The purpose of this first-in-human study is to determine the safety and tolerability of SCH 721015 in subjects with transitional cell carcinoma of the bladder.
A nonrandomized, open-label, rising-dose, parallel-group, multi-center study of SCH 721015 in patients with papillary bladder cancer, or carcinoma in situ that is refractory to Bacillus Calmette-Guerin. Subjects will receive a single intravesical administration of SCH 721015 with SCH 209702 in a total volume of 75 mL with a 1-hour dwell time. Subjects who at 3 months post administration demonstrate a complete response (CR on cystoscopy/biopsy and cytology) and who did not experience dose-limiting toxicity will be allowed to receive a second intravesical administration at the same dose level.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
17
Each subject receives a single intravesical administration of SCH 721015 with SCH 209702 at dose levels of 1 x 10\^9 to 3 x 10\^11 particles/mL (based on assessment of tolerability, intermediate dose levels may be used).
Adverse events, laboratory safety tests, dose-limiting toxicity
Time frame: CBC/chemistry: predose, Days 1-3, 7, 14, 21, & 28, Week 12.
Adverse events, laboratory safety tests, dose-limiting toxicity
Time frame: Additional hematology on Days 4, 5, & 6.
Adverse events, laboratory safety tests, dose-limiting toxicity
Time frame: AEs: Duration of study; up to 3 years postdose for serious events.
Adverse events, laboratory safety tests, dose-limiting toxicity
Time frame: ECG and VS - predose and selected postdose time points.
Timed urine collections for IFNα2b excretion & IP-10.
Time frame: Days 1-7, 10, 14, 21, & 28/29.
Urine samples for SCH 721015 DNA content.
Time frame: Predose, Days 1-7 & 14.
Blood samples for SCH 721015 DNA; SCH 209702, & IFNα2b levels; antiadenoviral & anti-IFNα2b antibodies
Time frame: Pre- & postdose for SCH 721015 DNA; SCH 721015, & IFNα2b levels; & postdose for antibodies.
Urine cytology & FISH
Time frame: Days 1, 30 & 90
Cystoscopy & bladder biopsies
Time frame: Screening & Day 90
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