This study is an open-label dose escalation study (Phase 1a) to investigate the safety and toxicity of intravesical treatment of high-grade NMIBC (HGTa or CIS, including CIS with concomitant Ta) after transurethral resection of bladder tumor (TURBT) and/or biopsy using TARA-002 in adults unable to obtain intravesical Bacillus Calmette-Guérin (BCG), adults who have received at least one dose of intravesical BCG or adults who have received at least one dose of intravesical chemotherapy. Dosing will start in subjects with HGTa or CIS (including CIS with concomitant Ta), and all subjects will receive 6 weeks of treatment at a fixed volume with varying dose levels.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
12
Phase 1a, Dose Escalation: First, up to 3 dose levels of TARA-002 (10 KE → 20 KE → 40 KE) will be tested sequentially with 6 weekly intravesical doses starting with the lowest dose using a 3+3 design in a dose escalation manner until the RP2D has been established. If the MTD is not reached, additional cohorts of dose levels higher than 40 KE may be explored.
USC Norris Cancer Center
Los Angeles, California, United States
Mayo Clinic
Jacksonville, Florida, United States
Tulane Medical Center
New Orleans, Louisiana, United States
Chesapeake Urology Research Associates
Baltimore, Maryland, United States
Mayo Clinic
Rochester, Minnesota, United States
New Jersey Urology
Mount Laurel, New Jersey, United States
Premier Medical Group of the Hudson Valley
Poughkeepsie, New York, United States
University of Rochester, Department of Urology
Rochester, New York, United States
Carolina Urologic Research Center
Myrtle Beach, South Carolina, United States
Urology Associates PC
Nashville, Tennessee, United States
...and 4 more locations
Phase 1a, Dose Escalation Phase: Incidence of DLT AEs in subjects with HGTa or CIS NMIBC
DLT = dose limiting toxicities; HGTa = high grade Ta; CIS = carcinoma in situ, includes CIS with concomitant Ta
Time frame: Day 1 to Day 43
Phase 1a, Dose Escalation Phase: MTD and RP2D of TARA-002 in subjects with HGTa or CIS NMIBC
MTD = maximum tolerated dose; RP2D = recommended Phase 2 dose
Time frame: Day 1 to Day 43
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