
Janssen Research & Development, LLC
Address
Country

Ethics approval
Ethics application status

Summary
Brief summary
The purpose of study is to compare bladder intact-event free survival (BI-EFS) in participants receiving TAR-200 in combination with intravenous (IV) cetrelimab versus concurrent chemoradiotherapy.
Trial website
https://clinicaltrials.gov/study/NCT04658862
Trial related presentations / publications
Public notes

Contacts
Principal investigator
Name 0 0
Janssen Research & Development, LLC Clinical Trials
Address 0 0
Janssen Research & Development, LLC
Country 0 0
Phone 0 0
Fax 0 0
Email 0 0
Contact person for public queries
Name 0 0
Study Contact
Address 0 0
Country 0 0
Phone 0 0
844-434-4210
Fax 0 0
Email 0 0
[email protected]
Contact person for scientific queries



Summary Results

For IPD and results data, please see https://clinicaltrials.gov/study/NCT04658862