Urinary Bladder NeoplasmsPhase 2SunRISe-1NCT04640623
A Study of TAR-200 in Combination With Cetrelimab, TAR-200 Alone, or Cetrelimab Alone in Participants With Non-Muscle Invasive Bladder Cancer (NMIBC) Unresponsive to Intravesical Bacillus Calmette-Guérin Who Are Ineligible for or Elected Not to Undergo Radical Cystectomy
A Phase 2 study testing TAR-200 and Cetrelimab in people with Urinary Bladder Neoplasms, run by Janssen Research & Development, LLC at 144 sites in 16 countries.
Trial summary
The purpose of this study is to evaluate the overall complete response (CR) rate in participants treated with TAR-200 in combination with cetrelimab (Cohort 1), or TAR-200 alone (Cohort 2), or cetrelimab alone (Cohort 3) with Carcinoma in Situ (CIS), with or without concomitant high-grade Ta or T1 papillary disease… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Urinary Bladder Neoplasms
- What is being tested?
- TAR-200 and Cetrelimab
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 220 participants
- Where
- 144 sitesin 16 countries
- Study dates
- 18 Dec 2020to 30 Sep 2027
- Phase
- Phase 2
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Histologically confirmed diagnosis of persistent or recurrent high-risk non-muscle invasive bladder cancer (HR-NMIBC), (carcinoma in situ [CIS] or tumor in situ [Tis]), with or without papillary disease (T1, high-grade Ta) or papillary disease only (high-grade Ta or any T1 and absence of CIS), within 12 months of completion of the last dose of Bacillus Calmette-Guerin (BCG) therapy, in participants who have received adequate BCG. Mixed histology tumors are allowed if urothelial differentiation (transitional cell histology) is predominant. However, the presence of neuroendocrine, micropapillary, signet ring cell, plasmacytoid, or sarcomatoid features will make a participant ineligible. For participants with lamina propria invasion (T1) on the screening biopsy/ transurethral resection of bladder tumor (TURBT), muscularis propria must be present in order to rule out Muscle Invasive Bladder Cancer (MIBC)
- All visible papillary disease must be fully resected (absent) prior to randomization (residual CIS is acceptable for participants eligible for Cohorts 1, 2, and 3 only) and documented in the electronic case report form (eCRF) at screening cystoscopy. For participants with papillary disease only (Cohort 4), local urine cytology at screening must be negative or atypical (for High-Grade Urothelial Carcinoma [HGUC])
- Participants must be ineligible for or have elected not to undergo radical cystectomy
- BCG-unresponsive high-risk NMIBC after treatment with adequate BCG therapy defined as a minimum of 5 of 6 full doses of an induction course (adequate induction) plus 2 of 3 doses of a maintenance course, or at least 2 of 6 doses of a second induction course
- Eastern Cooperative Oncology Group (ECOG) performance status Grade 0, 1, or 2
Who cannot join
- Presence or history of histologically confirmed, muscle-invasive, locally advanced, nonresectable, or metastatic urothelial carcinoma (that is, T2, T3, T4, and/or Stage IV)
- Must not have had urothelial carcinoma or histological variant at any site outside of the urinary bladder. Ta/T1/CIS of the upper urinary tract (including renal pelvis and ureter) is allowable if treated with complete nephroureterectomy more than 24 months prior to randomization
- Received a live virus vaccine within 30 days prior to the initiation of study treatment. Inactivated (non-live or non-replicating) vaccines approved or authorized for emergency use (for example, COVID-19) by local health authorities are allowed
- Active hepatitis B or C infection (for example, participants with history of hepatitis C infection but undetectable hepatitis C virus polymerase chain reaction (PCR) test and participants with history of hepatitis B infection with positive hepatitis B surface antigen (HBsAg) antibody and undetectable PCR are allowed)
- Prior therapy with an anti-programmed-cell death 1 (PD-1), anti-PD-ligand 2 (L2) agent, or with an agent directed to another co-inhibitory T-cell receptor
Trial locations and contacts
144 sites in 16 countries.
144 sites in 16 countries
United States22 sites
Urology Austin
Austin, Texas, 78745
Urologic Consultants of Southeastern Pennsylvania
Bala-Cynwyd, Pennsylvania, 19004
Levine Cancer Institute
Charlotte, North Carolina, 28204
The Urology Group
Cincinnati, Ohio, 45212
University of Texas Southwestern Medical Center
Dallas, Texas, 75390
The Urology Center of Colorado
Denver, Colorado, 80211
Foothills Urology - Golden Off
Golden, Colorado, 80401
Urology of Indiana
Greenwood, Indiana, 46143
DuPage Medical Group
Lisle, Illinois, 60532
University of Southern California
Los Angeles, California, 90033
Urology Associates, PC
Nashville, Tennessee, 37209
Vanderbilt University Medical Center
Nashville, Tennessee, 37232
NYU Langone Health
New York, New York, 10017
Thomas Jefferson University
Philadelphia, Pennsylvania, 19107
Urology San Antonio Research
San Antonio, Texas, 78229
Genesis Healthcare Partners - Genesis Research Greater Los Angeles
Sherman Oaks, California, 91411
Spokane Urology
Spokane, Washington, 99202
SUNY Upstate Medical University
Syracuse, New York, 13210-2375
Associated Medical Professionals
Syracuse, New York, 13210
Michigan Institute of Urology
Troy, Michigan, 48084
Del Sol Research Management, LLC
Tucson, Arizona, 85715
Wichita Urology Group
Wichita, Kansas, 67226
France20 sites
Hopital Pellegrin CHU Bordeaux
Bordeaux, 33076
Polyclinique Bordeaux Nord Acquitaine
Bordeaux, 33300
CHU Grenoble
Grenoble, 38043
Clinique Sainte Marguerite
Hyères, 83400
Polyclinique de Limoges - Francois Chenieux
Limoges, 87000
Hôpital Edouard Herriot
Lyon, 69437
Institut Paoli-Calmettes
Marseille, 13273
Centre de Cancerologie du Grand Montpellier
Montpellier, 34070
CHU Nimes
Nîmes, 30029
Hopital Saint Louis
Paris, 75010
Hôpital Universitaire Pitié-Salpêtrière
Paris, 75013
Hopital Europeen Georges-Pompidou
Paris, 75015
Groupe Hospitalier Diaconesses Croix Saint Simon
Paris, 75020
Hopital Bichat Claude Bernard
Paris, 75877
Clinical La Croix Du Sud - Ramsay Santé
Quint-Fonsegrives, 31130
Hopital Pontchaillou
Rennes, 35033
CHP Saint Gregoire
Saint-Grégoire, 35760
Institut de Cancerologie Strasbourg Europe ICANS
Strasbourg, 67200
Hopital Foch
Suresnes, 92151
Hopital Rangueil
Toulouse, 31059
Spain13 sites
Hosp Univ A Coruna
A Coruña, 15006
Hosp. Univ. Germans Trias I Pujol
Badalona, 08916
Fund. Puigvert
Barcelona, 08025
Hosp. Puerta Del Mar
Cadiz, 11009
Hosp. Univ. Virgen de Las Nieves
Granada, 18014
Hosp. de Jerez de La Frontera
Jerez de la Frontera, 11407
Hosp. Univ. Ramon Y Cajal
Madrid, 28034
Hosp. Univ. 12 de Octubre
Madrid, 28041
Hosp. Univ. La Paz
Madrid, 28046
Hosp Univ Hm Sanchinarro
Madrid, 28050
Hosp Virgen de La Victoria
Málaga, 29010
Corporacio Sanitari Parc Tauli
Sabadell, 08208
Instituto Valenciano de Oncologia
Valencia, 46009
Italy11 sites
Azienda Ospedaliero Universitaria Consorziale Policlinico di Bari
Bari, 70120
Azienda Ospedaliero Universitaria Consorziale Policlinico di Bari Satellite 1
Bari, 70124
Azienda Ospedaliera Universitaria Careggi
Florence, 50135
Ospedale San Martino 1
Genova, 16132
Ospedale San Raffaele
Milan, 20132
Azienda Ospedaliero Universitaria Pisana
Pisa, 56126
Azienda Ospedaliera Sant Andrea
Roma, 00189
Istituto Nazionale Tumori Regina Elena
Rome, 00144
Azienda Ospedaliera Universitaria Citta della Salute e della Scienza di Torino
Torino, 10126
Ospedale di Circolo e Fondazione Macchi
Varese, 21100
Ospedale San Bortolo
Vicenza, 36100
Japan11 sites
Aso Co.,Ltd Iizuka Hospital
Iizuka, 820-8501
St Marianna University Hospital
Kanagawa, 216 8511
Nara Medical University Hospital
Kashihara-shi, 634-8522
Kimitsu Chuo Hospital
Kisarazu-shi, 292-8535
Nagasaki University Hospital
Nagasaki, 852-8501
JOHAS Osaka Rosai Hospital
Osaka, 591-8025
Toranomon Hospital
Tokyo, 105-8470
Toyama University Hospital
Toyama, 930-0194
Fujita Health University Hospital
Toyoake, 470-1192
University of Tsukuba Hospital
Tsukuba, 305-8520
Yokohama City University Medical Center
Yokohama, 232 0024
South Korea10 sites
Inje University Haeundae Paik Hospital
Busan, 612-896
Kyungpook National University Chilgok Hospital
Daegu, 41404
Keimyung University Dongsan Hospital
Daegu, 42601
National Cancer Center
Goyang-si, 10408
Chonnam National University Hospital
Gwangju, 61469
Seoul National University Hospital
Seoul, 03080
Severance Hospital
Seoul, 03722
Gangnam Severance Hospital
Seoul, 06273
The Catholic University of Korea Seoul St Mary s Hospital
Seoul, 06591
Pusan National University Yangsan Hospital
Yangsan, 50612
Germany9 sites
Urologische Partnerschaft Koln UPK
Cologne, 50968
Urologicum Duisburg
Duisburg, 47169
Klinikum Herne - Urologie
Herne, 44625
Matthias Schulze - Germany
Markkleeberg, 04416
Urologie Neandertal Praxis Mettmann
Mettmann, 40822
Universitatsklinikum Munster
Münster, 48149
Schön Klinik Nürnberg Fürth
Nuremberg, 90491
Studienpraxis Urologie Nürtingen - Germany
Nürtingen, 72622
Urologische Praxis am Wasserturm - Germany
Würselen, 52146
Portugal9 sites
Hospital Garcia de Orta
Almada, 2805-267
Uls Regiao Aveiro - Hosp. Infante D. Pedro
Aveiro, 3810-193
Uls Alto Ave - Hosp. Sra. Da Oliveira Guimaraes
Guimarães, 4835-044
Centro Hospitalar de Lisboa Central
Lisbon, 1150-199
Fund. Champalimaud
Lisbon, 1400-038
Uls Loures Odivelas - Hosp. Loures
Loures, 2674 514
Instituto Portugues de Oncologia do Porto Francisco Gentil
Porto, 4200-072
Centro Hospitalar de Vila Nova de Gaia Espinho E P E
Vila Nova de Gaia, 4434 502
Centro Hospitalar de Trás os Montes e Alto-Douro
Vila Real, 5000508
Russia9 sites
Hertzen Oncology Research Institute
Moscow, 125284
Privolzhsky District Medical Centre
Nizhny Novgorod, 603074
Avicenna Medical Center
Novosibirsk, 630099
A. Tsyb Medical Radiological Research Center
Obninsk, 249031
BHI of Omsk region Clinical Oncology Dispensary
Omsk, 644013
Ultrasound Clinic 4D
Pyatigorsk, 357502
Saratov State Medical University
Saratov, 410054
Multifunctional clinical medical center 'Medical city'
Tyumen, 625041
Bashkir State Medical University
Ufa, 450008
Belgium7 sites
AZ Sint-Lucas Brugge
Assebroek, 8310
AZ Sint-Jan Brugge
Bruges, 8000
Hopital Erasme
Brussels, 1070
Algemeen ziekenhuis Maria Middelares
Ghent, 9000
Universitair Ziekenhuis Gent
Ghent, 9000
Algemeen Ziekenhuis Delta
Roeselare, 8800
AZ Nikolaas
Sint-Niklaas, 9100
Greece6 sites
Metropolitan General A E
Cholargós, 155 62
Athens Medical Center
Marousi, 151 25
Bioclinic - Thessaloniki
Thessaloniki, 546 22
General Hospital of Thessaloniki G. Gennimatas
Thessaloniki, 54635
Euromedica General Clinic
Thessaloniki, 54645
Papageorgiou General Hospital Of Thessaloniki
Thessaloniki, TK 56403
Canada5 sites
Exdeo Clinical Research Inc
Abbotsford British Columbia, British Columbia, V2S 3N5
William Osler Health System
Brampton, Ontario, L6R 3J7
McGill University Health Centre
Montreal, Quebec, H4A 3J1
Universite de Sherbrooke
Sherbrooke, Quebec, J1H 5H3
Princess Margaret Hospital- UHN
Toronto, Ontario, M5G 2M9
Netherlands4 sites
Antoni van Leeuwenhoek
Amsterdam, 1066 CX
Catharina Ziekenhuis
Eindhoven, 5623EJ
Canisius-Wilhelmina Ziekenhuis
Nijmegen, 6532SZ
The Julius Center - Utrecht Science Park - Stratenum
Utrecht, 3508 GA
Australia3 sites
Flinders Medical Centre
Bedford Park, 5042
Eastern Health Research
Box Hill, 3128
Macquarie University Hospital
Sydney, 2109
Ukraine3 sites
Chernihivskyi oblasnyi onkolohichnyi dyspanser
Chernihiv, 14029
Asklepion LLC
Kiev, 08173
Sumy Regional Clinical Oncology Centre
Sumy, 40022
United Kingdom2 sites
NHS Greater Glasgow and Clyde
Glasgow, G12 0YN
Leeds Teaching Hospitals NHS Trust
Leeds, LS9 7TF
About this study
Official title: Phase 2b Clinical Study Evaluating Efficacy and Safety of TAR-200 in Combination With Cetrelimab, TAR-200 Alone, or Cetrelimab Alone in Participants With High-Risk Non-Muscle Invasive Bladder Cancer (NMIBC) Unresponsive to Intravesical Bacillus Calmette-Guérin (BCG) Who Are Ineligible for or Elected Not to Undergo Radical Cystectomy
The purpose of this study is to evaluate the overall complete response (CR) rate in participants treated with TAR-200 in combination with cetrelimab (Cohort 1), or TAR-200 alone (Cohort 2), or cetrelimab alone (Cohort 3) with Carcinoma in Situ (CIS), with or without concomitant high-grade Ta or T1 papillary disease; and disease-free survival (DFS) in participants treated with TAR-200 alone with papillary disease only (Cohort 4).
- Conditions
- Urinary Bladder Neoplasms
- Being tested
- TAR-200, Cetrelimab
- Medical subject headings
- Urinary Bladder Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
TAR-200Drug
Also called JNJ-17000139, Gemcitabine-Releasing Intravesical System
TAR-200 will be administered transuretherally.
CetrelimabBiological
Also called JNJ-63723283
Cetrelimab will be administered.
| Study group | Role | What they receive |
|---|---|---|
| Cohort 1: TAR-200 and Cetrelimab | Experimental | TAR-200 is placed into the bladder through a urinary placement catheter in participants with carcinoma in situ (CIS), with or without papillary disease, on Day 0 and will be dosed every 3 weeks (Q3W) for up to the first 24 weeks (6 months), then every 12 weeks through Week 99 (Year 2). In addition, Cetrelimab will be dosed Q3W through Week 78 (18 months). Receives: Drug: TAR-200; Biological: Cetrelimab |
| Cohort 2: TAR-200 | Experimental | TAR-200 is placed into the bladder through a urinary placement catheter in participants with CIS, with or without papillary disease, on Day 0 and will be dosed Q3W for up to the first 24 weeks (6 months), then every 12 weeks through Week 99 (Year 2). Receives: Drug: TAR-200 |
| Cohort 3: Cetrelimab | Experimental | Participants with CIS, with or without papillary disease, will receive Cetrelimab which will be dosed Q3W through Week 78 (18 months). Receives: Biological: Cetrelimab |
| Cohort 4: TAR-200 (Participants with Papillary Disease only) | Experimental | TAR-200 is placed into the bladder through a urinary placement catheter in participants with papillary disease only, on Day 0 and will be dosed Q3W for up to the first 24 weeks (6 months), then every 12 weeks through Week 99 (Year 2). Receives: Drug: TAR-200 |
What is being measured
The primary outcome is the main question the study is designed to answer.
Cohorts 1, 2, and 3: Overall Complete Response (CR) Rate
Overall CR rate was defined as the percentage of participants who met at least one of the following: negative cystoscopy and negative (including atypical) centrally read urine cytology, or positive cystoscopy with biopsy-proven benign or low-grade non-muscle invasive bladder cancer (NMIBC) and negative (including atypical) centrally read cytology at any time point.
Measured: From date of first dose up to clinical cut-off date 3rd July 2025 (up to 50 months)
Cohort 4: Disease-free Survival (DFS)
DFS was defined as the time from the date of first dose of study treatment to the time of one of the following events, whichever occurred first: (1) The first recurrence of high-risk disease (high-grade Ta, any T1 or CIS), (2) progression to muscle invasive bladder cancer (MIBC) (T greater than or equal to [>=] 2) or to lymph node (N+) or to distant disease (M+), whichever occurred first, (3) Death due to any cause.
Measured: From date of first dose up to clinical cut-off date 3rd July 2025 (up to 50 months)
Secondary outcomes (14)
Cohorts 1, 2, and 3: Number of Participants With at Least 12 Months Duration of Response
DOR was defined as the date of first complete response (CR) achieved to the date of first evidence of recurrence or progression or death, using cystoscopy, centrally read bladder biopsy and urine cytology, and imaging, if available. Complete response was defined as having a negative cystoscopy and negative (including atypical) centrally assessed urine cytology, or positive cystoscopy with biopsy-proven benign or low-grade NMIBC and negative (including atypical) centrally assessed cytology at any time point. Number of participants with at least 12 months duration of response were reported.
Measured: From onset of first CR up to clinical cut-off date 3rd July 2025 (up to 47.3 months)
Overall Survival (OS)
Measured: From Week 0 up to 6 years 7 months
Cohorts 1, 2, and 4: Plasma Concentrations of Gemcitabine and 2',2' Difluorodeoxyuridine (dFdU) (Metabolite)
Plasma concentrations of gemcitabine and dFdU were reported.
Measured: Predose at Week 0 and at any time between Days 2-7 during Weeks 3, 6, 9, 15, 18, and 21 postdose
Cohorts 1 and 2: Maximum Observed Urine Concentration (Cmax) of Gemcitabine and dFdU (Metabolite)
Cmax was defined as maximum observed urine concentration.
Measured: At Week 0
Cohort 4: Urine Concentration of Gemcitabine and dFdU (Metabolite)
Urine concentrations of gemcitabine and dFdU were reported.
Measured: At Weeks 3, 6, 9, 15, 18, and 21
Cohort 1and 3: Serum Concentration of Cetrelimab
Serum concentration of cetrelimab were reported.
Measured: At Weeks 0, 3, 12, 24, 48, 60, 84 (end of infusion) [EOI]
Cohort 3: Serum Concentration of Cetrelimab
Serum concentration of cetrelimab were reported.
Measured: At Weeks 60 (EOI)
Cohorts 1 and 3: Number of Participants With Anti-cetrelimab Antibodies
Number of participants positive to anti-cetrelimab antibodies was reported using validated immunoassay for anti-drug antibody (ADA) analysis.
Measured: From date of first dose up to clinical cut-off date 3rd July 2025 (54 months)
Change From Baseline in European Organisation for Research and Treatment of Cancer Quality-of-life Questionnaire (EORTC QLQ) -C30 Scores
Measured: From Week 0 up to 6 years 7 months
Change From Baseline in EORTC QLQ- Non-Muscle-Invasive Bladder Cancer (NMIBC) 24 Scores
Measured: From Week 0 up to 6 years 7 months
Time to Symptom Deterioration as Assessed by European Organisation for Research and Treatment of Cancer Qualityof-life Questionnaire (EORTC QLQ) -C30 Scores
Measured: From Week 0 up to 6 years 7 months
Time to Symptom Deterioration as Assessed by EORTC QLQ- Non-Muscle-Invasive Bladder Cancer (NMIBC) 24 Scores
Measured: From Week 0 up to 6 years 7 months
Number of Participants With Adverse Events (AEs) by Severity Grades
Measured: From Week 0 up to 6 years 7 months
Number of Participants With Clinical Laboratory Abnormalities by Severity Grades
Measured: From Week 0 up to 6 years 7 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted23 Nov 2020
- Study start18 Dec 2020
- Primary completion3 Jul 2025
- Study completion30 Sep 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Urinary Bladder NeoplasmsStudies of the same condition, open and under way.
- More trials run by Janssen Research & Development, LLCThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 220 participants (actual)
Sponsor and investigators
- Lead sponsor
- Janssen Research & Development, LLC
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Janssen Research & Development, LLC Clinical Trial, Study director, Janssen Research & Development, LLC
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04640623
- Sponsor's protocol ID
- CR108921
- Other IDs
- 17000139BLC2001, 2020-002646-16, 2023-506146-23-00, 2023
- Acronym
- SunRISe-1
- Status last verified
- Nov 2026
- First submitted
- 20 Nov 2020
- Last updated
- 3 Nov 2026
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: The data sharing policy of the Janssen Pharmaceutical Companies of Johnson and Johnson is available at www.janssen.com/clinical-trials/transparency. As noted on this site, requests for access to the study data can be submitted through Yale Open Data Access (YODA) project site at yoda.yale.edu
- Expanded access
- Available
Publications
Daneshmand S, Van der Heijden MS, Jacob JM, Guerrero-Ramos F, Bogemann M, Simone G, Pieczonka CM, Casco NC, Zainfeld D, Spiegelhalder P, Xylinas E, Cahn D, Lotan Y, Murray KS, Kawahara T, Stromberg K, Martin J, Shukla A, Cutie CJ, Bertzos K, Hampras S, Sweiti H, Necchi A; SunRISe-1 Study. TAR-200 for Bacillus Calmette-Guerin-Unresponsive High-Risk Non-Muscle-Invasive Bladder Cancer: Results From the Phase IIb SunRISe-1 Study. J Clin Oncol. 2025 Nov 20;43(33):3578-3588. doi: 10.1200/JCO-25-01651. Epub 2025 Jul 30.
PubMed 40737582
Study at a glance
From the registry record, last updated by the sponsor on 3 Nov 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Phase 2b Clinical Study Evaluating Efficacy and Safety of TAR-200 in Combination With Cetrelimab, TAR-200 Alone, or Cetrelimab Alone in Participants With High-Risk Non-Muscle Invasive Bladder Cancer (NMIBC) Unresponsive to Intravesical Bacillus Calmette-Guérin (BCG) Who Are Ineligible for or Elected Not to Undergo Radical Cystectomy
- ClinicalTrials.gov ID
- NCT04640623
- Acronym / sponsor ID
- SunRISe-1 / CR108921
- Conditions
- Urinary Bladder Neoplasms
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 220 participants (actual)
- Lead sponsor
- Janssen Research & Development, LLCIndustry (pharma, biotech, devices)
- Study start
- 18 Dec 2020 (actual)
- Primary completion
- 3 Jul 2025 (actual)
- Study completion
- 30 Sep 2027 (estimated)
- First posted
- 23 Nov 2020 (actual)
- Results
- Posted 29 Jul 2026
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to evaluate the overall complete response (CR) rate in participants treated with TAR-200 in combination with cetrelimab (Cohort 1), or TAR-200 alone (Cohort 2), or cetrelimab alone (Cohort 3) with Carcinoma in Situ (CIS), with or without concomitant high-grade Ta or T1 papillary disease; and disease-free survival (DFS) in participants treated with TAR-200 alone with papillary disease only (Cohort 4).
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| Cohort 1: TAR-200 and Cetrelimab | Experimental | Drug: TAR-200, Biological: CetrelimabTAR-200 is placed into the bladder through a urinary placement catheter in participants with carcinoma in situ (CIS), with or without papillary disease, on Day 0 and will be dosed every 3 weeks (Q3W) for up to the first 24 weeks (6 months), then every 12 weeks through Week 99 (Year 2). In addition, Cetrelimab will be dosed Q3W through Week 78 (18 months). |
| Cohort 2: TAR-200 | Experimental | Drug: TAR-200TAR-200 is placed into the bladder through a urinary placement catheter in participants with CIS, with or without papillary disease, on Day 0 and will be dosed Q3W for up to the first 24 weeks (6 months), then every 12 weeks through Week 99 (Year 2). |
| Cohort 3: Cetrelimab | Experimental | Biological: CetrelimabParticipants with CIS, with or without papillary disease, will receive Cetrelimab which will be dosed Q3W through Week 78 (18 months). |
| Cohort 4: TAR-200 (Participants with Papillary Disease only) | Experimental | Drug: TAR-200TAR-200 is placed into the bladder through a urinary placement catheter in participants with papillary disease only, on Day 0 and will be dosed Q3W for up to the first 24 weeks (6 months), then every 12 weeks through Week 99 (Year 2). |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Histologically confirmed diagnosis of persistent or recurrent high-risk non-muscle invasive bladder cancer (HR-NMIBC), (carcinoma in situ [CIS] or tumor in situ [Tis]), with or without papillary disease (T1, high-grade Ta) or papillary disease only (high-grade Ta or any T1 and absence of CIS), within 12 months of completion of the last dose of Bacillus Calmette-Guerin (BCG) therapy, in participants who have received adequate BCG. Mixed histology tumors are allowed if urothelial differentiation (transitional cell histology) is predominant. However, the presence of neuroendocrine, micropapillary, signet ring cell, plasmacytoid, or sarcomatoid features will make a participant ineligible. For participants with lamina propria invasion (T1) on the screening biopsy/ transurethral resection of bladder tumor (TURBT), muscularis propria must be present in order to rule out Muscle Invasive Bladder Cancer (MIBC)
- All visible papillary disease must be fully resected (absent) prior to randomization (residual CIS is acceptable for participants eligible for Cohorts 1, 2, and 3 only) and documented in the electronic case report form (eCRF) at screening cystoscopy. For participants with papillary disease only (Cohort 4), local urine cytology at screening must be negative or atypical (for High-Grade Urothelial Carcinoma [HGUC])
- Participants must be ineligible for or have elected not to undergo radical cystectomy
- BCG-unresponsive high-risk NMIBC after treatment with adequate BCG therapy defined as a minimum of 5 of 6 full doses of an induction course (adequate induction) plus 2 of 3 doses of a maintenance course, or at least 2 of 6 doses of a second induction course
- Eastern Cooperative Oncology Group (ECOG) performance status Grade 0, 1, or 2
Key exclusion criteria (5 listed)
- Presence or history of histologically confirmed, muscle-invasive, locally advanced, nonresectable, or metastatic urothelial carcinoma (that is, T2, T3, T4, and/or Stage IV)
- Must not have had urothelial carcinoma or histological variant at any site outside of the urinary bladder. Ta/T1/CIS of the upper urinary tract (including renal pelvis and ureter) is allowable if treated with complete nephroureterectomy more than 24 months prior to randomization
- Received a live virus vaccine within 30 days prior to the initiation of study treatment. Inactivated (non-live or non-replicating) vaccines approved or authorized for emergency use (for example, COVID-19) by local health authorities are allowed
- Active hepatitis B or C infection (for example, participants with history of hepatitis C infection but undetectable hepatitis C virus polymerase chain reaction (PCR) test and participants with history of hepatitis B infection with positive hepatitis B surface antigen (HBsAg) antibody and undetectable PCR are allowed)
- Prior therapy with an anti-programmed-cell death 1 (PD-1), anti-PD-ligand 2 (L2) agent, or with an agent directed to another co-inhibitory T-cell receptor
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| TAR-200Also: JNJ-17000139, Gemcitabine-Releasing Intravesical SystemTAR-200 will be administered transuretherally. | Drug | Cohort 1: TAR-200 and Cetrelimab, Cohort 2: TAR-200, Cohort 4: TAR-200 (Participants with Papillary Disease only) |
| CetrelimabAlso: JNJ-63723283Cetrelimab will be administered. | Biological | Cohort 1: TAR-200 and Cetrelimab, Cohort 3: Cetrelimab |
Primary outcome
Cohorts 1, 2, and 3: Overall Complete Response (CR) Rate
Time frame: From date of first dose up to clinical cut-off date 3rd July 2025 (up to 50 months)
Overall CR rate was defined as the percentage of participants who met at least one of the following: negative cystoscopy and negative (including atypical) centrally read urine cytology, or positive cystoscopy with biopsy-proven benign or low-grade non-muscle invasive bladder cancer (NMIBC) and negative (including atypical) centrally read cytology at any time point.
Cohort 4: Disease-free Survival (DFS)
Time frame: From date of first dose up to clinical cut-off date 3rd July 2025 (up to 50 months)
DFS was defined as the time from the date of first dose of study treatment to the time of one of the following events, whichever occurred first: (1) The first recurrence of high-risk disease (high-grade Ta, any T1 or CIS), (2) progression to muscle invasive bladder cancer (MIBC) (T greater than or equal to [>=] 2) or to lymph node (N+) or to distant disease (M+), whichever occurred first, (3) Death due to any cause.
14 secondary outcomes
Cohorts 1, 2, and 3: Number of Participants With at Least 12 Months Duration of Response
Time frame: From onset of first CR up to clinical cut-off date 3rd July 2025 (up to 47.3 months)
Overall Survival (OS)
Time frame: From Week 0 up to 6 years 7 months
Cohorts 1, 2, and 4: Plasma Concentrations of Gemcitabine and 2',2' Difluorodeoxyuridine (dFdU) (Metabolite)
Time frame: Predose at Week 0 and at any time between Days 2-7 during Weeks 3, 6, 9, 15, 18, and 21 postdose
Cohorts 1 and 2: Maximum Observed Urine Concentration (Cmax) of Gemcitabine and dFdU (Metabolite)
Time frame: At Week 0
Cohort 4: Urine Concentration of Gemcitabine and dFdU (Metabolite)
Time frame: At Weeks 3, 6, 9, 15, 18, and 21
Cohort 1and 3: Serum Concentration of Cetrelimab
Time frame: At Weeks 0, 3, 12, 24, 48, 60, 84 (end of infusion) [EOI]
Cohort 3: Serum Concentration of Cetrelimab
Time frame: At Weeks 60 (EOI)
Cohorts 1 and 3: Number of Participants With Anti-cetrelimab Antibodies
Time frame: From date of first dose up to clinical cut-off date 3rd July 2025 (54 months)
Change From Baseline in European Organisation for Research and Treatment of Cancer Quality-of-life Questionnaire (EORTC QLQ) -C30 Scores
Time frame: From Week 0 up to 6 years 7 months
Change From Baseline in EORTC QLQ- Non-Muscle-Invasive Bladder Cancer (NMIBC) 24 Scores
Time frame: From Week 0 up to 6 years 7 months
Time to Symptom Deterioration as Assessed by European Organisation for Research and Treatment of Cancer Qualityof-life Questionnaire (EORTC QLQ) -C30 Scores
Time frame: From Week 0 up to 6 years 7 months
Time to Symptom Deterioration as Assessed by EORTC QLQ- Non-Muscle-Invasive Bladder Cancer (NMIBC) 24 Scores
Time frame: From Week 0 up to 6 years 7 months
Number of Participants With Adverse Events (AEs) by Severity Grades
Time frame: From Week 0 up to 6 years 7 months
Number of Participants With Clinical Laboratory Abnormalities by Severity Grades
Time frame: From Week 0 up to 6 years 7 months
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 3 Nov 2026.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 40737582Daneshmand S, Van der Heijden MS, Jacob JM, Guerrero-Ramos F, Bogemann M, Simone G, Pieczonka CM, Casco NC, Zainfeld D, Spiegelhalder P, Xylinas E, Cahn D, Lotan Y, Murray KS, Kawahara T, Stromberg K, Martin J, Shukla A, Cutie CJ, Bertzos K, Hampras S, Sweiti H, Necchi A; SunRISe-1 Study. TAR-200 for Bacillus Calmette-Guerin-Unresponsive High-Risk Non-Muscle-Invasive Bladder Cancer: Results From the Phase IIb SunRISe-1 Study. J Clin Oncol. 2025 Nov 20;43(33):3578-3588. doi: 10.1200/JCO-25-01651. Epub 2025 Jul 30.
- Individual participant dataSharing planned: Yes. The data sharing policy of the Janssen Pharmaceutical Companies of Johnson and Johnson is available at www.janssen.com/clinical-trials/transparency. As noted on this site, requests for access to the study data can be submitted through Yale Open Data Access (YODA) project site at yoda.yale.edu
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Janssen Research & Development, LLC Clinical Trial study director
Janssen Research & Development, LLC
144 sites in 16 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing TAR-200 and Cetrelimab in people with Urinary Bladder Neoplasms, run by Janssen Research & Development, LLC at 144 sites in 16 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 5 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: under way, not looking for participants, as of the sponsor's last update on 3 Nov 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 144 sites in United States, France, Spain, Italy, Japan and 11 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 29 Jul 2026). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Cohorts 1, 2, and 3: Overall Complete Response (CR) Rate (time frame: From date of first dose up to clinical cut-off date 3rd July 2025 (up to 50 months)). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT04640623, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 3 Nov 2026.