NCT07445308

Brief Summary

The goal of clinical trial is to Evaluate the Safety and Tolerability of SPGL008 Alone or in Combination With BCG in the Patients With on-Muscle-Invasive Bladder Cancer. The main questions it aims to answer are:

  1. 1.Determine the recommend Phase II dose of SPGL008 Alone or in Combination With BCG.To
  2. 2.Evaluate the Preliminary Efficacy of SPGL008 Alone or in Combination With BCG.

Trial Health

65
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Trial Health Score

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

Enrollment
120

participants targeted

Target at P75+ for phase_1

Timeline
44mo left

Started Mar 2026

Typical duration for phase_1

Status
not yet recruiting

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

Study Progress5%
Mar 2026Dec 2029

First Submitted

Initial submission to the registry

February 5, 2026

Completed
26 days until next milestone

First Posted

Study publicly available on registry

March 3, 2026

Completed
9 days until next milestone

Study Start

First participant enrolled

March 12, 2026

Completed
2.7 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 21, 2028

Expected
1.1 years until next milestone

Study Completion

Last participant's last visit for all outcomes

December 21, 2029

Last Updated

March 3, 2026

Status Verified

February 1, 2026

Enrollment Period

2.7 years

First QC Date

February 5, 2026

Last Update Submit

March 2, 2026

Conditions

Outcome Measures

Primary Outcomes (5)

  • Maximum tolerated dose

    MTD was defined as the highest dose at which dose-limiting toxicity (DLT) occurred in less than 33% of patients.

    Approximately 2years

  • Dose-limiting toxicity

    DLT will be defined as toxicities that meet pre-defined severity criteria, and assessed as having a suspected relationship to study drug that occurred within the 7 days of first treatment.

    7 days

  • Recommended Phase 2 dose (RP2D)

    Approximately 2 years.

  • CR Rate (cohort A)

    Approximately 4 years.

  • 12-month DFS Rate (cohort B/C)

    Approximately 12 months

Secondary Outcomes (5)

  • Treatment-Related Adverse Events as assessed by CTCAE v5.0

    Approximately 4 years.

  • Duration of CR (DoR)

    Approximately 4 years.

  • DFS

    Approximately 4 years.

  • Time to cystectomy

    Approximately 4 years.

  • Radical cystectomy rate

    Approximately 4 years.

Study Arms (1)

SPGL008

EXPERIMENTAL

Phase I:Phase Ia and Ib: Phase Ia include SPGL008 dose escalation and expansion; Phase Ib : SPGL008 in combination with BCG dose escalation and expansion Phase II:SPGL008 in combination with BCG dose expansion in NMIBC

Biological: SPGL008

Interventions

SPGL008BIOLOGICAL

Biological product

SPGL008

Eligibility Criteria

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

You may qualify if:

  • Voluntarily participate in this clinical study, understand the research procedures and be able to sign the informed consent in writing;
  • Age ≥ 18 years old, gender is not limited;
  • Eastern Cooperative Oncology Group (ECOG) performance status score ≤2;
  • Expected survival time ≥ 2 years;
  • High-risk NMIBC diagnosed by previous pathological biopsy
  • ineligible or unwilling to undergo radical cystectomy;
  • The level of organ function is good.

You may not qualify if:

  • Currently receiving study treatment in other clinical trials or less than 4 weeks from last participation to the first administration of this study;
  • Upper urinary tract tumor detected by CTU or MRU during screening period, urethral prostate tumor detected by cystoscopy, or other concomitant malignant tumors within 5 years before the first administration;
  • Previous medical history or examination suggests active tuberculosis within 1 year prior to the first dose;
  • Serious infection within 4 weeks before the first administration, or undefined fever\>38.5 ℃ during screening/before the first administration;
  • Obvious urinary tract infections and gross hematuria, indicating safety issues assessed by the investigators;
  • Patients who discontinued treatment due to adverse reactions such as toxemia, systemic infection or urinary incontinence during previous BCG treatment

Contact the study team to confirm eligibility.

Sponsors & Collaborators

MeSH Terms

Conditions

Non-Muscle Invasive Bladder Neoplasms

Condition Hierarchy (Ancestors)

CarcinomaNeoplasms, Glandular and EpithelialNeoplasms by Histologic TypeNeoplasmsUrinary Bladder NeoplasmsUrologic NeoplasmsUrogenital NeoplasmsNeoplasms by SiteFemale Urogenital DiseasesFemale Urogenital Diseases and Pregnancy ComplicationsUrogenital DiseasesUrinary Bladder DiseasesUrologic DiseasesMale Urogenital Diseases

Central Study Contacts

Study Design

Study Type
interventional
Phase
phase 1
Allocation
NA
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

February 5, 2026

First Posted

March 3, 2026

Study Start

March 12, 2026

Primary Completion (Estimated)

November 21, 2028

Study Completion (Estimated)

December 21, 2029

Last Updated

March 3, 2026

Record last verified: 2026-02

Data Sharing

IPD Sharing
Will not share