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A Safety and Tolerability Study of SCH 721015 in Patients With Transitional Cell Carcinoma of the Bladder (Study P03816)

Primary Purpose

Bladder Neoplasms

Status
Completed
Phase
Phase 1
Locations
Study Type
Interventional
Intervention
SCH 721015 with SCH 209702
Sponsored by
Merck Sharp & Dohme LLC
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Bladder Neoplasms

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Histologically proven recurrent transitional cell carcinoma of the bladder, Stage Tis, Ta.
  • Patients with recurrent T1 disease who do not wish to have cystectomy.
  • Subjects must have failed at least two prior courses of BCG with or without recombinant interferon alpha administration.
  • At least 3 months must have passed since last intravesical treatment for bladder carcinoma.
  • Subjects must be 18 years of age or older.
  • Life expectancy of at least 3 months.
  • Adequate performance status (Karnofsky score >=70%).
  • Adequate laboratory values.

Exclusion Criteria:

  • Suspected hypersensitivity to interferon alpha.
  • Subjects with organ transplants.
  • Any known preexisting medical condition that could interfere with the subject's participation in and completion of the study such as:

    • History of psychosis or presence of poorly controlled depression;
    • CNS trauma or active seizure disorders requiring medication;
    • Significant cardiovascular dysfunction within the past 6 months including symptomatic cardiac ischemia, arrhythmia or congestive heart failure requiring hospitalization or emergency room visit within last 3 months;
    • Poorly controlled diabetes mellitus (HbA1C >10.0%);
    • Unstable chronic pulmonary disease requiring hospitalization or emergency room visit within the last 3 months;
    • Immunologically mediated disease (eg, rheumatoid arthritis, autoimmune hepatitis, immune mediated glomerulonephritis).
  • History of any clinically significant local or systemic infectious disease within 4 weeks prior to initial treatment administration.
  • Untreated bladder infection.
  • Positive for hepatitis BsAg or HIV Ab or hepatitis C.
  • Immunosuppressive therapy within the last 3 months.
  • BCG therapy or intravesical therapy within 3 months.
  • Traumatic catheterization within 1 month.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm Type

    Experimental

    Arm Label

    SCH 721015 with SCH 209702

    Arm Description

    Outcomes

    Primary Outcome Measures

    Adverse events, laboratory safety tests, dose-limiting toxicity
    Adverse events, laboratory safety tests, dose-limiting toxicity
    Adverse events, laboratory safety tests, dose-limiting toxicity
    Adverse events, laboratory safety tests, dose-limiting toxicity

    Secondary Outcome Measures

    Timed urine collections for IFNα2b excretion & IP-10.
    Urine samples for SCH 721015 DNA content.
    Blood samples for SCH 721015 DNA; SCH 209702, & IFNα2b levels; antiadenoviral & anti-IFNα2b antibodies
    Urine cytology & FISH
    Cystoscopy & bladder biopsies

    Full Information

    First Posted
    September 26, 2007
    Last Updated
    March 26, 2015
    Sponsor
    Merck Sharp & Dohme LLC
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    1. Study Identification

    Unique Protocol Identification Number
    NCT00536588
    Brief Title
    A Safety and Tolerability Study of SCH 721015 in Patients With Transitional Cell Carcinoma of the Bladder (Study P03816)
    Official Title
    A Phase 1 Study of the Safety and Tolerability of Intravesical Administration of SCH 721015 in Patients With Transitional Cell Carcinoma of the Bladder
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    March 2015
    Overall Recruitment Status
    Completed
    Study Start Date
    September 2006 (undefined)
    Primary Completion Date
    August 2009 (Actual)
    Study Completion Date
    August 2009 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Merck Sharp & Dohme LLC

    4. Oversight

    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    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.
    Detailed Description
    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.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Bladder Neoplasms

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 1
    Interventional Study Model
    Single Group Assignment
    Masking
    None (Open Label)
    Allocation
    Non-Randomized
    Enrollment
    17 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    SCH 721015 with SCH 209702
    Arm Type
    Experimental
    Intervention Type
    Genetic
    Intervention Name(s)
    SCH 721015 with SCH 209702
    Intervention Description
    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).
    Primary Outcome Measure Information:
    Title
    Adverse events, laboratory safety tests, dose-limiting toxicity
    Time Frame
    CBC/chemistry: predose, Days 1-3, 7, 14, 21, & 28, Week 12.
    Title
    Adverse events, laboratory safety tests, dose-limiting toxicity
    Time Frame
    Additional hematology on Days 4, 5, & 6.
    Title
    Adverse events, laboratory safety tests, dose-limiting toxicity
    Time Frame
    AEs: Duration of study; up to 3 years postdose for serious events.
    Title
    Adverse events, laboratory safety tests, dose-limiting toxicity
    Time Frame
    ECG and VS - predose and selected postdose time points.
    Secondary Outcome Measure Information:
    Title
    Timed urine collections for IFNα2b excretion & IP-10.
    Time Frame
    Days 1-7, 10, 14, 21, & 28/29.
    Title
    Urine samples for SCH 721015 DNA content.
    Time Frame
    Predose, Days 1-7 & 14.
    Title
    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.
    Title
    Urine cytology & FISH
    Time Frame
    Days 1, 30 & 90
    Title
    Cystoscopy & bladder biopsies
    Time Frame
    Screening & Day 90

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Histologically proven recurrent transitional cell carcinoma of the bladder, Stage Tis, Ta. Patients with recurrent T1 disease who do not wish to have cystectomy. Subjects must have failed at least two prior courses of BCG with or without recombinant interferon alpha administration. At least 3 months must have passed since last intravesical treatment for bladder carcinoma. Subjects must be 18 years of age or older. Life expectancy of at least 3 months. Adequate performance status (Karnofsky score >=70%). Adequate laboratory values. Exclusion Criteria: Suspected hypersensitivity to interferon alpha. Subjects with organ transplants. Any known preexisting medical condition that could interfere with the subject's participation in and completion of the study such as: History of psychosis or presence of poorly controlled depression; CNS trauma or active seizure disorders requiring medication; Significant cardiovascular dysfunction within the past 6 months including symptomatic cardiac ischemia, arrhythmia or congestive heart failure requiring hospitalization or emergency room visit within last 3 months; Poorly controlled diabetes mellitus (HbA1C >10.0%); Unstable chronic pulmonary disease requiring hospitalization or emergency room visit within the last 3 months; Immunologically mediated disease (eg, rheumatoid arthritis, autoimmune hepatitis, immune mediated glomerulonephritis). History of any clinically significant local or systemic infectious disease within 4 weeks prior to initial treatment administration. Untreated bladder infection. Positive for hepatitis BsAg or HIV Ab or hepatitis C. Immunosuppressive therapy within the last 3 months. BCG therapy or intravesical therapy within 3 months. Traumatic catheterization within 1 month.

    12. IPD Sharing Statement

    Citations:
    PubMed Identifier
    23507396
    Citation
    Dinney CP, Fisher MB, Navai N, O'Donnell MA, Cutler D, Abraham A, Young S, Hutchins B, Caceres M, Kishnani N, Sode G, Cullen C, Zhang G, Grossman HB, Kamat AM, Gonzales M, Kincaid M, Ainslie N, Maneval DC, Wszolek MF, Benedict WF. Phase I trial of intravesical recombinant adenovirus mediated interferon-alpha2b formulated in Syn3 for Bacillus Calmette-Guerin failures in nonmuscle invasive bladder cancer. J Urol. 2013 Sep;190(3):850-6. doi: 10.1016/j.juro.2013.03.030. Epub 2013 Mar 15.
    Results Reference
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    A Safety and Tolerability Study of SCH 721015 in Patients With Transitional Cell Carcinoma of the Bladder (Study P03816)

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