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Brief Title: A Phase 3 Study of UGN-102 for Low Grade Intermediate Risk Non-Muscle Invasive Bladder Cancer
Official Title: A Randomized, Controlled, Open-Label Study of the Efficacy, Durability, and Safety of UGN-102 With or Without TURBT in Patients With Low Grade Intermediate Risk Non-Muscle Invasive Bladder Cancer (LG IR NMIBC)
Study ID: NCT04688931
Brief Summary: This is a global, randomized, controlled, open-label Phase 3 study designed to assess the long-term efficacy and safety of UGN-102 (mitomycin) for intravesical solution with or without (±) transurethral resection of bladder tumors (TURBT) versus TURBT alone for the treatment of patients with low grade intermediate risk non-muscle invasive bladder cancer (LG IR NMIBC).
Detailed Description: Eligible patients will be randomized in a 1:1 ratio to UGN-102 ± TURBT or TURBT alone. Randomization will be stratified by the presence of a previous LG NMIBC episode within 1 year of the current diagnosis (yes or no). Starting at Day 1, patients randomized to the UGN-102 ± TURBT arm will receive 6 weekly intravesical instillations of UGN-102 and patients randomized to the TURBT alone arm will undergo TURBT. Patients in both treatment arms will return to the clinic at approximately 3 months after the start of treatment to determine response to treatment. Patients confirmed to have a complete response (CR) will receive no further treatment and will enter the Follow-up Period of the study. Patients confirmed to have a non-complete response (NCR) will undergo TURBT of any remaining lesions and then enter the Follow-up Period of the study. During the Follow-up Period, patients will return to the clinic every 3 months to determine durability of response. Patients will remain on study until completion of all follow-up visits or until disease recurrence, disease progression, or death is documented, whichever occurs first. Patients determined to have a protocol-defined recurrence or progression at any follow-up or unscheduled visit will be considered to have completed the study and released to the care of their treating physician. Study enrollment was stopped early by the sponsor to pursue an alternative development strategy for UGN-102 in the treatment of bladder cancer. Patients who had consented at the time the trial terminated were permitted to continue, but follow-up was terminated once the last patient had been followed for 15 months after the start of treatment.
Minimum Age: 18 Years
Eligible Ages: ADULT, OLDER_ADULT
Sex: ALL
Healthy Volunteers: No
Arizona Institute of Urology, PLLC, Tucson, Arizona, United States
Loma Linda University Medical Center, Loma Linda, California, United States
Urology Group of Southern California, Los Angeles, California, United States
San Diego Clinical Trials, San Diego, California, United States
Providence Saint John's Health Center, Santa Monica, California, United States
Skyline Urology, Sherman Oaks, California, United States
University of Chicago Hospital, Chicago, Illinois, United States
Comprehensive Urologic Care, Lake Barrington, Illinois, United States
First Urology, PSC, Jeffersonville, Indiana, United States
Wichita Urology Group, Wichita, Kansas, United States
Regional Urology, LLC, Shreveport, Louisiana, United States
Chesapeake Urology Research Associates, Baltimore, Maryland, United States
Chesapeake Urology Research Associates, Hanover, Maryland, United States
Adult & Pediatric Urology, PC, Omaha, Nebraska, United States
Urology Center, Las Vegas, Nevada, United States
New Jersey Urology, Bloomfield, New Jersey, United States
New Jersey Urology, Englewood, New Jersey, United States
Garden State Urology, Morristown, New Jersey, United States
Albany Medical Center, Albany, New York, United States
Great Lakes Physician dba WNY Urology Associates, Cheektowaga, New York, United States
AccuMed Research Associates, Garden City, New York, United States
Manhattan Medical Research, New York, New York, United States
Stony Brook Cancer Center, Stony Brook, New York, United States
Associated Medical Professionals of NY, PLLC, Syracuse, New York, United States
UNC Chapel Hill Memorial Hospital, Chapel Hill, North Carolina, United States
Clinical Research Solutions, Middleburg Heights, Ohio, United States
Centers for Advanced Urology, LLP d.b.a Mid-Atlantic Urology, Bala-Cynwyd, Pennsylvania, United States
Penn State Health Milton S. Hershey Medical Center and College of Medicine, Hershey, Pennsylvania, United States
Fox Chase Cancer Center, Philadelphia, Pennsylvania, United States
University of Pittsburgh, Pittsburgh, Pennsylvania, United States
Carolina Urologic Research Center, Myrtle Beach, South Carolina, United States
University of Texas Southwestern Medical Center, Dallas, Texas, United States
Urology San Antonio, San Antonio, Texas, United States
Multiprofile Hospital for Active Treatment "Puls", Department of Urology, Blagoevgrad, , Bulgaria
Multiprofile Hospital for Active Treatment - Blagoevgrad, Blagoevgrad, , Bulgaria
Complex Oncology Center - Burgas, Burgas, , Bulgaria
Multiprofile Hospital for Active Treatment "Dr. Tota Venkova", Gabrovo, Department of Urology, Gabrovo, , Bulgaria
Multiprofile Hospital for Active Treatment "Sveti Nikolai Chudotvorets", Lom, Lom, , Bulgaria
Multiprofile Hospital for Active Treatment "City Clinic - Sveti Georgi", Montana, , Bulgaria
University Multiprofile Hospital for Active Treatment "Dr. Georgi Stranski", Pleven, Urology Clinic, Pleven, , Bulgaria
University Multiprofile Hospital for Active Treatment "Sveta Marina" - Pleven, Department of Urology, Pleven, , Bulgaria
Multiprofile Hospital for Active Treatment Park Hospital, Plovdiv, , Bulgaria
University Multiprofile Hospital for Active Treatment "Sveti Georgi", Plovdiv, Clinic of Urology, Plovdiv, , Bulgaria
University Multiprofile Hospital for Active Treatment, Plovdiv, Department of Urology, Plovdiv, , Bulgaria
University Multiprofile Hospital for Active Treatment 'Kanev', Ruse, Department of Urology, Ruse, , Bulgaria
Multiprofile Hospital for Active Treatment - Shumen, Shumen, Department of Urology, Shumen, , Bulgaria
University Multiprofile Hospital for Active Treatment "Aleksandrovska", Sofia, Urology Clinic, Sofia, , Bulgaria
University Multiprofile Hospital for Active Treatment and Emergency Medicine "N.I. Pirogov", Sofia, Urology Clinic, Sofia, , Bulgaria
Multiprofile Hospital for Active Treatment - Targovishte, Targovishte, , Bulgaria
Multiprofile Hospital for Active Treatment, Varna part of Military Medical Academy, Clinic of Urology, Varna, , Bulgaria
Multiprofile Hospital for Active Treatment "Sveta Anna", Varna, Urology Clinic, Varna, , Bulgaria
University Multiprofile Hospital for Active Treatment "Sveta Marina", Varna, , Bulgaria
Multiprofile Regional Hospital for Active Treatment "Dr. Stefan Cherkezov", Veliko Tarnovo, Department of Urology, Veliko Tarnovo, , Bulgaria
First Private Hospital Vratsa, Department of Urology, Vratsa, , Bulgaria
Multiprofile Hospital for Active Treatment "Sveti Pantaleymon", Yambol, Department of Urology, Yambol, , Bulgaria
East Viru Central Hospital, Surgery Clinic, Kohtla-Järve, , Estonia
East Tallinn Central Hospital Ltd., Surgery Clinic, Centre of Urology, Tallinn, , Estonia
West Tallinn Central Hospital Ltd., Department of Urology, Tallinn, , Estonia
North Estonia Medical Centre Foundation Ltd., Surgery Clinic, General and Oncology Urology Centre, Tallinn, , Estonia
Tartu University Hospital, Surgery Clinic, Department of Urology and Kidney Transplantation, Tartu, , Estonia
LTD Central University Clinic After Academic N. Kipshidze, Tbilisi, , Georgia
JSC Jerarsi, Department of Urology, Tbilisi, , Georgia
LTD Acad. F. Todua Medical Center - LTD Research Institute of Clinical Medicine, Clinical Research Department, Tbilisi, , Georgia
LTD Gidmedi, Urology Department, Tbilisi, , Georgia
LTD L. Managadze National Center of Urology, Department of Urology, Tbilisi, , Georgia
LTD MMT Hospital, Urology Department, Tbilisi, , Georgia
Malkhaz Katsiashvili Multiprofile Emergency Medicine Center LTD, Department of Urology, Tbilisi, , Georgia
Pineo Medical Ecosystem Ltd., Department of Urology, Tbilisi, , Georgia
Tbilisi State Medical University and Ingorokva High Technology Medical Center University Clinic LTD, Urology Department, Tbilisi, , Georgia
Rambam Health Care Campus, Haifa, , Israel
Lady Davis Carmel Medical Center, Haifa, , Israel
Edith Wolfson Medical Center, H̱olon, , Israel
Rabin Medical Center, Petah tikva, , Israel
Chaim Sheba Medical Center, Ramat Gan, , Israel
Liepajas Regional Hospital, Urology Department, Liepāja, , Latvia
P. Stradins Clinical University Hospital, Center for Urology, Riga, , Latvia
LLC Riga East University Hospital, Clinic of Urology and Oncologic Urology, Riga, , Latvia
Daugavpils Regional Hospital, Urology Department, Riga, , Latvia
Jan Biziel University Hospital #2 in Bydgoszcz, Teaching Department of Urology, Bydgoszcz, , Poland
AKMED, Gliwice, , Poland
Prof.E Michalowski Specialist Hospital, Katowice, , Poland
SCM sp. z o.o. (LLC), Kraków, , Poland
"City Clinic" Limited Liability Company, Warsaw, , Poland
Miedzyleski Specialist Hospital in Warsaw, Department of Urology, Warsaw, , Poland
Sverdlovsk Regional Clinical Hospital #1, Ekaterinburg, , Russian Federation
Krasnoyarsk A.I. Kryzhanovsky Regional Oncology Center, Krasnoyarsk, , Russian Federation
D.D. Pletnyov City Clinical Hospital, Department of Oncourology, Moscow, , Russian Federation
Moscow City Oncology Hospital #62, Moscow, , Russian Federation
Murmansk Bayandin Regional Clinical Hospital, Murmansk, , Russian Federation
Privolzhsky Regional Medical Center, Urology Department, Nizhny Novgorod, , Russian Federation
Tsyb Medical Radiology Research Center, Oncourology Department, Obninsk, , Russian Federation
Clinical Oncology Center, Department of Urology and Oncology, Omsk, , Russian Federation
N.N. Burdenko Penza Regional Clinical Hospital, Department of Urology, Penza, , Russian Federation
Pyatigorsk City Clinical Hospital, Department of Urology, Pyatigorsk, , Russian Federation
Leningrad Regional Clinical Oncology Center, Department of Chemotherapy, Saint Petersburg, , Russian Federation
Aleksandrovskaya City Hospital, Department of Urology, Saint Petersburg, , Russian Federation
St. Petersburg Clinical Hospital under the Russian Academy of Sciences, Department of Urology, Saint Petersburg, , Russian Federation
A.M. Nikiforov Russian Center for Emergency and Radiology Medicine, Department of Urology, Saint Petersburg, , Russian Federation
St. Luka Clinical Hospital, Department of Urology, Saint Petersburg, , Russian Federation
St.-Petersburg Scientific Research Institute of Phthisiopulmonology, Saint Petersburg, , Russian Federation
Medical and Sanitary Unit #70 of "Passazhiravtotrans", Saint Petersburg, , Russian Federation
I.I. Mechnikov North-Western State Medical University, Department of Urology, Saint Petersburg, , Russian Federation
Railway Clinical Hospital under OAO Russian Railways, Saint Petersburg, , Russian Federation
First I.P. Pavlov State Medical University of St. Petersburg, Saint Petersburg, , Russian Federation
N.N. Petrov National Medical Research Center of Oncology, Oncourology Department, Saint Petersburg, , Russian Federation
City Hospital #15, Urology Department #12, Saint Petersburg, , Russian Federation
Siberian State Medical University, Tomsk, , Russian Federation
Regional Oncology Center, Tyumen, Oncology Department, Tyumen, , Russian Federation
Republican Clinical Oncology Center, Ufa, , Russian Federation
Volgograd Regional Center for Urology and Nephrology, Urology Department, Volzhskiy, , Russian Federation
Medical Center for Diagnostics and Prevention Plus, Yaroslavl, , Russian Federation
Clinical Center of Serbia, Clinic of Urology, Belgrade, , Serbia
Clinical Hospital Center Bezanijska Kosa, Clinic of Surgery, Department of Urology, Belgrade, , Serbia
Clinical Hospital Center Zemun, Urology unit, Belgrade, , Serbia
Clinical Center Kragujevac, Clinic of Urology, Nephrology and Dialysis, Kragujevac, , Serbia
Chernihiv Medical Center of Modern Oncology, Chernihiv, , Ukraine
Regional Communal Noncommercial Enterprise: Chernivtsi Regional Clinical Hospital, Chernivtsi, , Ukraine
Regional Municipal Non-commercial Enterprise "Chernivtsi Emergency Medical Hospital", Urology Department, Chernivtsi, , Ukraine
Public Enterprise "Dnipropetrovsk I.I. Mechnikov Regional Clinical Hospital" under Dnipropetrovsk Regional Council, Urology Department #2, Dnipro, , Ukraine
Public Non-Profit Enterprise "City Clinical Hospital #6" under Dnipro City Council, Department of Urology, Dnipro, , Ukraine
Public Non-Profit Enterprise "City Clinical Hospital #4" under Dnipro City Council, Department of Geriatric Urology Care, Dnipro, , Ukraine
Public Non-Profit Enterprise "Regional Clinical Hospital under Ivano-Frankivsk Regional Council", Department of Urology, Ivano-Frankivs'k, , Ukraine
Prykarpattia Clinical Oncology Center under Ivano-Frankivsk Regional Council, Ivano-Frankivs'k, , Ukraine
Public Non-Profit Enterprise under Kharkiv Regional Council "V.I. Shapoval Regional Medical Clinical Center for Urology and Nephrology", Urology Department #5, Kharkiv, , Ukraine
Communal Non-Profit Enterprise "Regional Center of Oncology", Department of Oncourology, Kharkiv, , Ukraine
Public Non-Profit Enterprise under Kharkiv Regional Council "Regional Clinical Specialized Center for Radiation Protection of Population", Department of Surgery, Kharkiv, , Ukraine
Communal non-commercial enterprise of Kherson regional council "Kherson regional oncological dispensary", Kherson, , Ukraine
State Institution: Institute of Urology under the National Academy of Medical Sciences of Ukraine, Kyiv, , Ukraine
Volyn Regional Medical Oncology Centre, Luts'k, , Ukraine
Communal Noncommercial Enterprise of Lviv Regional Council "Lviv Regional Clinical Hospital", Department of Urology, Lviv, , Ukraine
Public Non-profit Enterprise under Lviv Regional Council: Lviv Regional Treatment and Diagnostics Oncology Center, Lviv, , Ukraine
Municipal Non-Profit Enterprise "Lviv Clinical Emergency Care Hospital", Department of Urology, Lviv, , Ukraine
Public Non-Profit Enterprise "Odesa Regional Clinical Hospital" under Odesa Regional Council, Odesa, , Ukraine
Public Non-Profit Enterprise "City Clinical Hospital #10" under Odesa City Council, Department of Urology and Nephrology, Odesa, , Ukraine
Sumy Regional Clinical Oncology Center, Sumy, , Ukraine
Public Non-Profit Enterprise Ternopil Regional Clinical Oncology Center, Department of Chemotherapy, Ternopil', , Ukraine
Municipal non-profit enterprise "Transcarpathian antitumor center" of the Transcarpathian Regional Council, Uzhhorod, , Ukraine
Communal Nonprofit Enterprise "Podilsky Regional Center of Oncology of Vinnytsia Regional Council", Vinnytsia, , Ukraine
Municipal Nonprofit Enterprise: Zaporizhia Regional Clinical Hospital under Zaporizhia Regional Council, Department of Urology, Zaporizhia, , Ukraine
Name: Sandip Prasad, MD
Affiliation: Atlantic Health System
Role: PRINCIPAL_INVESTIGATOR