A Study of Sasanlimab in People With Non-muscle Invasive Bladder Cancer (CREST)
Non-muscle Invasive Bladder Cancer
About this trial
This is an interventional treatment trial for Non-muscle Invasive Bladder Cancer focused on measuring CREST, Sasanlimab, PF-06801591, Bacillus Calmette Guerin, BCG, Bladder cancer
Eligibility Criteria
Inclusion Criteria:
- Histological confirmed diagnosis of high risk non-muscle invasive transitional cell carcinoma (TCC) of the urothelium of the urinary bladder (tumors of mixed transitional/non-transitional cell histology are allowed, but TCC must be the predominant histology)
- Complete resection of all Ta/T1 papillary disease (including participants with concurrent CIS), with most recent positive TURBT occurring within 12 weeks prior to randomization or study intervention. A second TURBT must have been performed if indicated according to the current locally applicable guidelines, ie, American Urological Association, European Association of Urology
- (Cohorts B1 and B2 only): Histological confirmed diagnosis of BCG-unresponsive high-risk, non-muscle invasive TCC of the urothelium within 12 months (CIS only) or 6 months (recurrent Ta/T1 disease) of completion of adequate BCG therapy.
- Have refused or are ineligible for radical cystectomy
Exclusion Criteria:
- Evidence of muscle-invasive, locally advanced or metastatic urothelial cancer or concurrent extravesical, non-muscle invasive TCC of the urothelium
- (Cohort A only): Intravesical BCG therapy within 2 years prior to randomization. Prior intravesical chemotherapy for NMIBC is allowed.
(Cohorts B1 and B2 only): Any systemic or intravesical chemotherapy or immunotherapy from the time of most recent positive TURBT to initiation of study intervention.
- Prior immunotherapy with anti PD-1, anti PD-L1, anti PD-L2, or anti cytotoxic T-lymphocyte-associated antigen-4 (CTLA-4) antibody
- Prior treatment with immunostimulatory agents including interleukin (IL)-2, IL-15, interferon (INF)
- Prior radiation therapy to the bladder
- (Cohorts B1 and B2 only): Prior participation in Cohort A of this study.
Sites / Locations
- Urological Associates of Southern Arizona, P.C .
- Urological Associates of Southern Arizona P.C.
- Arkansas Urology
- Centerview Surgery Center
- Koman Family Outpatient Pavilion
- Sulpizio Cardiovascular Center at UC San Diego Health
- UC San Diego Medical Center - La Jolla (Jacobs Medical Center / Thornton Pavilion)
- UC San Diego Moores Cancer Center
- University of California Irvine Medical Center
- UC San Diego Medical Center - Hillcrest
- The Urology Center of Colorado
- Urological Research Network Corp
- UF Health Jacksonville
- UF Health North
- John H. Stroger, Jr. Hospital of Cook County/IND Pharmacy
- John H. Stroger, Jr. Hospital of Cook County
- DuPage Medical Group
- DuPage Medical Group Ambulatory Surgery Center
- DuPage Medical Group
- Edward Hospital
- Ochsner LSU Health Shreveport - Regional Urology
- Regional Urology Oncology & Radiation Center
- Regional Urology, LLC
- Chesapeake Urology Research Associates
- Michigan Institute of Urology, PC
- Montefiore Medical Center - Montefiore Medical Park
- Montefiore Medical Center - Oncology Investigational Services
- Premier Medical Group of the Hudson Valley PC
- Bellevue Hospital
- Laura & Isaac Perlmutter Cancer Center at NYU Langone Health
- NYU Langone Medical Center (Tisch Hospital)
- NYU Langone Health Urology Associates
- Icahn School of Medicine at Mount Sinai
- Mount Sinai Hospital
- Dutchess Ambulatory Surgery Center
- Premier Medical Group of the Hudson Valley PC
- Associated Medical Professionals of New York, PLLC
- VA Portland Healthcare System
- Carolina Urologic Research Center
- Parkway Surgery Center
- Urology Clinics of North Texas
- Urology Clinics of North Texas
- Houston Metro Urology
- Houston Methodist Hospital
- Urology San Antonio PA
- Sentara Norfolk General Hospital
- Urology of Virginia, PLLC
- Southern Highlands Cancer Centre
- Campbelltown Hospital
- Campbelltown Private Hospital
- Chris O'Brien Lifehouse Hospital
- Chris O'Brien Lifehouse
- Box Hill Hospital
- Eastern Clinical Research Unit
- Yarra Ranges Health
- UZ Gent
- Vancouver Prostate Centre at the Vancouver General Hospital
- Hamilton Regional Laboratory Medicine Program
- McMaster Institute of Urology/St Joseph's Healthcare Hamilton
- Kingston Health Sciences Centre - Kingston General Hospital
- Centre for Applied Urological Research
- Kingston Health Sciences Centre -- Hotel Dieu Hospital
- University Health Network - Princess Margaret Cancer Centre
- University Health Network - Toronto General Hospital
- Centre intégré universitaire de santé et de services sociaux du Saguenay-Lac-Saint-Jean
- McGill University Health Centre
- Hotel-Dieu de Quebec - CHU de Quebec - Universite Laval
- The First Affiliated Hospital of Anhui Medical University
- Beijing Chao-yang Hospital
- Peking University First Hospital
- Beijing Cancer Hospital
- Peking Union Medical College Hospital
- Fujian Medical University Affiliated First Hospital
- Union Hospital, Tongji Medical College, Huazhong University of Science and Technology
- Hunan Cancer Hospital
- Nanjing Drum Tower Hospital
- Nantong Tumor Hospital
- Second Affiliated Hospital of Suzhou University
- The First Affiliated Hospital of Nanchang University
- First Affiliated Hospital of Xi 'an Jiaotong University
- West China Hospital of Sichuan University
- Zhejiang Provincial People's Hospital
- Ningbo First Hospital
- The First Affiliated Hospital of Wenzhou Medical University
- The First Affiliated Hospital of Wenzhou Medical University
- Chongqing University Cancer Hospital
- Fudan University Cancer Hospital
- The Second Hospital of Tianjin Medical University
- Hôpital privé Antony (Pharmacy)
- Hôpital Privé d'Antony
- Clinique Belharra
- Clinique Saint-Augustin
- Institut Bergonié
- CHU de Bordeaux Hôpital Pellegrin
- Groupe Vivalto Sante - Clinique Pasteur-Lanroze- CFRO
- Cabinet Privé d'urologie
- CHPB Keraudren
- Polyclinique de Limoges Site Emailleurs-Colombier
- Polyclinique de Limoges Site Chenieux
- Polyclinique de Gentilly
- Hôpital Bichat - Claude-Bernard
- Clinique Sainte Anne
- Urologicum Duisburg
- Klinikum der Goethe-Universitaet Frankfurt
- Universitaetsklinikum Muenster, Urologie
- Studienpraxis Urologie
- Universitaetsklinikum Tuebingen
- Humanitas Istituto Clinico Catanese S.p.A - U.O. Oncologia Medica
- UO Oncologia, ASST di Cremona - Istituti Ospitalieri - Ospedale di Cremona
- IRCSS Istituto Clinico Humanitas - U.O. Oncologia Medica
- AO Azienda Ospedaliera Ordine Mauriziano Di Torino
- Ospedale Area Aretina Nord - UOC Oncologia Medica
- UO Oncologia Medica IRCCS Istituto Tumori "Giovanni Paolo II"
- IRCCS Azienda Ospedaliera Universitaria Policlinico San Martino Urologia
- Ospedale Generale Provinciale di Macerata - UOC Oncologia
- Medical Oncology Unit, AO Papardo
- IRCCS Ospedale San Raffaele, URI (Urological Research Institute)
- AUSL/IRCCS di Reggio Emilia
- ASST Sette Laghi Ospedale di Circolo Fondazione Macchi
- National Hospital Organization Shikoku Cancer Center
- Ehime University Hospital
- National Hospital Organization Kyushu Cancer Center
- Gunma Prefectural Cancer Center
- National Hospital Organization Hokkaido Cancer Center
- Kanagawa cancer center
- Osaka International Cancer Institute
- Kindai University Hospital
- Hamamatsu University Hospital
- Keio University Hospital
- Kagoshima University Hospital
- National Hospital Organization Kumamoto Medical Center
- Okayama Medical Center
- Yamagata University Hospital
- National Cancer Center
- Seoul National University Bundang Hospital
- Kyungpook National University Chilgok Hospital
- Korea University Anam Hospital
- Seoul National University Hospital
- Severance Hospital, Yonsei University Health System
- Samsung Medical Center
- Szpital Wojewodzki im Jana Pawla II
- NZOZ AKMED Andrzej Kupilas
- Regionalny Szpital Specjalistyczny im. Dr. Wladyslawa Bieganskiego
- Niepubliczny Zaklad Opieki Zdrowotnej Centrum Urologiczne Sp. z o.o.
- Provita Profamilia
- Clinical Research Center Spolka z ograniczona odpowiedzialnoscia MEDIC-R Spolka Komandytowa
- ETG Skierniewice
- Provita 001
- Medical Concierge Centrum Medyczne
- Lexmedica
- A.Tsyb Medical Research Radiological Center of the Ministry of Health of the Russian Federation
- Leningrad Regional Clinical Hospital
- State Budgetary Institution of Healthcare of the Republic of Mordovia
- Private Medical Institution "Euromedservice"
- Klinika UZI 4D, LLC
- Leningrad Regional Clinical Hospital
- Leningrad Regional Clinical Hospital
- State Budgetary Healthcare Institution "Leningrad Regional Clinical Oncology Dispensary"
- Evimed Llc
- Regional Budgetary Healthcare Institution "Ivanovo Regional Oncology Dispensary"
- Ars Medika Center, LLC
- Kaluga Regional Clinical Oncology Center
- P.A. Hertsen Moscow Oncology Research Center- branch of the National Medical Research
- Federal Budgetary Institution of Healthcare "Privolzhsky District Medical Center of the Federal
- BHI of Omsk region "Clinical Oncological Dispensary"
- State Budgetary Institution of Ryazan Region "Regional Clinical Oncology Center"
- Joint-Stock Company "North-Western Centre of Evidence-Based Medicine" ("NWCoEBM" JSC)
- Federal State Budgetary Healthcare Institution Saint - Petersburg
- Leningrad Regional Clinical Hospital
- Joint-Stock Company "North-Western Centre of Evidence-Based Medicine" ("NWCoEBM" JSC)
- Hospital OrKli LLC
- Republican Clinical Oncology Dispensary of the Ministry of Health of Bashkortostan Republic
- Budgetary Healthcare Institution of Vologda region "Vologda Regional Clinical Hospital"
- SBHI YaR Regional clinical oncology hospital
- Hospital Universitari Germans Trias i Pujol
- Hospital General de Granollers
- Hospital Universitari de Bellvitge
- Hospital Duran i Reynals- ICO L'Hospitalet
- Hospital Universitario Puerta de Hierro Majadahonda
- Complejo Hospitalario de Navarra
- Salut Sant Joan de Reus-Baix Camp
- Complejo Hospitalario Universitario A Coruna
- Hospital del Mar
- Fundacio Puigvert
- Hospital de la Santa Creu i Sant Pau
- Hospital San Pedro de Alcantara
- Hospital Universitari de Girona Doctor Josep Trueta
- Hospital Universitario Lucus Augusti
- Hospital Universitario de La Princesa
- Hospital Universitario La Princesa
- Hospital Clínico San Carlos
- Hospital Universitario 12 de Octubre
- Fundacion Instituto Valenciano de Oncologia
- Hospital Arnau de Vilanova
- Barts Health NHS Trust, St Bartholomew's Hospital
- Charing Cross Hospital
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm 5
Experimental
Experimental
Active Comparator
Experimental
Experimental
PF-06801591 + BCG induction and maintenance
PF-06801591 + BCG induction only
BCG induction and maintenance
BCG Unresponsive CIS
BCG Unresponsive NMIBC
PF-06801591 in combination with Bacillus Calmette Guerin(induction+maintenance).
PF-06801591 in combination with Bacillus Calmette Guerin (induction only).
Bacillus Calmette Guerin (induction and maintenance).
PF-06801591
PF-06801591