ClinicalTrials.gg
AvailableNCT06443944Updated Sep 11, 2026

An Expanded Access Program of Cretostimogene Grenadenorepvec for Treatment of NMIBC for Patients Unresponsive to BCG

An expanded access record providing Cretostimogene Grenadenorepvec and n-dodecyl-B-D-maltoside in Non-Muscle Invasive Bladder Cancer, Urothelial Carcinoma and Urologic Cancer, sponsored by CG Oncology, Inc.. Available at 27 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-11.

Sponsored by CG Oncology, Inc. · Expanded access

Study type
Expanded access
Access type
Treatment IND/protocol
Ages
18 Years and older
Sex
All
01

Study summary

This is an open-label, expanded access trial designed to provide access to cretostimogene in patients with NMIBC (specifically CIS with or without HG Ta/T1) unresponsive to BCG.

Read the detailed description

All participants will be assigned the same treatment schedule. Participants will receive an induction course of 6 weekly treatments, and, if there is no disease recurrence at Week 13, participants will receive a cycle of 3 weekly treatments up to Week 15.

If there is persistent HG Ta and/or CIS at Week 13, participants may receive a second induction cycle.

If the participant has persistent but improved HG Ta and/or CIS at Week 25 or a later timepoint, the participant may receive a cycle of 3 weekly treatments of cretostimogene at the discretion of the Investigator provided that T1 or higher stage of urothelial carcinoma is not present.

If there is no disease present at Week 25 or a later timepoint, participants will receive a cycle of 3 weekly treatments every 12 weeks through Month 12.

After Month 12, participants will receive a cycle of 3 weekly treatments every 6 months through the last treatment cycle at Month 24, or until discontinuation from the study treatment.

Disease status will be assessed based on local standard of care (which may include urine cytology, cystoscopy, and directed TURBT/biopsy) every 12 weeks. CTU/MRU can be done per standard of care evaluation at investigator's discretion.

02

Conditions studied

  • Non-Muscle Invasive Bladder Cancer
  • Urothelial Carcinoma
  • Urologic Cancer
  • Bladder Cancer

Keywords

  • Urology
  • Bladder Cancer
  • Non Muscle Invasive Bladder Cancer
  • Cretostimogene Grenadenorepvec
03

In context

Non-Muscle Invasive Bladder Neoplasms

294 studies on the registry are indexed under Non-Muscle Invasive Bladder Neoplasms; 126 are open to participants now.

Browse Non-Muscle Invasive Bladder Neoplasms studies →

Lead sponsor

CG Oncology, Inc. is the lead sponsor of 8 studies on the registry; 2 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All

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

  1. Have confirmed BCG unresponsive CIS. There is no maximum limit to the amount of prior BCG treatment, but maintenance BCG should be administered on a schedule consistent with standard induction-maintenance protocols. Specifically, the definition of BCG unresponsive CIS will also require the following:

    • Pathologically confirmed or persistent CIS (with or without HG Ta or HG T1 disease)
    • Completion of qualifying BCG treatment (e.g., "5+2" minimum exposure) within 15 months of the initial qualifying dose of BCG.
  2. Have all Ta and/or T1 disease and all CIS resected or fulgurated, as feasible, prior to study treatment
  3. Ineligible to receive radical cystectomy (medically unfit) or refusal of radical cystectomy according to Investigator assessment.
  4. Acceptable baseline organ function

Exclusion criteria

Exclusion Criteria:

  1. Muscle invasive bladder cancer, locally advanced or bladder cancer.
  2. Has had active or inflammatory disease requiring systemic treatment within 4 weeks of Day 1. Replacement therapy is not considered an excluded form of systemic treatment and is allowed.
  3. Has received systemic anticancer therapy, including agents, within 4 weeks of Day 1
  4. Is pregnant, currently breastfeeding or intending to breastfeed, beginning at Screening through 1 week after the last study treatment.
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.

Histologically or cytologically confirmed

The diagnosis was confirmed by looking at a sample under a microscope: tissue from a biopsy or surgery (histology), or cells from a fluid or needle sample (cytology).

Your pathology report is the document that shows this.

Relapsed and refractory

Relapsed: the illness came back after treatment had worked. Refractory: it did not respond to treatment, or stopped responding while still on it.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Access details

Study type
Expanded access
Access type
Treatment IND/protocol

Available treatment

  • Engineered Oncolytic Adenovirus

    Also known as: CG0070

  • Othern-dodecyl-B-D-maltoside

    Transduction-enhancing agent

    Also known as: DDM

06

Where to request access

27 of 27 sites recruiting
  • Banner MD Anderson Cancer Center
    Gilbert, Arizona 85234, United States
    Available
  • Michael G. Oefelein Clinical Trials
    Bakersfield, California 93301, United States
    Available
    • Evelyn De La Cruz · Contactedelacruz@droefelein.com · 661-310-1063
    • Michael G Oefelein, MD · Principal investigator
  • University of Southern California / Norris Comprehensive Cancer Center
    Los Angeles, California 90033, United States
    Available
  • McR, Llc.
    Murrieta, California 92563, United States
    Available
  • MedStar Washington Hospital Center
    Washington D.C., District of Columbia 20010, United States
    Available
  • Advanced Urology Institute
    Daytona Beach, Florida 32114, United States
    Available
  • Lakeland Regional Medical Center - Hollis Cancer Center
    Lakeland, Florida 33805, United States
    Available
  • Advanced Urology Institute
    Largo, Florida 33771, United States
    Available
  • Emory University
    Atlanta, Georgia 30322, United States
    Available
  • Uropartners c/o Associated Urological Specialists
    Chicago Ridge, Illinois 60415, United States
    Available
  • UroPartners, LLC
    Glenview, Illinois 60026, United States
    Available
  • Urologic Specialists of Northwest Indiana
    Merrillville, Indiana 46410, United States
    Available
  • Urology Center of Iowa Research
    Clive, Iowa 50325, United States
    Available
  • Brigham and Women's Hospital
    Boston, Massachusetts 02115, United States
    Available
  • Michigan Institute of Urology, PC
    Troy, Michigan 40484, United States
    Available
  • Mayo Clinic Rochester
    Rochester, Minnesota 55905, United States
    Available
  • The Urology Group, P.C.
    Southaven, Mississippi 38671, United States
    Available
  • Urology Nevada
    Reno, Nevada 89511, United States
    Available
  • Integrated Medical Professionals, PLLC
    New York, New York 10016, United States
    Available
    • Michael Yang · Contactmyang@imppllc.com
    • Jed Kaminetsky, MD · Principal investigator
  • MidLantic Urology
    Bala-Cynwyd, Pennsylvania 19004, United States
    Available
  • Lowcountry Urology Clinics, PA
    North Charleston, South Carolina 29406, United States
    Available
  • Urology Partners of North Texas Research Institute
    Arlington, Texas 76017, United States
    Available
  • Urology Clinics of North Texas
    Dallas, Texas 75231, United States
    Available
  • Urology San Antonio, PA dba USA Clinical Trials
    San Antonio, Texas 78229, United States
    Available
  • Digestive Health Research of North Texas
    Wichita Falls, Texas 76301, United States
    Available
  • University of Washington Medical Center
    Seattle, Washington 98195, United States
    Available
    • Casey Li · Contactcyl14@uw.edu · 206-210-4040
    • Sarah Psutka, MD · Principal investigator
  • Spokane Urology
    Spokane, Washington 99202, United States
    Available
07

References and documents

Publications

  • Chang SS, Boorjian SA, Chou R, Clark PE, Daneshmand S, Konety BR, Pruthi R, Quale DZ, Ritch CR, Seigne JD, Skinner EC, Smith ND, McKiernan JM. Diagnosis and Treatment of Non-Muscle Invasive Bladder Cancer: AUA/SUO Guideline. J Urol. 2016 Oct;196(4):1021-9. doi: 10.1016/j.juro.2016.06.049. Epub 2016 Jun 16. PubMed 27317986 ↗
  • Holzbeierlein JM, Bixler BR, Buckley DI, Chang SS, Holmes R, James AC, Kirkby E, McKiernan JM, Schuckman AK. Diagnosis and Treatment of Non-Muscle Invasive Bladder Cancer: AUA/SUO Guideline: 2024 Amendment. J Urol. 2024 Apr;211(4):533-538. doi: 10.1097/JU.0000000000003846. Epub 2024 Jan 24. PubMed 38265030 ↗
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 11, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT06443944
Lead sponsor
CG Oncology, Inc.
Responsible party
Sponsor
First posted
Jun 5, 2024
Last update
Sep 11, 2026

Study contacts

Rob Svatek, MD
Contact
recruitment@cgoncology.com
(949) 419-6203
Vijay Kasturi, MD
Contact
recruitment@cgoncology.com
949-409-3700
View the source record on ClinicalTrials.gov ↗

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