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
About this trial
This is an interventional treatment trial for Bladder Neoplasms
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.
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
NCT ID
NCT00536588
First Posted
September 26, 2007
Last Updated
March 26, 2015
Sponsor
Merck Sharp & Dohme LLC
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
result
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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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