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CompletedNCT03404791Updated Feb 4, 2025

A Study of TAR-200 in Participants With Muscle-Invasive Urothelial Carcinoma of the Bladder Who Are Ineligible for or Refuse Cisplatin-based Chemotherapy and Who Are Unfit for Radical Cystectomy

A Phase 1 interventional study of TAR-200 in Urinary Bladder Neoplasms, sponsored by Janssen Research & Development, LLC. Completed at 12 sites in 2 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-02-04.

Sponsored by Janssen Research & Development, LLC · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
35
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to evaluate both the safety and tolerability of up to 4 dosing cycles of TAR-200 for 21 days per dosing cycle in the induction period.

02

Conditions studied

  • Urinary Bladder Neoplasms
03

Who can participate

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

Inclusion criteria

  • Histological proof of non-metastatic muscle-invasive urothelial cell carcinoma of the bladder
  • Participant must have been as fully resected as possible per the physician's judgment
  • Participants must be deemed unfit for RC due to comorbid conditions with a risk of mortality
  • Participants must refuse or be deemed ineligible for cisplatin-based chemotherapy
  • Participant must refuse or not be eligible for radiotherapy

Exclusion criteria

Exclusion Criteria:

  • Other active malignancies
  • 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
  • Pyeloureteral tube externalized to the skin (ureteral stent or unilateral nephrostomy tube is allowed)
  • Evidence of bladder perforation during diagnostic cystoscopy
  • Concurrent clinically significant infections as determined by the treating Investigator
04

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
35 participants (actual)

Study arms

  • Experimental
    Participants Ineligible for Radical Cystectomy

    Participants will receive the TAR-200 transuretherally on Day 0 in to the bladder through an Inserter and gradually releases gemcitabine during the 21-day indwelling period before being removed on Day 21 via flexible or rigid cystoscopy. Participants will undergo an 84-day induction period comprised of four consecutive 21-day dosing cycles. Participants may undergo 21 day cycle every 3 months for a maximum of 3 cycles as maintenance (Up to 14 months). Each TAR-200 system will be removed at 21 days after insertion.

    Drug: TAR-200

Interventions

  • DrugTAR-200

    TAR-200 will be placed for 21-day dosing cycles, with up to 7 doses per participant.

    Also known as: Gemcitabine-Releasing Intravesical System (GemRIS)

05

What researchers measure

Primary outcomes

  1. Number of Participants with Adverse Events as a Measure of Safety and Tolerability

    An Adverse Event (AE) is any untoward medical occurrence in a participant participating in a clinical study that does not necessarily have a causal relationship with the intervention under study.

    Time frame: Up to Day 84

Secondary outcomes

  1. Percentage of Participants with Clinical Complete Response (cCR)

    Percentage of Participants with Clinical Complete Response (cCR) will be reported as assessed by cystoscopy, pelvic computed tomography (CT), magnetic resonance imaging (MRI), positron emission tomography (PET), and biopsy (at 12 weeks only, unless clinically indicated).

    Time frame: Up to Day 360

  2. Percentage of Participants with Clinical Partial Response (cPR)

    Percentage of participants with clinical partial response (cPR) will be reported as assessed by cystoscopy, pelvic computed tomography (CT), magnetic resonance imaging (MRI), positron emission tomography (PET), and biopsy (at 12 weeks only, unless clinically indicated).

    Time frame: Up to Day 360

  3. Percentage of Participants with Stable Disease (SD)

    Percentage of participants with stable disease (SD) will be reported as assessed by cystoscopy, pelvic computed tomography (CT), magnetic resonance imaging (MRI), positron emission tomography (PET), and biopsy (at 12 weeks only, unless clinically indicated).

    Time frame: Up to Day 360

  4. Percentage of Participants with Disease Progression

    Percentage of participants with disease progression as assessed by cystoscopy, pelvic computed tomography (CT), magnetic resonance imaging (MRI), positron emission tomography (PET), and biopsy (at 12 weeks only, unless clinically indicated)

    Time frame: Up to Day 360

  5. Symptom Control

    Symptom Control is defined as changes in bladder-related symptoms per the protocol-specified bladder symptom (Urinary frequency, Nocturia, Hematuria and Dysuria/pain) and toxicity grading system (Grade 0-3).

    Time frame: Up to Day 360

  6. Time to Intervention for Symptom Control

    Time to intervention for symptom control, defined as the time from the date of the first TAR-200 insertion to the date of intervention for symptom palliation.

    Time frame: Up to Day 360

  7. Time to Progression

    Time to progression, defined as the time from the date of the first TAR-200 insertion to the date of first occurrence of progression.

    Time frame: Up to Day 360

  8. Percentage of Participants Undergoing Post-treatment Interventions by 3, 6, 9, and 12 Months

    Percentage of participants undergoing post-treatment interventions for the management of local symptoms by 3, 6, 9, and 12 months.

    Time frame: Up to 3, 6, 9, and 12 Months

  9. Percentage of Participants Surviving at 12, 24, and 36 Months

    Percentage of participants surviving at 12, 24, and 36 months compared to all participants.

    Time frame: At 12, 24, and 36 months

06

Study locations

12 sites
  • Mayo Clinic Arizona
    Phoenix, Arizona 85054, United States
  • North Georgia Urology Center
    Dalton, Georgia 30720, United States
  • Chesapeake Urology Research Associates
    Hanover, Maryland 21076, United States
  • Michigan Institute of Urology
    Troy, Michigan 48084, United States
  • University of Rochester
    Rochester, New York 14642, United States
  • Urology Associates, PC
    Nashville, Tennessee 37209, United States
  • Vanderbilt University Medical Center
    Nashville, Tennessee 37232, United States
  • North Austin Urology
    Austin, Texas 78750, United States
  • Urology of Virginia, PLCC
    Virginia Beach, Virginia 23462, United States
  • Fund. Puigvert
    Barcelona, 08025, Spain
  • Hosp. Univ. 12 de Octubre
    Madrid, 28041, Spain
  • Inst. Valenciano de Oncologia
    Valencia, 46009, Spain
07

References and documents

Individual participant data

Plan to share: Yes — The data sharing policy of the Janssen Pharmaceutical Companies of Johnson and Johnson is available at www.janssen.com/clinical-trials/transparency. As noted on this site, requests for access to the study data can be submitted through Yale Open Data Access (YODA) project site at yoda.yale.edu

No publications or documents are linked to this record.

08

Registry details

Key details

Study ID
NCT03404791
Lead sponsor
Janssen Research & Development, LLC
Responsible party
Sponsor
First posted
Jan 19, 2018
Start date
Nov 20, 2017
Primary completion
Dec 23, 2019
Completion
Sep 15, 2022
Last update
Feb 4, 2025

Study contacts

Janssen Research & Development, LLC Clinical Trial
study director · Janssen Research & Development, LLC

Oversight

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

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