Phase 2 Study to Evaluate Safety and Efficacy of Cretostimogene Grenadenorepvec in High-Risk NMIBC
A Phase 2, Multi-Arm, Multi-Cohort, Open-Label Study to Evaluate the Safety and Efficacy of Cretostimogene Grenadenorepvec in Participants With High-Risk Non-Muscle-Invasive Bladder Cancer (NMIBC)
1 other identifier
interventional
325
1 country
65
Brief Summary
This is a Phase 2, Multi-Arm, Multi-Cohort, Open-Label Study to Evaluate the Safety and Efficacy of Cretostimogene Grenadenorepvec in Participants with High-Risk Non-Muscle-Invasive Bladder Cancer.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_2
Started Sep 2024
Typical duration for phase_2
65 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
August 14, 2024
CompletedFirst Posted
Study publicly available on registry
August 23, 2024
CompletedStudy Start
First participant enrolled
September 16, 2024
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 31, 2027
ExpectedStudy Completion
Last participant's last visit for all outcomes
December 30, 2027
April 8, 2026
April 1, 2026
2.5 years
August 14, 2024
April 6, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (6)
Cohort A (Arm 1 and 2): Complete response rate
Determine the complete response rate at any time following treatment with cretostimogene in participants with BCG-naĂ¯ve CIS with or without concomitant high-grade Ta or T1 disease at baseline
At 11 and 24 weeks
Cohort A (Arm 3): High- Grade Event-Free Survival
Determine the High-Grade Event-Free Survival following treatment with cretostimogene in participants with BCG-naĂ¯ve HG Ta/T1 disease without concomitant CIS at baseline.
48 months
Cohort B (Arm 1): Complete response rate
Determine the complete response rate at any time following treatment with cretostimogene in participants with BCG-exposed CIS with or without concomitant high-grade Ta or T1 disease at baseline.
At 11 and 24 weeks
Cohort B (Arm 2): High-Grade Event-Free Survival
Determine the High-Grade Event-Free Survival following treatment with cretostimogene in participants with BCG-exposed high-grade Ta/T1 papillary disease without CIS at baseline.
48 months
Cohort CX (Arms 1 and 2): High-Grade Event-Free Survival
Determine the High-Grade Event-Free Survival following treatment with cretostimogene in participants with BCG-exposed or BCG-unresponsive high-grade NMIBC.
48 months
Cohort CX (Arms 1 and 2): Safety
Determine the safety of concurrent cretostimogene and gemcitabine and sequential cretostimogene and gemcitabine.
48 months
Secondary Outcomes (5)
Cohort A (Arms 1 and 2): Evaluate cretostimogene instillation methods
At 11 and 24 weeks
Cohort A (Arm 3): High-Grade Event-Free Survival at 12 months
At 12 months
Cohort A (Arms 1 and 2) and Cohort B (Arm 1) Duration of response
48 months
Cohort B (Arm 2) High-Grade Event-Free Survival at 12 months
At 12 months
Cohort CX (Arm 1 and 2) Complete response rate
At 11 and 24 weeks
Study Arms (7)
Experimental: Cohort A, Arm 1
EXPERIMENTALCretostimogene (1 x 1012 vp) will be administered intravesically via the current instillation method
Experimental: Cohort A, Arm 2
EXPERIMENTALCretostimogene (1 x 1012 vp) will be administered intravesically via an alternative instillation method.
Experimental: Cohort A, Arm 3
EXPERIMENTALCretostimogene (1 x 1012 vp) will be administered intravesically via an alternative instillation method.
Experimental: Cohort B, Arm 1
EXPERIMENTALCretostimogene (1 x 1012 vp) will be administered intravesically via an alternative instillation method.
Experimental: Cohort B, Arm 2
EXPERIMENTALCretostimogene (1 x 1012 vp) will be administered intravesically via an alternative instillation method.
Experimental: Cohort CX, Arm 1
EXPERIMENTALAt all treatment visits cretostimogene (1 x 1012 vp) will be administered intravesically via an alternative instillation method followed by gemcitabine instilled intravesically
Experimental: Cohort CX, Arm 2
EXPERIMENTALCretostimogene (1 x 1012 vp) will be administered intravesically via an alternative instillation method for two consecutive weeks, followed by gemcitabine administered intravesically in the third week on a cyclic 2:1 visit schedule basis
Interventions
Respective Cohort
Eligibility Criteria
You may qualify if:
- Pathologically confirmed BCG-naĂ¯ve high-risk high-grade NMIBC (i.e., CIS with or without Ta/T1 disease or high-grade Ta/T1 papillary-only disease without CIS) within 90 days of treatment allocation.
- All visible disease must be resected, and all CIS resected or fulgurated, as feasible within 90 days prior to treatment allocation.
- Acceptable baseline organ function.
- Pathologically confirmed BCG-exposed high-risk high-grade NMIBC (i.e., CIS with or without Ta/T1 disease or high-grade Ta/T1 papillary-only disease without CIS) within 90 days of treatment allocation.
- All visible disease must be resected, and all CIS resected or fulgurated, as feasible within 90 days prior to treatment allocation.
- Acceptable baseline organ function.
- Pathologically confirmed high-risk high-grade BCG-unresponsive or BCG-exposed NMIBC (i.e., CIS with or without Ta/T1 disease or high-grade Ta/T1 papillary-only disease without CIS) within 90 days of treatment allocation.
- All visible disease must be resected, and all CIS resected or fulgurated, as feasible within 90 days prior to treatment allocation.
- Acceptable baseline organ function.
You may not qualify if:
- Current or past history of muscle-invasive, locally advanced or metastatic bladder cancer.
- High-grade urothelial carcinoma in the upper urinary tract or prostatic urethra within 24 months or T2 in upper tract within 48 months or any history of locally advanced/ nodal or metastatic disease in the upper urinary tract.
- Significant immunodeficiency.
- Pregnant or breastfeeding.
- Cohort CX Only: serial intravesical gemcitabine within 24 months
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (65)
Mayo Clinic Arizona
Phoenix, Arizona, 85054, United States
Arizona Urology Specialty
Tucson, Arizona, 85704, United States
University of Arkansas for Medical Sciences
Little Rock, Arkansas, 72205, United States
Arkansas Urology
Little Rock, Arkansas, 72211, United States
Michael G Oefelein, MD Clinical Trials
Bakersfield, California, 93301, United States
Genesis Research (Greater Los Angeles)
Los Alamitos, California, 90720, United States
Advanced Urology
Los Angeles, California, 90045, United States
Urology Center of Southern California
Murrieta, California, 92563, United States
University of California, Irvine
Orange, California, 92868, United States
Om research
San Diego, California, 91223, United States
University of Southern California
San Diego, California, 92123, United States
Genesis Research (Greater Los Angeles)
Torrance, California, 90503, United States
Colorado Urology
Lakewood, Colorado, 80228, United States
Urology Associates, Lone Tree
Lone Tree, Colorado, 80124, United States
University of Florida
Gainesville, Florida, 32611, United States
Mayo Clinic Florida
Jacksonville, Florida, 32224, United States
Advanced Urology Institute (Solaris)
Largo, Florida, 33771, United States
Advanced Urology Institute
Oxford, Florida, 34484, United States
Advanced Urology Institute - Tallahassee (Solaris)
Tallahassee, Florida, 32308, United States
Emory University
Atlanta, Georgia, 30322, United States
Associated Urological Specialists
Chicago Ridge, Illinois, 60415, United States
Uropartners
Glenview, Illinois, 60026, United States
Urology of Indiana - Carmel
Carmel, Indiana, 46032, United States
Urology of Indiana, LLC (US Urology Partners)
Greenwood, Indiana, 46143, United States
First Urology, PSC
Jeffersonville, Indiana, 47130, United States
Urologic Specialists of Northwest Indiana (Solaris)
Merrillville, Indiana, 46410, United States
Urology Center of Iowa Research
Clive, Iowa, 50325, United States
Wichita Urology Group
Wichita, Kansas, 67226, United States
Southern Urology (Urology America)
Lafayette, Louisiana, 70508, United States
Ochsner Medical Center
New Orleans, Louisiana, 70121, United States
Anne Arundel Urology
Annapolis, Maryland, 21401, United States
Chesapeake Urology Research Associates
Hanover, Maryland, 21076, United States
Comprehensive Urology
Royal Oak, Michigan, 48073, United States
Michigan Institute of Urology (Solaris)
Troy, Michigan, 48084, United States
Mayo Clinic Rochester
Rochester, Minnesota, 55905, United States
Minnesota Urology
Woodbury, Minnesota, 55123, United States
Specialty Clinical Research of St. Louis
St Louis, Missouri, 63141, United States
Adult and Adolescent Urology
Omaha, Nebraska, 68114, United States
Integrated Medical Professionals, PLLC (Solaris)
New York, New York, 10016, United States
University of Rochester
Rochester, New York, 14620, United States
SUNY Upstate
Syracuse, New York, 13202, United States
Associated Medical Professionals of NY, PLLC (US Urology Partners)
Syracuse, New York, 13210, United States
Montefiore Medical Center
The Bronx, New York, 10461, United States
The Urology Group (Solaris)
Cincinnati, Ohio, 45212, United States
University of Cincinnati Cancer Center
Cincinnati, Ohio, 45267, United States
Central Ohio Urology Group (US Urology Partners)
Gahanna, Ohio, 43230, United States
Oregon Urology Institute
Springfield, Oregon, 97447, United States
Midlantic Urology (Solaris)
Bala-Cynwyd, Pennsylvania, 19004, United States
Penn State University Milton S. Hershey Medical Center
Hershey, Pennsylvania, 17033, United States
Keystone Urology Specialists
Lancaster, Pennsylvania, 17604, United States
University of Pennsylvania
Philadelphia, Pennsylvania, 19104, United States
Charleston Area Medical Center
Charleston, South Carolina, 25304, United States
Carolina Urologic Research Center, LLC
Myrtle Beach, South Carolina, 229572, United States
Lowcountry Urology (Solaris)
North Charleston, South Carolina, 29406, United States
The Conrad Pearson Clinic (Urology America)
Germantown, Tennessee, 38138, United States
Urology Associates, PC
Nashville, Tennessee, 37209, United States
Amarillo Urology Research
Amarillo, Texas, 79106, United States
UPNT Research Institute, LLC
Arlington, Texas, 76017, United States
Urology Austin, PLLC (Urology America)
Austin, Texas, 78745, United States
Urology Clinics of North Texas, PLLC
Dallas, Texas, 75231, United States
UT Southwestern Medical Center
Dallas, Texas, 75390, United States
Houston Methodist
Houston, Texas, 77030, United States
Urology San Antonio, PA dba USA Clinical Trials
San Antonio, Texas, 78229, United States
Urology of Virginia
Virginia Beach, Virginia, 23462, United States
Spokane Urology
Spokane, Washington, 99202, United States
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Vijay Kasturi, MD
CG Oncology
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
August 14, 2024
First Posted
August 23, 2024
Study Start
September 16, 2024
Primary Completion (Estimated)
March 31, 2027
Study Completion (Estimated)
December 30, 2027
Last Updated
April 8, 2026
Record last verified: 2026-04
Data Sharing
- IPD Sharing
- Will not share