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Not yet recruitingNCT07555769CALCIFERUpdated Apr 29, 2026

Calcium Electroporation for Urinary Bladder Tumors: A First-in-Human Feasibility, Safety, and Early Response Trial

A Phase 1 interventional study of Calcium electroporation and Intratumoral calcium injection in Bladder Tumors, Bladder Tumor and Urothelial Carcinoma (UC), sponsored by Juan Luis Vásquez. Not yet recruiting. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-04-29.

Sponsored by Juan Luis Vásquez · Phase 1, Interventional, and Other

Phase
Phase 1
Study type
Interventional
Enrollment
20
Allocation
Not applicable
Ages
18 Years and older
Sex
All
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Study summary

This phase I study evaluates intravesical calcium electroporation (CaEP) with a new transurethral electrode. The study is primarily designed to assess the safety of CaEP and secondarily, to preliminary explore the efficacy in patients with limited alternative therapies. The anticipated benefits and structured safety precautions justify the ethical conduct of the investigation.

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Conditions studied

  • Bladder Tumors
  • Bladder Tumor
  • Urothelial Carcinoma (UC)
  • Urothelial Carcinoma Bladder

Keywords

  • calcium electroporation
  • electroporation
  • transurethral electroporation
  • bladder tumors
  • urothelial tumor
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In context

Urinary Bladder Neoplasms

1,616 studies on the registry are indexed under Urinary Bladder Neoplasms; 421 are open to participants now.

This study's planned enrollment of 20 is below the median of 60 across 1,163 interventional studies indexed under Urinary Bladder Neoplasms.

Browse Urinary Bladder Neoplasms studies →

Lead sponsor

This is the only study on the registry with Juan Luis Vásquez as lead sponsor.

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

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Who can participate

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

Inclusion criteria

  • Age ≥ 18 years and able to understand participant information and give informed consent
  • Histologically verified urothelial bladder tumor
  • Unfit for cystectomy and/or radiotherapy
  • Patients with recurrence after radiotherapy unfit for salvage cystectomy
  • Disease where other treatments are considered unsuitable or have been declined by the patient
  • The patient may receive simultaneous systemic treatment
  • Selected high-burden non-muscle-invasive bladder tumors after MDT assessment
  • Eastern Cooperative Oncology Group (ECOG) Performance Status (PS) ≤ 2
  • Life expectancy of ≥ 3 months
  • Patients must be deemed able to tolerate general anesthesia
  • Sexually active participants in the reproductive age must use contraception. Accepted contraception includes the use of intrauterine device (IUD), oral contraceptives, male or female condom, vasectomy or female sterilization
  • Patients must stop treatment with anticoagulants before surgery in accordance with national guidelines
  • Plasma ionized Ca2+ must be within the normal upper limit. Correction is allowed
  • Hematology

    • Thrombocytes ≥ 50 billion/L
    • International normalized ratio (INR) ≤ 1.5. Correction is allowed

Exclusion criteria

Exclusion Criteria:

  • Pregnancy (confirmed by a blood sample) or lactation
  • Allergy to calcium gluconate or any of its excipients
  • Any clinical condition or previous treatment, that in the investigators' opinion made the patient ineligible
  • Contraindications to treatment with calcium gluconate as described:

    • Hypersensitivity to calcium gluconate or any of its excipients
    • Hypercalcemia (e.g. due to hyperparathyroidism, hypervitaminosis D, decalcifying malignancies, renal insufficiency, immobilization osteoporosis, sarcoidosis, milk-alkali syndrome)
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Study design

Phase
Phase 1
Primary purpose
Other
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
20 participants (estimated)

Study arms

  • Experimental
    Intervention arm with participants treated with calcium electroporation

    Intervention arm with participants treated with calcium electroporation

    Procedure: Calcium electroporation · Drug: Intratumoral calcium injection · Device: Transurethral electroporation

Interventions

  • ProcedureCalcium electroporation

    Calcium electroporation involves injection of calcium gluconate into the urinary bladder tumor followed by short, electric pulses (electroporation) with the transurethral electrode

  • DrugIntratumoral calcium injection

    Intratumoral injection of calcium gluconate in the urinary bladder

  • DeviceTransurethral electroporation

    After injection of calcium into tumor, electroporation is applied using the transurethral electrode

    Also known as: OpField electrode

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What researchers measure

Primary outcomes

  1. Safety within 3 months post-treatment assessed by adverse and serious adverse events.

    Safety within 3 months post-treatment assessed by adverse and serious adverse events (CTCAE ver. 6.0).

    Time frame: From treatment to follow-up after 3 months

Secondary outcomes

  1. Safety within 12 months post-treatment assessed by adverse and serious adverse events.

    Safety within 12 months post-treatment assessed by adverse and serious adverse events (CTCAE ver. 6.0).

    Time frame: From treatment to 12 months follow-up

  2. Response rate of tumor

    Response rate of tumor will be evaluated by visualization of the treated area with cystoscopy and biopsies of tumor or tumor site in case of remission. Using an adaptation of the revised RECIST ver. 1.1 criteria the response to treatment will be evaluated

    Time frame: From treatment to 12 months follow-up

  3. Local control of tumor

    Local control of tumor will be evaluated by visualization of the treated area with cystoscopy and biopsies of tumor or tumor site in case of remission. Using an adaptation of the revised RECIST ver. 1.1 criteria the response to treatment will be evaluated

    Time frame: From treatment to 12 months follow-up

  4. Tumor response to CaEP

    A biopsy at every follow-up will be histologically examined for presence of malignancy and immune cell infiltration (hematoxylin and eosin (H\&E) stain)

    Time frame: From treatment to 12 months follow-up

  5. Dissemination of tumor to other sites of the bladder

    Dissemination of tumor to other sites of the bladder will be evaluated by visualization by cystoscopy and biopsy

    Time frame: From treatment to 12 months follow-up

  6. Metastasis of tumor to other sites in the body will be evaluated by CT scan

    Time frame: From treatment to 12 months follow-up

  7. Time to progression evaluated by the revised RECIST criteria on CT scan

    Time frame: From treatment to 12 months follow-up

  8. Progression-free survival rate evaluated by cystoscopy, biopsy and CT scan

    Time frame: From treatment to 12 months follow-up

  9. Evaluation of quality of life using EORTC-QLQ-C30 before treatment and at follow-up

    Quality of life assessed by the European Organization for Research and Treatment of Cancer Quality of Life Core Questionnaire (EORTC-QLQ-C30). The questionnaire consists of three scales, and each scale is scored from 0 to 100. Higher scores indicate higher level of function on the the functional scale and higher quality of life on the global health scale, but higher level of symptomatology on the symptom scale.

    Time frame: From treatment to 12 months follow-up

  10. Evaluation of urinary symptoms registered in the ICIQ-FLUTS/ICIQ-MLUTS

    Urinary symptoms registered using the International Consultation on Incontinence Questionnaire Female/Male Lower Urinary Tract Symptoms Modules (ICIQ-FLUTS (0-48 points)/ICIQ-MLUTS (0-44 points). Higher level of points indicate higher level of symptoms.

    Time frame: From treatment to 12 months follow-up

  11. Evaluation of sexual matters registered in the ICIQ-FLUTSsex/ICIQ-MLUTSsex

    Evaluation of sexual matters using the International Consultation on Incontinence Questionnaire Female/Male Sexual Matters Associated with Lower Urinary Tract Symptoms Module (ICIQ-FLUTSsex (0-14 points)/ICIQ-MLUTSsex (0-12 points)). Greater values indicating increasing problems with sexual matters.

    Time frame: From treatment to 12 months follow-up

  12. All-cause mortality and cancer related mortality within 12 months

    Time frame: From treatment to 12 months follow-up

  13. Experiences and opinions of up to ten of the patients that participate in the qualitative interviews

    A subset of up to 10 patients will participate in the qualitative interviews at 3 months.

    Time frame: From treatment to 3 months follow-up

  14. Concentration of calcium in a blood sample before injection of calcium gluconate 30 minutes and 2 hours after injection

    Time frame: Before treatment (Baseline), 30 minutes after injection of calcium gluconate, and 2 hours after injection of calcium gluconate

07

Study locations

No study locations are listed for this record.

08

References and documents

Individual participant data

Plan to share: Yes — All individual participant data will be available after deidentification. Furthermore, the study protocol with statistical analysis plan will also be available. The data will be available immediately following publication in supplementary material to anyone with access to the publication. Data can be used for any purposes. Data is available as long as the publication is available.

Supporting information: Study protocol, Sap, Icf, Analytic code

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 29, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT07555769
Lead sponsor
Juan Luis Vásquez
Responsible party
Juan Luis Vásquez (Assoc. Prof, Chief Consultant, MD, PhD, Zealand University Hospital) — Sponsor-investigator
First posted
Apr 29, 2026
Start date
Jun 2026 (estimated)
Primary completion
Apr 2030 (estimated)
Completion
Apr 2030 (estimated)
Last update
Apr 29, 2026

Study contacts

Juan Luis Vásquez
Contact
julv@regsj.dk
0045 25603442

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is not yet recruiting, as verified in Apr 2026. You cannot join it, but the record below documents what was studied.

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