NMIBCPhase 1/2NCT06588179
SHR-1501 Combined With SHR-2005 for High-Risk Non-Muscle Invasive Bladder Cancer Which is Not Completely Resectable by TURBt
A Phase 1/2 study testing SHR-1501+SHR-2005 in people with NMIBC, run by Fudan University at 1 site in China.
Trial summary
This is a single-center, single-arm, phase Ib/II study, aimed at assessing the safety and efficacy of SHR-1501 in combination with SHR-2005 as treatment for patients with high-risk non-muscle invasive bladder cancer (HR NMIBC) which is not completely resectable by transurethral resection of bladder tumor (TURBt). Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- NMIBC
- What is being tested?
- SHR-1501+SHR-2005
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 58 participants
- Where
- 1 siteChina
- Study dates
- 1 Oct 2024to 1 Oct 2027
- Phase
- Phase 1/2
- Are there results?
- Not yet: the study is under way
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
- Age ≥18 years old, both genders
- Previous pathological biopsy was diagnosed as high-risk NMIBC
- Tumors cannot be completely resected by TURBT(at least 2 senior urologists assessed that the lesion area is too extensive to be completely resected)
- Ineligible or unwilling to undergo radical cystectomy
- TURBT was performed within 6 weeks
- Agreed to provide cystoscopic biopsy specimens for review
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- ECOG performance status of 0-2
- Life expectancy ≥ 2 years
- Adequate organ function:
- Hematological indexes: ANC ≥1.5x10^9/L, PLT ≥100x10^9/L, Hb ≥ 90 g/L;
- Liver function: TBIL ≤1.5 ULN; ALT and AST≤2.5 ULN; Albumin > 3g/dL
- Renal function: Cr≤1.5 ULN or creatinine clearance ≥ 60 ml/min (Cockcroft-Gault formula); if proteinuria ≥++, requiring 24-hour urine protein level ≤1.0g;
- ECG: females QTcF ≤470ms and males ≤450ms
- Cardiac ultrasound: LVEF≥50%
- Coagulation: INR or PT ≤1.5 ULN,APTT≤1.5 ULN
- Female or male subjects of childbearing age who have not undergo surgical sterilization shall agree to use contraceptive measures (such as intrauterine device and contraceptive pill) during the study treatment period and within 3 months after the end of the study treatment period, and both female subjects and female partners of male subjects should use highly effective contraceptive methods; the Female subjects of childbearing age who have not undergone surgical sterilization must have a negative serum HCG test result within 7 days prior to the first administration and must be non-lactating.
- Volunteered to join the study, signed the informed consent, and had good compliance with follow-up
Who cannot join
- Previous pathological biopsy was diagnosed with muscle-invasive bladder cancer at T2 or higher stages
- Received any other intravesical chemotherapy treatment within 2 weeks or received any other clinical drugs within 4 weeks
- History of allergy to any of the study drugs or study drug components
- Upper urinary tract tumor detected by CTU or MRU during screening period or other concomitant malignant tumors within 5 years before the first administration
- Previously received any TNFR agonist antibody therapy(such as OX40, CD27, CD357 antibodies), IL-15 agonist antibody therapy, or IL-2 agonist antibody therapy
- Oversize surgery or severe trauma within 4 weeks before the first use of research drugs
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- Previously discontinued bladder instillation therapy due to adverse reactions such as sepsis, systemic infection, or urinary incontinence
- Active/uncontrolled impairment of the urogenital system, kidneys, liver, gallbladder, cardiovascular system, gastrointestinal tract, nervous system, or hematopoietic system, which may lead to complications for the subject when receiving intravesical therapy and/or general anesthesia
- A history of interstitial lung disease or non-infectious pneumonitis requiring treatment with glucocorticoids, or current presence of interstitial pneumonitis or non-infectious pneumonitis, or a history of other severe pulmonary diseases
- A history of immunodeficiency, including HIV seropositivity, other acquired or congenital immunodeficiency diseases, a history of organ transplantation, or current use of immunosuppressants
- History of clinically significant cardiovascular disease within 6 months before the first administration
- Investigator-assessed concern for medication safety; severe infections requiring antibiotic, antiviral or antifungal drug control; and unexplained fever > 38.5°C within 2 weeks
- Patient with active hepatitis B (HBeAg positive and HBV DNA≥500 IU/mL), hepatitis C (HCV antibody positive and HCV RNA higher than the detection limit of the analytical method)
- Adverse reactions of previous anti-tumor treatment have not recovered to Grade≤1 per NCI-CTCAE v5.0
- The presence of any other conditions that the investigator deems inappropriate to participate in this study, including serious physical or mental illness, abnormal laboratory tests, and other factors that may increase the risk of participating in the study, or interfere with the results of the study
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
Xiaolin Lu, MD contact
China1 site
Fudan University Shanghai Cancer Center
Shanghai, Shanghai Municipality, 200032
Dingwei Ye, MD, 86-21-64175590
Xiaolin Lu, MD, 86-21-64175590
About this study
Official title: Phase Ib/II Clinical Study of SHR-1501 Combined With SHR-2005 in the Treatment of Patients With High-Risk Non-Muscle Invasive Bladder Cancer Which is Not Completely Resectable by TURBt
This is a single-center, single-arm, phase Ib/II study, aimed at assessing the safety and efficacy of SHR-1501 in combination with SHR-2005 as treatment for patients with high-risk non-muscle invasive bladder cancer (HR NMIBC) which is not completely resectable by transurethral resection of bladder tumor (TURBt).
- Conditions
- NMIBC
- Being tested
- SHR-1501+SHR-2005
- Medical subject headings
- Non-Muscle Invasive Bladder Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
SHR-1501+SHR-2005Drug
SHR-1501, instillation;SHR-2005, instillation
| Study group | Role | What they receive |
|---|---|---|
| Arm:SHR-1501+SHR-2005 | Experimental | Not described Receives: Drug: SHR-1501+SHR-2005 |
What is being measured
The primary outcome is the main question the study is designed to answer.
Phase I : Incidence of dose limiting toxicities (DLTs)
Measured: From Day 1 to Day 21
Phase I : RP2D(Recommended Phase 2 dose)
Measured: From Day 1 to 90 days after last dose
Phase I : Incidence and severity of adverse events (AEs)
Measured: From Day 1 to 90 days after last dose
Phase II : CR rate at 3 months
Measured: Approximately 2 years
Secondary outcomes (6)
Phase I : CR rate at 3 months
Measured: From Day 1 to 90 days after last dose
Phase II : Incidence and severity of adverse events (AEs)
Measured: Approximately 2 years
Phase Ib/II: PR rate at 3 months
Measured: Approximately 2 years
Phase Ib/II: CR rate at 6 months and 12months
Measured: Approximately 2 years
Phase Ib/II: Duration of CR (DoR)
Measured: Approximately 2 years
Phase Ib/II: Cystectomy-Free Survival (CFS)
Measured: Approximately 2 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted19 Sep 2024
- Study start1 Oct 2024 (estimated)
- Primary completion1 Oct 2027 (estimated)
- Study completion1 Oct 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for NMIBCStudies of the same condition, open and under way.
- More trials run by Fudan UniversityThe 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 1/2
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 58 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Fudan University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Ding-Wei Ye, Fudan University
- Investigators
- Dingwei Ye, MD, Principal investigator, Fudan University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06588179
- Sponsor's protocol ID
- NMIBC-NCR01
- Status last verified
- Sep 2024
- First submitted
- 5 Sep 2024
- Last updated
- 19 Sep 2024
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Undecided
Study at a glance
From the registry record, last updated by the sponsor on 19 Sep 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Phase Ib/II Clinical Study of SHR-1501 Combined With SHR-2005 in the Treatment of Patients With High-Risk Non-Muscle Invasive Bladder Cancer Which is Not Completely Resectable by TURBt
- ClinicalTrials.gov ID
- NCT06588179
- Acronym / sponsor ID
- NMIBC-NCR01
- Conditions
- NMIBC
- Phase
- Phase 1/2
- Study type
- Interventional
- Recruitment status
- Not yet recruiting
- Enrolment
- 58 participants (estimated)
- Lead sponsor
- Fudan UniversityUniversity, hospital or other
- Study start
- 1 Oct 2024 (estimated)
- Primary completion
- 1 Oct 2027 (estimated)
- Study completion
- 1 Oct 2027 (estimated)
- First posted
- 19 Sep 2024 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is a single-center, single-arm, phase Ib/II study, aimed at assessing the safety and efficacy of SHR-1501 in combination with SHR-2005 as treatment for patients with high-risk non-muscle invasive bladder cancer (HR NMIBC) which is not completely resectable by transurethral resection of bladder tumor (TURBt).
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Arm:SHR-1501+SHR-2005 | Experimental | Drug: SHR-1501+SHR-2005 |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (17 listed)
- Age ≥18 years old, both genders
- Previous pathological biopsy was diagnosed as high-risk NMIBC
- Tumors cannot be completely resected by TURBT(at least 2 senior urologists assessed that the lesion area is too extensive to be completely resected)
- Ineligible or unwilling to undergo radical cystectomy
- TURBT was performed within 6 weeks
Key exclusion criteria (15 listed)
- Previous pathological biopsy was diagnosed with muscle-invasive bladder cancer at T2 or higher stages
- Received any other intravesical chemotherapy treatment within 2 weeks or received any other clinical drugs within 4 weeks
- History of allergy to any of the study drugs or study drug components
- Upper urinary tract tumor detected by CTU or MRU during screening period or other concomitant malignant tumors within 5 years before the first administration
- Previously received any TNFR agonist antibody therapy(such as OX40, CD27, CD357 antibodies), IL-15 agonist antibody therapy, or IL-2 agonist antibody therapy
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 |
|---|---|---|
| SHR-1501+SHR-2005SHR-1501, instillation;SHR-2005, instillation | Drug | Arm:SHR-1501+SHR-2005 |
Primary outcome
Phase I : Incidence of dose limiting toxicities (DLTs)
Time frame: From Day 1 to Day 21
Phase I : RP2D(Recommended Phase 2 dose)
Time frame: From Day 1 to 90 days after last dose
Phase I : Incidence and severity of adverse events (AEs)
Time frame: From Day 1 to 90 days after last dose
Phase II : CR rate at 3 months
Time frame: Approximately 2 years
6 secondary outcomes
Phase I : CR rate at 3 months
Time frame: From Day 1 to 90 days after last dose
Phase II : Incidence and severity of adverse events (AEs)
Time frame: Approximately 2 years
Phase Ib/II: PR rate at 3 months
Time frame: Approximately 2 years
Phase Ib/II: CR rate at 6 months and 12months
Time frame: Approximately 2 years
Phase Ib/II: Duration of CR (DoR)
Time frame: Approximately 2 years
Phase Ib/II: Cystectomy-Free Survival (CFS)
Time frame: Approximately 2 years
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 19 Sep 2024.
- Individual participant dataSharing planned: Undecided
Related trials for NMIBC
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Active, not recruitingPhase 3
A Study of TAR-200 Versus Intravesical Chemotherapy in Participants With Recurrent High-Risk Non-Muscle-Invasive Bladder Cancer (HR-NMIBC) After Bacillus Calmette-Guérin (BCG)
Non-Muscle Invasive Bladder Neoplasms
RecruitingPhase 2
Disitamab Vedotin Plus Intravesical Mitomycin C in HER2-Expressing Intermediate- to High-Risk Non-Muscle-Invasive Bladder Cancer
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RecruitingPhase 3
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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.
Xiaolin Lu, MD contact
Dingwei Ye, MD principal investigator
Fudan University
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1/2 study testing SHR-1501+SHR-2005 in people with NMIBC, run by Fudan University at 1 site in China.
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 17 inclusion and 15 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: opening soon, as of the sponsor's last update on 19 Sep 2024. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in China. 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 combined phase mean?
Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.
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?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Dingwei Ye, MD (86-21-64175590, dwyeli@163.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Phase I : Incidence of dose limiting toxicities (DLTs) (time frame: From Day 1 to Day 21). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 19 Sep 2024.