NCT06567743

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

77
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
325

participants targeted

Target at P75+ for phase_2

Timeline
20mo left

Started Sep 2024

Typical duration for phase_2

Geographic Reach
1 country

65 active sites

Status
recruiting

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 Progress50%
Sep 2024Dec 2027

First Submitted

Initial submission to the registry

August 14, 2024

Completed
9 days until next milestone

First Posted

Study publicly available on registry

August 23, 2024

Completed
24 days until next milestone

Study Start

First participant enrolled

September 16, 2024

Completed
2.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 31, 2027

Expected
9 months until next milestone

Study Completion

Last participant's last visit for all outcomes

December 30, 2027

Last Updated

April 8, 2026

Status Verified

April 1, 2026

Enrollment Period

2.5 years

First QC Date

August 14, 2024

Last Update Submit

April 6, 2026

Conditions

Keywords

Bladder Cancer

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

EXPERIMENTAL

Cretostimogene (1 x 1012 vp) will be administered intravesically via the current instillation method

Drug: Cretostimogene Grenadenorepvec

Experimental: Cohort A, Arm 2

EXPERIMENTAL

Cretostimogene (1 x 1012 vp) will be administered intravesically via an alternative instillation method.

Drug: Cretostimogene Grenadenorepvec

Experimental: Cohort A, Arm 3

EXPERIMENTAL

Cretostimogene (1 x 1012 vp) will be administered intravesically via an alternative instillation method.

Drug: Cretostimogene Grenadenorepvec

Experimental: Cohort B, Arm 1

EXPERIMENTAL

Cretostimogene (1 x 1012 vp) will be administered intravesically via an alternative instillation method.

Drug: Cretostimogene Grenadenorepvec

Experimental: Cohort B, Arm 2

EXPERIMENTAL

Cretostimogene (1 x 1012 vp) will be administered intravesically via an alternative instillation method.

Drug: Cretostimogene Grenadenorepvec

Experimental: Cohort CX, Arm 1

EXPERIMENTAL

At all treatment visits cretostimogene (1 x 1012 vp) will be administered intravesically via an alternative instillation method followed by gemcitabine instilled intravesically

Drug: Cretostimogene Grenadenorepvec

Experimental: Cohort CX, Arm 2

EXPERIMENTAL

Cretostimogene (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

Drug: Cretostimogene Grenadenorepvec

Interventions

Respective Cohort

Also known as: CG0070
Experimental: Cohort A, Arm 1Experimental: Cohort A, Arm 2Experimental: Cohort A, Arm 3Experimental: Cohort B, Arm 1Experimental: Cohort B, Arm 2Experimental: Cohort CX, Arm 1Experimental: Cohort CX, Arm 2

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

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

RECRUITING

Arizona Urology Specialty

Tucson, Arizona, 85704, United States

WITHDRAWN

University of Arkansas for Medical Sciences

Little Rock, Arkansas, 72205, United States

RECRUITING

Arkansas Urology

Little Rock, Arkansas, 72211, United States

RECRUITING

Michael G Oefelein, MD Clinical Trials

Bakersfield, California, 93301, United States

RECRUITING

Genesis Research (Greater Los Angeles)

Los Alamitos, California, 90720, United States

RECRUITING

Advanced Urology

Los Angeles, California, 90045, United States

WITHDRAWN

Urology Center of Southern California

Murrieta, California, 92563, United States

RECRUITING

University of California, Irvine

Orange, California, 92868, United States

RECRUITING

Om research

San Diego, California, 91223, United States

RECRUITING

University of Southern California

San Diego, California, 92123, United States

RECRUITING

Genesis Research (Greater Los Angeles)

Torrance, California, 90503, United States

RECRUITING

Colorado Urology

Lakewood, Colorado, 80228, United States

RECRUITING

Urology Associates, Lone Tree

Lone Tree, Colorado, 80124, United States

RECRUITING

University of Florida

Gainesville, Florida, 32611, United States

RECRUITING

Mayo Clinic Florida

Jacksonville, Florida, 32224, United States

RECRUITING

Advanced Urology Institute (Solaris)

Largo, Florida, 33771, United States

RECRUITING

Advanced Urology Institute

Oxford, Florida, 34484, United States

RECRUITING

Advanced Urology Institute - Tallahassee (Solaris)

Tallahassee, Florida, 32308, United States

WITHDRAWN

Emory University

Atlanta, Georgia, 30322, United States

RECRUITING

Associated Urological Specialists

Chicago Ridge, Illinois, 60415, United States

RECRUITING

Uropartners

Glenview, Illinois, 60026, United States

RECRUITING

Urology of Indiana - Carmel

Carmel, Indiana, 46032, United States

RECRUITING

Urology of Indiana, LLC (US Urology Partners)

Greenwood, Indiana, 46143, United States

RECRUITING

First Urology, PSC

Jeffersonville, Indiana, 47130, United States

RECRUITING

Urologic Specialists of Northwest Indiana (Solaris)

Merrillville, Indiana, 46410, United States

RECRUITING

Urology Center of Iowa Research

Clive, Iowa, 50325, United States

RECRUITING

Wichita Urology Group

Wichita, Kansas, 67226, United States

RECRUITING

Southern Urology (Urology America)

Lafayette, Louisiana, 70508, United States

RECRUITING

Ochsner Medical Center

New Orleans, Louisiana, 70121, United States

RECRUITING

Anne Arundel Urology

Annapolis, Maryland, 21401, United States

RECRUITING

Chesapeake Urology Research Associates

Hanover, Maryland, 21076, United States

RECRUITING

Comprehensive Urology

Royal Oak, Michigan, 48073, United States

RECRUITING

Michigan Institute of Urology (Solaris)

Troy, Michigan, 48084, United States

RECRUITING

Mayo Clinic Rochester

Rochester, Minnesota, 55905, United States

RECRUITING

Minnesota Urology

Woodbury, Minnesota, 55123, United States

RECRUITING

Specialty Clinical Research of St. Louis

St Louis, Missouri, 63141, United States

RECRUITING

Adult and Adolescent Urology

Omaha, Nebraska, 68114, United States

RECRUITING

Integrated Medical Professionals, PLLC (Solaris)

New York, New York, 10016, United States

RECRUITING

University of Rochester

Rochester, New York, 14620, United States

RECRUITING

SUNY Upstate

Syracuse, New York, 13202, United States

RECRUITING

Associated Medical Professionals of NY, PLLC (US Urology Partners)

Syracuse, New York, 13210, United States

RECRUITING

Montefiore Medical Center

The Bronx, New York, 10461, United States

RECRUITING

The Urology Group (Solaris)

Cincinnati, Ohio, 45212, United States

RECRUITING

University of Cincinnati Cancer Center

Cincinnati, Ohio, 45267, United States

RECRUITING

Central Ohio Urology Group (US Urology Partners)

Gahanna, Ohio, 43230, United States

RECRUITING

Oregon Urology Institute

Springfield, Oregon, 97447, United States

RECRUITING

Midlantic Urology (Solaris)

Bala-Cynwyd, Pennsylvania, 19004, United States

RECRUITING

Penn State University Milton S. Hershey Medical Center

Hershey, Pennsylvania, 17033, United States

RECRUITING

Keystone Urology Specialists

Lancaster, Pennsylvania, 17604, United States

RECRUITING

University of Pennsylvania

Philadelphia, Pennsylvania, 19104, United States

RECRUITING

Charleston Area Medical Center

Charleston, South Carolina, 25304, United States

RECRUITING

Carolina Urologic Research Center, LLC

Myrtle Beach, South Carolina, 229572, United States

RECRUITING

Lowcountry Urology (Solaris)

North Charleston, South Carolina, 29406, United States

RECRUITING

The Conrad Pearson Clinic (Urology America)

Germantown, Tennessee, 38138, United States

RECRUITING

Urology Associates, PC

Nashville, Tennessee, 37209, United States

RECRUITING

Amarillo Urology Research

Amarillo, Texas, 79106, United States

COMPLETED

UPNT Research Institute, LLC

Arlington, Texas, 76017, United States

RECRUITING

Urology Austin, PLLC (Urology America)

Austin, Texas, 78745, United States

RECRUITING

Urology Clinics of North Texas, PLLC

Dallas, Texas, 75231, United States

RECRUITING

UT Southwestern Medical Center

Dallas, Texas, 75390, United States

RECRUITING

Houston Methodist

Houston, Texas, 77030, United States

RECRUITING

Urology San Antonio, PA dba USA Clinical Trials

San Antonio, Texas, 78229, United States

RECRUITING

Urology of Virginia

Virginia Beach, Virginia, 23462, United States

RECRUITING

Spokane Urology

Spokane, Washington, 99202, United States

RECRUITING

MeSH Terms

Conditions

Urinary Bladder Neoplasms

Condition Hierarchy (Ancestors)

Urologic NeoplasmsUrogenital NeoplasmsNeoplasms by SiteNeoplasmsFemale Urogenital DiseasesFemale Urogenital Diseases and Pregnancy ComplicationsUrogenital DiseasesUrinary Bladder DiseasesUrologic DiseasesMale Urogenital Diseases

Study Officials

  • Vijay Kasturi, MD

    CG Oncology

    STUDY DIRECTOR

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

Locations