The study aims to establish the safety, tolerability, pharmacokinetics (PK), relevant biomarkers, pharmacodynamics (PD) and preliminary anti-tumor activity of the intravesical administration of eciskafusp alfa in combination with BCG in participants with BCG-unresponsive high-risk NMIBC. The study plans a similar evaluation of eciskafusp alfa in monotherapy following a positive interim analysis of the combination therapy.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Participants will receive eciskafusp alfa via intravesical instillation.
Participants will receive BCG via intravesical instillation.
Macquarie University Hospital
Macquarie Park, New South Wales, Australia
A.O.U di Verona Policlinico G.B. Rossi
Verona, Veneto, Italy
Hospital Umum Sarawak
Kuching, Sarawak, Malaysia
NKI/AvL
Amsterdam, Netherlands
Phase I: Number of Participants With Adverse Events (AEs)
Time frame: From Baseline (Day 1) up to 28 days after final dose of study treatment (up to Month 26)
Phase I: Number of Participants With Dose Limiting Toxicities (DLTs)
Time frame: From Day 1 up to Day 14
Phase I: Recommended Dose for Extension (RDE) of Eciskafusp Alfa in Combination With BCG
Time frame: At Month 25
Phase II (Cohort A): Complete Response Rate (CRR) at 12 Months
Time frame: At Month 12
Phase I and Phase II: CRR at any Time
Time frame: Up to Month 36
Phase I and Phase II: CRR at 6, 18 and 24 Months
Time frame: At Months 6, 18 and 24
Phase I and Phase II (Cohort B): CRR at 12 Months
Time frame: At Month 12
Phase I and Phase II: Duration of Response (DOR)
Time frame: Time from the first occurrence of a documented CR until the time of evidence that the participant no longer meets the definition for CR or death from any cause, whichever occurs first (up to Month 36)
Phase I and Phase II: DOR Rate at Specific Timepoints
Time frame: At Months 6, 12, 18, 24, 30 and 36
Phase I and Phase II: Time to Worsening of NMIBC Grade or Stage, or Death
Time frame: Time from the first dose of study treatment to the first occurrence of documented worsening of grade, stage or death from any cause, whichever occurs first (up to Month 36)
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UMC St Radboud
Nijmegen, Netherlands
Uniwersyteckie Centrum Kliniczne
Gda?sk, Poland
AIDPORT Sp. z o. o.
Skórzewo, Poland
Hospital Univ. 12 de Octubre
Madrid, Spain
Hospital Clinico Universitario Virgen de la Victoria
Málaga, Spain
Phase I and Phase II: Progression Free Survival (PFS) to Muscle Invasive or Metastatic Disease or Death
Time frame: Time from the first dose of study treatment to the first occurrence of documented muscle-invasive or metastatic disease or death from any cause, whichever occurs first (up to Month 36)
Phase I and II: Time to Cystectomy
Time frame: Time from the first dose of study treatment to the first occurrence of documented cystectomy or death from any cause, whichever occurs first (up to Month 36)
Phase II: Number of Participants With AEs
Time frame: From Baseline (Day 1) up to 28 days after final dose of study treatment (up to Month 26)
Phase I and Phase II: Number of Participants With Anti-drug Antibodies (ADAs) to Eciskafusp Alfa
Time frame: Up to Month 36
Phase II: Programmed Cell Death Ligand 1 (PD-L1) Expression in the Tumor Microenvironment (TME) Pre-treatment and During the Study
PD-L1 expression may be assessed at other timepoints when on-treatment biopsies will be collected.
Time frame: Predose (-12 weeks to -14 days or archival) and Postdose at Month 6
Phase II: Number of Participants With Cluster of Differentiation 8+ (CD8+) T cell in TME
Time frame: Predose (-12 weeks to -14 days or archival)
Phase II: Baseline Urine Tumor Deoxyribonucleic Acid (DNA)
Time frame: Baseline (Day 1 predose)
Phase II: Amount of Urine Tumor DNA at Baseline and During the Study
Time frame: Up to Month 25