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WithdrawnNCT03298958Updated Jun 12, 2019

Secondary Prevention Trial of Rapamycin in Patients With Resected Non-muscle Invasive Bladder Cancer

A Phase 3 interventional study of Rapamycin and Placebo Oral Tablet in Bladder Cancer, sponsored by The University of Texas Health Science Center at San Antonio. Withdrawn at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2019-06-12.

Sponsored by The University of Texas Health Science Center at San Antonio · Phase 3, Interventional, and Treatment

Why this study was withdrawn
No funding was received, no subjects were enrolled
Phase
Phase 3
Study type
Interventional
Enrollment
0
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 881 studies in Urinary Bladder Neoplasms with a site in United States — 164 open to participants now, 269 under way, 31 of them phase 3. Urinary Bladder Neoplasms · United States.

Enrollment
692nd of 714
0 · median 46
Started
2018
with 47 others
Phase 3
79 of 881
12 open now
Registered
463rd of 881
by date

Among the 881 studies in Urinary Bladder Neoplasms with a site in United States, this one is the 692nd largest by enrollment of the 714 interventional ones, is one of 48 that started in 2018, is one of 79 in phase 3, and was the 463rd registered.

By phase

881 studies; the count open now beside each. This study's row is marked.

Phase 2237 · 32 open
Phase 1198 · 27 open
Observational144 · 41 open
No phase121 · 32 open
Phase 1/283 · 15 open
Phase 3this study79 · 12 open
Phase 2/39 · 2 open
Phase 47 · 1 open
Other kind3 · 2 open

By the year they started

First in 1988; this study’s year is marked. 48 started in 2018.

Size and results

Median enrollment 46 across the 714 interventional studies, 180 across the 144 observational. Of the 562 that completed or were terminated, 253 (45%) have results posted.

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Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 881 studies in Urinary Bladder Neoplasms with a site in United States, or all of them as a file.
02

Study summary

The study is a multi-site Phase 3 double-blinded randomized placebo-controlled trial. Subjects are randomly assigned to receive either a placebo or oral Sirolimus: 0.5 mg daily. All subjects will be treated for 2 years or until disease recurrence. Patients will undergo endoscopic evaluation of the bladder every 3 months for the first 2 years following enrollment and then every 6 months for an additional 2 years on study. Selection of BCG immune therapy is at the discretion of the treating urologist but in general is reserved for high-risk patients. Patients concurrently receiving BCG immune therapy will receive standard BCG therapy including induction (weekly for 6 weeks) and maintenance (weekly for 3 weeks at 3 months, 6 months, and then every 6 months following tumor resection).

03

Conditions studied

  • Bladder Cancer
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Pathologically (histologically) proven diagnosis of non-muscle invasive (Ta, Tis or T1) bladder cancer within 60 days prior to enrollment
  • Be able to give
  • Be age 18 or older
  • Not be in an state (e.g. , use of chronic )
  • Not have active, uncontrolled infections
  • Not be on agents known to alter rapamycin metabolism significantly
  • Not have a reported history of liver disease (e.g. cirrhosis)
  • Not have a prior history of non-bladder cancer unless the cancer is clinically stable and not requiring active treatment except basal cell carcinoma or squamous cell carcinoma of the skin.
  • Not pregnant, or taking effective before rapamycin therapy, during therapy and for 12 weeks after discontinuation of therapy.

Exclusion criteria

Exclusion Criteria:

  • Have muscle-invasive (≥T2) bladder cancer
  • Unable to give
  • Age \< 18
  • state (e.g. , use of chronic )
  • Active, uncontrolled infections
  • On agents known to alter rapamycin metabolism significantly
  • Another cancer requiring active treatment (except basal cell carcinoma or squamous cell carcinoma of the skin)
  • Patients at risk of pregnancy who are unwilling or unable to take effective before rapamycin therapy, during therapy, and for 12 weeks after discontinuation of therapy.
  • Individuals with a reported history of liver disease (e.g. cirrhosis)
Terms in these criteria, in plain language(5)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
0 participants (actual)

Study arms

  • Placebo comparator
    Placebo Oral Tablet

    Subject will be randomized to take the Placebo once daily for 2 years or until disease recurrence

    Drug: Placebo Oral Tablet

  • Active comparator
    Sirolimus (Rapamycin) 0.5 mg/day for 2 years

    Subject will be randomized to take Sirolimus (Rapamycin) 0.5mg once daily for 2 years or until disease recurrence

    Drug: Rapamycin

Interventions

  • Subject will be randomized to one of the 2 arms

    Also known as: Sirolimus

  • DrugPlacebo Oral Tablet

    Subject will be randomized to one of the 2 arms

06

What researchers measure

Primary outcomes

  1. Test the hypothesis that rapamycin 0.5 mg daily increases recurrence-free survival for patients with non-muscle invasive bladder cancer

    Recurrence is defined as histologically-proven bladder cancer (stage CIS, Ta, T1 or ≥T2)

    Time frame: Patients are treated for 2 years or until disease relapse

Secondary outcomes

  1. To determine effects of rapamycin on recurrence-free survival (RFS) for subgroup of patients with non-muscle invasive bladder cancer concurrently receiving BCG immune therapy.

    Recurrence is defined as histologically-proven bladder cancer (stage CIS, Ta, T1 or ≥T2)

    Time frame: Patients are treated for 2 years or until disease relapse

  2. To compare the effects of rapamycin on BCG-specific immunity during treatment of non-muscle invasive bladder cancer with maintenance BCG.

    BCG antigen-specific IFN-gamma ELISPOT responses will be measured

    Time frame: baseline and 6 months after registration

07

Study locations

1 site
  • University of Texas Health Science Center at San Antonio
    San Antonio, Texas 78229, United States
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Nov 2018 (actual). Primary completion is estimated for Feb 2022, 39 months after the start.

How these figures are worked out, and which studies are left out of them.

Registered
Sep 26, 2017
First posted
Oct 2, 2017
StartActual
Nov 1, 2018
Primary completionEst.
Feb 1, 2022
CompletionEst.
May 1, 2022
Last update
Jun 12, 2019
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jun 12, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03298958
Responsible party
Sponsor
First posted
Oct 2, 2017
Start date
Nov 1, 2018
Primary completion
Feb 1, 2022 (estimated)
Completion
May 1, 2022 (estimated)
Last update
Jun 12, 2019

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is withdrawn, as verified in Jun 2019. You cannot join it, but the record below documents what was studied.

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Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

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Studies of the drug tested here: Sirolimus

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