This is a single-arm, phase 1/2a study of formulated paclitaxel in subjects with low-grade, noninvasive papillary carcinoma (stage Ta) of the bladder. Part 1 of the study will enroll 6 subjects (3 per cohort) with low-grade, stage Ta transitional cell carcinoma (TCC) of the bladder who will receive escalating doses of paclitaxel formulated as TSD-001 every 2 weeks for 6 treatments until Dose Limiting Toxicity (or until the Maximum Deliverable Dose) is observed (Maximum Tolerated Dose established). Part 2 of the study will enroll an additional 10 subjects with low-grade, stage Ta (uni-or multifocal) TCC of the bladder who will receive weekly TSD-001 for 6 weeks at the highest nontoxic dose (i.e., MTD) established in part 1 of the study. May meet definition of low grade without histological tissue diagnosis if on cystoscopic assessment they have a solitary papillary tumor. Part 3 of the study will continue to track subjects enrolled in Parts 1 and 2 to determine rates of disease-free survival.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
15
Administered via intravesical instillation.
Urological Associates of Southern Arizona, PC
Tucson, Arizona, United States
Trovare Clinical Research
Bakersfield, California, United States
Tower Urology
Los Angeles, California, United States
Chesapeake Urology Associates
Hanover, Maryland, United States
Carolina Urologic Research Clinic
Myrtle Beach, South Carolina, United States
Part 1: Maximum Tolerated Dose or Maximum Deliverable Dose (MDD)
Dose immediately preceding the dose at which DLT occurs or when a MDD is reached.
Time frame: 12 weeks
Part 2: Marker Lesion Response Rate
Determine the marker lesion response rate at final assessment visit for subjects that received the MDD established in part 1.
Time frame: 12 weeks (Cohort 1) or 15 weeks (Cohort 2)
Part 1: Determine Paclitaxel Concentrations
Determine the local (bladder urine) and systemic (peripheral blood) paclitaxel concentrations before and after intravesical exposure to TSD-001 at all doses. Blood and urine samples were collected 15 (± 15) minutes before and 2 hours (± 10 minutes) after each instillation. Results are presented for different dose levels administered during dose escalation. The remaining results are grouped by cohort.
Time frame: 10 weeks
Part 2: Determine Paclitaxel Concentrations
Determine the systemic (peripheral blood) paclitaxel concentrations 15 (± 15) minutes before, and 2 hours (± 10 minutes) after the third intravesical instillation (Week 2) of TSD-001.
Time frame: Week 2 (pre and post dose)
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