To study the safety and efficacy of CG0070, an oncolytic virus expression GM-CSF in high grade non muscle invasive bladder cancer patients who failed BCG therapy and refused cystectomy.
The plan is to study the safety and efficacy of CG0070 in high-grade NMIBC (Non-muscle Invasive Bladder Cancer) patients who failed BCG therapy. Most patients with NMIBCis (Cis, Cis with Ta and/or T1, high grade Ta or T1 with frequent or uncontrolled recurrences) who have failed BCG (Bacillus Calmette-Guerin) intravesical therapy (standard of care) usually have no other choice but to proceed to cystectomy. Cystectomy is a surgery associated with major morbidity, mortality and quality of life issues. Morbidity and long term tedious medical care will be for the rest of the patient's life span. Most patients at this stage do not show signs of disease progression into the muscle layer or of metastasis, making surgery a very difficult decision. CG0070, if successful in this trial, will serve to provide a therapeutic alternative for this patient population in need.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
66
Alaska Clinical Research Center
Anchorage, Alaska, United States
BCG Oncology
Phoenix, Arizona, United States
Durable Complete Response Proportion (DCR)
Defined as the proportion of patients who experience a durable complete response lasting 12 months or longer from the initial confirmed complete response date (first CR assessment to be at least 6 months after the first intravesical intervention) and at least 18 months from the date of the first intravesical intervention
Time frame: 18 months time point from the date of the first intravesical intervention
Cystectomy Free Survival
Not available, not collected on study or not currently available
Time frame: 18 months after the first intravesical treatment
Complete Response Survival
Not available, not collected on study or not currently available
Time frame: 18 months after the first intravesical treatment
Progression Free Survival
Not available, not collected on study or not currently available
Time frame: 18 months after the first intravesical treatment
Time to Progression to Muscle Invasive Disease
Not available, not collected on study or not currently available
Time frame: 18 months after the first intravesical treatment
Overall Survival
Not available, not collected on study or not currently available
Time frame: 18 months and 24 months after first intravesical treatment
PD-L1 Status Changes
PD-L1 status of cancer cells and immune cells at tumor site by IHC
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Arizona Institute of Urology
Tucson, Arizona, United States
Institute of Urologic Oncology at UCLA
Los Angeles, California, United States
UC Irvine Medical Center
Orange, California, United States
University of California, San Diego
San Diego, California, United States
UF Health Cancer Center
Gainesville, Florida, United States
University of Chicago
Chicago, Illinois, United States
Michigan Institute of Urology, P.C.
Troy, Michigan, United States
Adult Pediatric Urology and Urogynecology, PC
Omaha, Nebraska, United States
...and 7 more locations
Time frame: changes between pre-intervention and post intervention at either cystectomy or at biopsy up to 24 months
Organ Confined Disease Proportions
Patient proportions with no cancer cells in regional lymph nodes at cystectomy
Time frame: at cystectomy
Complete Response Proportions
Proportions of patients with a complete response of at least 12 months' duration
Time frame: 24 months after the first intravesical treatment
PD-1 Status Changes
PD-1 status of immune cells at tumor site by IHC
Time frame: changes between pre-intervention and post intervention at either cystectomy or at biopsy up to 24 months
Disease Regression Proportions
Proportions of patients with a partial response and/or a complete response of less than 12 months' duration
Time frame: 24 months after the first intravesical treatment