ClinicalTrials.gg
RecruitingNCT06510374ABLE-32Updated Oct 30, 2026

Trial of Nadofaragene Firadenovec vs. Observation in Participants With Intermediate Risk Non-Muscle Invasive Bladder Cancer

A Phase 3 interventional study of Nadofaragene Firadenovec in Intermediate Risk Non-Muscle Invasive Bladder Cancer, sponsored by Ferring Pharmaceuticals. Recruiting at 116 sites in 10 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-30.

Sponsored by Ferring Pharmaceuticals · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Started Oct 2024; still recruiting 2 years 1 month later.
Updated Oct 30, 2026First site in ItalyPrimary completion moved+2 moreGo to Updates ↓
Phase
Phase 3
Study type
Interventional
Enrollment
454
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

A phase 3b, Randomized, Controlled Trial of Nadofaragene Firadenovec vs. Observation in Participants with Intermediate Risk Non-Muscle Invasive Bladder Cancer (IR NMIBC)

02

Conditions studied

  • Intermediate Risk Non-Muscle Invasive Bladder Cancer
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.

This study's planned enrollment of 454 is above the median of 62 across 231 interventional studies indexed under Non-Muscle Invasive Bladder Neoplasms.

Browse Non-Muscle Invasive Bladder Neoplasms studies →

Lead sponsor

Ferring Pharmaceuticals is the lead sponsor of 249 studies on the registry; 4 are open to participants now.

Of its 15 completed or terminated interventional studies of FDA-regulated products, 14 (93%) have results posted.

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

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

  • Diagnosed with intermediate risk non-muscle invasive bladder cancer (IR NMIBC) as defined by American Urological Association (AUA)/Society of Urologic Oncology [SUO] Guideline (2020)
  • Has undergone adequate transurethral resection of bladder tumor (TURBT; with or without peri-operative chemotherapy) within 60 days prior to randomization:

    • Recurrence within 1 year, low-grade Ta
    • Solitary low-grade Ta >3 cm
    • Low-grade Ta, multifocal
    • Solitary high-grade Ta, ≤3 cm
    • Low-grade T1

      • Patients with T1 disease should undergo resection at the base of the lesion and should contain muscle fibres.
      • Restage TURBT may be done at the discretion of the investigator

Exclusion criteria

Exclusion Criteria:

  • Current or previous evidence of muscle invasive (muscularis propria) or disease presented at the screening visit

High risk NMIBC defined as:

  • High-grade T1
  • Any recurrent, high-grade Ta
  • High-grade Ta >3 cm (or multifocal)
  • Any carcinoma in situ (CIS)
  • Any Bacillus Calmette-Guérin (BCG) failure in high-grade subject
  • Any variant histology
  • Any prostatic urethral involvement

Low risk NMIBC defined as:

  • First occurrence of low-grade solitary Ta ≤3 cm
  • Recurrence of low-grade solitary Ta ≤3 cm >12 months from previous occurrence
  • Papillary urothelial neoplasm of low malignant potential
Terms in these criteria, in plain language(2)

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.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

Metastases

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

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
454 participants (estimated)

Study arms

  • Experimental
    Arm 1 Nadofaragene Firadenovec

    Participants in the nadofaragene firadenovec arm will receive quarterly instillations with nadofaragene firadenovec for 24 months. For these subjects, the disease evaluation visits will occur within 2 weeks prior to the investigation medicinal products instillation visits.

    Drug: Nadofaragene Firadenovec

  • No intervention
    Arm 2 - Observation

    Subjects will be followed based on the surveillance schedule of the AUA/SUO guideline (quarterly) over the 24 months treatment period. .

Interventions

  • Vector-based gene therapy for NMIBC treatment to potentiate durable therapeutic responses by interferon (IFN) alfa-2b (IFN-α2b) amplification.

    Also known as: Adstiladrin

06

What researchers measure

Primary outcomes

  1. Recurrence Free survival

    Recurrence-free survival, defined as the time from the date of randomization to the date of first documented recurrence, progression or death (due to any cause), whichever occurs first during the treatment period.

    Time frame: 24 months

Secondary outcomes

  1. Adverse Events

    Frequency and intensity of adverse events will be recorded from the signed informed consent for participation in the trial up to month 24

    Time frame: up to 24 months

  2. Recurrence Free Survival at 12 Months

    Recurrence free survival at 12 months defined as whether a subject is alive and is documented recurrence and progression-free for up to 12 months

    Time frame: 12 months

  3. Recurrence Free Survival at 24 Months

    Recurrence free survival at 24 months defined as whether a subject is alive and is documented recurrence and progression-free for up to 24 months

    Time frame: 24 Months

07

Study locations

114 of 116 sites recruiting

Showing the first 100 of 116 sites across 10 countries. Choose a country and city above to see the rest.

08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

6 registry updates since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedDate before it movedWhere the date was before it moved

Started Oct 2024 (actual). Primary completion is estimated for Sep 2028, 47 months after the start.

Since we started tracking on Sep 25, 2026, the dates moved once, on Oct 21, 2026: primary completion Jun 2028 → Sep 2028 and completion Jun 2031 → Sep 2032.

Earlier changes are on the record history on ClinicalTrials.gov ↗

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

Registered
Jul 15, 2024
First posted
Jul 19, 2024
StartActual
Oct 1, 2024
Primary completionEst.
Sep 30, 2028was Jun 2028
CompletionEst.
Sep 30, 2032was Jun 2031
Last update
Oct 30, 2026
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.
Sites
9 sites added — first site in Italy
Show 9 added (3 United States, 2 South Korea, 2 Italy, 1 Canada, 1 Japan)
  • The Urology Group P.C · Southaven, United States
  • Research St. Joseph's- Hamilton/St. Joseph's Healthcare Hamilton · Hamilton, Canada
  • Chonnam National University Hwasun Hospital (CNUHH) · Hwasun, South Korea
  • Istituti Fisioterapici Ospitalieri (IFO) - Istituto Nazionale Tumori Regina Elena (IRE) · Rome, Italy
  • Gruppo Humanitas - Humanitas Research Hospital (Instituto Clinico Humanitas) · Rozzano, Italy
  • WakeMed · Raleigh, United States
  • The University of Tokyo Hospital · Tokyo, Japan
  • Lakeland Regional Health North Campus - Hollis Cancer Center · Lakeland, United States
  • Severance Hospital, Yonsei University Health System · Seoul, South Korea
across 5 updates, Sep 25, 2026 – Oct 30, 2026
Primary completion
Jun 30, 2028→Sep 30, 2028
Oct 21, 2026
Study completion
Jun 30, 2031→Sep 30, 2032
Oct 21, 2026
Show all 6 updates
  1. Oct 30, 2026
    2 sites added
    Show 2 added (1 United States, 1 South Korea)
    • Lakeland Regional Health North Campus - Hollis Cancer Center · Lakeland, United States
    • Severance Hospital, Yonsei University Health System · Seoul, South Korea
  2. Oct 21, 2026
    Primary completion Jun 30, 2028→Sep 30, 2028
    Study completion Jun 30, 2031→Sep 30, 2032
    + 1 other change: verification date
  3. Oct 16, 2026
    2 sites added
    Show 2 added (1 United States, 1 Japan)
    • WakeMed · Raleigh, United States
    • The University of Tokyo Hospital · Tokyo, Japan
  4. Oct 7, 2026
    1 site added
    Show site
    • Gruppo Humanitas - Humanitas Research Hospital (Instituto Clinico Humanitas) · Rozzano, Italy
  5. Oct 2, 2026
    1 site added — first site in Italy
    Show site
    • Istituti Fisioterapici Ospitalieri (IFO) - Istituto Nazionale Tumori Regina Elena (IRE) · Rome, Italy
  6. Sep 25, 2026
    3 sites added
    Show 3 added (1 United States, 1 Canada, 1 South Korea)
    • The Urology Group P.C · Southaven, United States
    • Research St. Joseph's- Hamilton/St. Joseph's Healthcare Hamilton · Hamilton, Canada
    • Chonnam National University Hwasun Hospital (CNUHH) · Hwasun, South Korea

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT06510374
Responsible party
Sponsor
First posted
Jul 19, 2024
Start date
Oct 1, 2024
Primary completion
Sep 30, 2028 (estimated)
Completion
Sep 30, 2032 (estimated)
Last update
Oct 30, 2026

Study contacts

Ferring Pharmaceuticals
Contact
disclosure@ferring.com
833-548-1402
Global Clinical Compliance
study director · Ferring Pharmaceutical

Oversight

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

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