Study of Vicinium for Treating Patients With Non-Invasive Urothelial Carcinoma In Situ
Phase II Study to Evaluate the Efficacy and Tolerability of Intravesical Vicinium™ in Patients With Non-Invasive Urothelial Carcinoma in Situ (CIS) Previously Treated With Bacille Calmette-Guérin (BCG)
1 other identifier
interventional
46
2 countries
21
Brief Summary
The purpose of this study is to evaluate the efficacy and tolerability of Vicinium when administered as a monotherapy intravesical instillation in patients with non-invasive urothelial carcinoma in situ (CIS) who failed previous treatment with Bacille Calmette Guérin (BCG).
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_2
Started Mar 2007
21 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
March 1, 2007
CompletedFirst Submitted
Initial submission to the registry
April 17, 2007
CompletedFirst Posted
Study publicly available on registry
April 19, 2007
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 1, 2009
CompletedStudy Completion
Last participant's last visit for all outcomes
October 1, 2009
CompletedResults Posted
Study results publicly available
May 12, 2020
CompletedMay 12, 2020
April 1, 2020
2.6 years
April 17, 2007
September 4, 2019
April 30, 2020
Conditions
Outcome Measures
Primary Outcomes (1)
Treatment Schedule A: 12-Week Efficacy, Treatment Schedule B: 13-Week Efficacy
Complete response rate in subjects with carcinoma in situ (CIS) non-muscle invasive bladder cancer (NMIBC) following the induction phase (3-month evaluation point) of Vicinium treatment
12 or 13 weeks
Study Arms (2)
Treatment Schedule A -
ACTIVE COMPARATORInduction Phase is a single intravesical dose of Vicinium at 30 mg in 40 mL PBS once per week for 6 weeks. If free of disease at 12 weeks after the first instillation, the subject enters Maintenance dosing in which 30 mg of Vicinium is administered once per week for 3 weeks followed by 9 weeks of no therapy. If the subject had histologically confirmed disease that is stage \<T2, they repeat the Induction phase dosing. If the subject is free of disease, the subject enters the maintenance dosing phase of every 12 weeks (3 weeks of therapy followed by 9 weeks of no therapy until disease recurrence is confirmed by positive biopsy or up to a maximum of Week 51 (end-of-study \[EOS\]).
Treatment Schedule B
ACTIVE COMPARATORInduction Phase is a single intravesical dose of Vicinium at 30 mg in 40 mL PBS once per week for 12 weeks followed by 1 week of no therapy. If 13 weeks after the first instillation of Vicinium the subject is free of disease, they have a break from therapy before entering Maintenance dosing in which 30 mg of Vicinium is administered once weekly for 3 weeks followed by 9 weeks of no therapy. If the subject is free of disease, additional maintenance cycle(s) are repeated every 12 weeks (3 weeks of therapy followed by 9 weeks of no therapy until disease recurrence is confirmed by positive biopsy or up to a maximum of Week 57 (EOS).
Interventions
Intravesical administration of Vicinium
Eligibility Criteria
You may qualify if:
- Disease Characteristics
- The patient must be male or female 18 years of age or older.
- The patient must have histologically-confirmed Transitional Cell Carcinoma (TCC) of the bladder.
- The patient must have histologically-confirmed carcinoma in situ (CIS), with or without non-invasive papillary disease
- The patient must have immunohistochemically-confirmed EpCAM positive disease.
- The patient must have a life expectancy of at least 12 months.
- Prior/Concurrent Therapy
- The patient must have, within the last 24 months, failed to respond to at least 1 cycle of treatment with BCG (with or without interferon) or be intolerant to BCG treatment.
- The patient must have had a transurethral resection of the bladder tumour (TURBT) mapping the location of tumour and quantifying the area of bladder affected.
- The patient must have documented residual CIS (i.e. unresectable disease) prior to study drug administration.
- Patient Characteristics
- The patient must have adequate organ function, as defined by the clinical trial protocol
- Other
- The patient must have the ability to understand and sign an Independent Ethics Committee or Institutional Review Board (IEC/IRB)- approved informed consent document indicating that the patient (or legally acceptable representative) has been informed of all the pertinent aspects of the trial prior to enrollment and is willing and able to comply with scheduled visits, treatment plan, laboratory tests, and other study procedures.
You may not qualify if:
- The patient has evidence of urethral or upper tract transitional cell carcinoma (TCC) by biopsy or upper tract radiological imaging (i.e. intravenous pyelogram, computed tomography (CT) urogram, or retrograde pyelogram) within the past 2 years
- The patient has hydronephrosis
- The patient has had prior intravesical chemotherapy or investigational or anti-cancer treatments within the last 2 months, inclusive of single-dose adjuvant intravesical chemotherapy immediately post-TURBT
- The patient has existing severe urinary tract infection or recurrent severe bacterial cystitis
- The patient has active, uncontrolled impairment of the renal, hepatobiliary, cardiovascular, gastrointestinal, urogenital, neurologic or hematopoietic systems which, in the opinion of the investigator, would predispose the patient to the development of complications from the administration of intravesical therapy and/or general anesthesia
- Any patient who, in the opinion of the investigator, cannot tolerate intravesical administration or intravesical surgical manipulation (cystoscopy, biopsy) due to the presence of concomitant serious illness (i.e. uncontrolled cardiac or respiratory disorders)
- The patient is pregnant or breast feeding
- Women of reproductive age (who are not either medically or surgically incapable or bearing children) and all men may not participate unless agreeing to use double barrier contraception, or commit to abstinence during the period of therapy
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Sesen Bio, Inc.lead
Study Sites (21)
Southeastern Research Group, Inc.
Tallahassee, Florida, 32308, United States
Johns Hopkins Medical Institutions
Baltimore, Maryland, 21287, United States
Lawrenceville Urology
Lawrenceville, New Jersey, 08648, United States
Duke University Medical Center
Durham, North Carolina, 27710, United States
Oregon Urology Institute Research
Springfield, Oregon, 97477, United States
Grand Strand Urology
Myrtle Beach, South Carolina, 29572, United States
Corpus Christi Urology Group, LLP
Corpus Christi, Texas, 78404, United States
Urology of Virginia
Newport News, Virginia, 23606, United States
Andreou Research
Surrey, British Columbia, V3V 1N1, Canada
Can-Med Clinical Research Inc.
Victoria, British Columbia, V8T 5G9, Canada
The Male/Female Health and Research Centre, Royal Court Medical Centre
Barrie, Ontario, L4M 7G1, Canada
Urology Resource Centre
Burlington, Ontario, L7S 1V2, Canada
McMaster University, Institute of Urology at Saint Joseph's Hospital
Hamilton, Ontario, L8N 4A6, Canada
Centre for Applied Urological Research
Kingston, Ontario, K7L 2V7, Canada
London Health Sciences Centre
London, Ontario, N6A 4G5, Canada
The Fe/Male Health Centre
Oakville, Ontario, L6H 3P1, Canada
Todd Webster, M.D.
Owen Sound, Ontario, N4K 2J1, Canada
The Scarborough Hospital
Scarborough Village, Ontario, M1P 2T7, Canada
University of Toronto, Sunnybrook Health Sciences Centre
Toronto, Ontario, M4N 3M5, Canada
Princess Margaret Hospital
Toronto, Ontario, M5G 2M9, Canada
Centre Hospitalier Universitaire de Sherbrooke, Hopital Fleuimont
Sherbrooke, Quebec, J1H 5N4, Canada
Related Publications (1)
Kowalski M, Guindon J, Brazas L, Moore C, Entwistle J, Cizeau J, Jewett MA, MacDonald GC. A phase II study of oportuzumab monatox: an immunotoxin therapy for patients with noninvasive urothelial carcinoma in situ previously treated with bacillus Calmette-Guerin. J Urol. 2012 Nov;188(5):1712-8. doi: 10.1016/j.juro.2012.07.020. Epub 2012 Sep 19.
PMID: 22998907DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Results Point of Contact
- Title
- Rachelle Dillon, Ph.D.
- Organization
- Sesen Bio
Study Officials
- STUDY DIRECTOR
Wendy Chapman
Sesen Bio, Inc.
Publication Agreements
- PI is Sponsor Employee
- No
- Restriction Type
- GT60
- Restrictive Agreement
- Yes
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
April 17, 2007
First Posted
April 19, 2007
Study Start
March 1, 2007
Primary Completion
October 1, 2009
Study Completion
October 1, 2009
Last Updated
May 12, 2020
Results First Posted
May 12, 2020
Record last verified: 2020-04