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RecruitingInterventionalPhase 2

A Phase 2 Open-label Randomized Study of V940 in Combination With BCG Versus BCG Monotherapy in Participants With High-risk Non-muscle Invasive Bladder Cancer (INTerpath-011)

NCT ID: NCT06833073Sponsor: Merck Sharp & Dohme LLCLast updated: 2026-05-28

Summary

Researchers are looking for new ways to treat people with high-risk non-muscle invasive bladder cancer (HR NMIBC). NMIBC is cancer in the tissue that lines the inside of the bladder but has not spread to the bladder muscle or outside of the bladder. High-risk means NMIBC may have a high chance of getting worse or coming back after treatment. HR NMIBC can also include carcinoma in situ (CIS). CIS is bladder cancer that appears flat and is only in the inner layer (surface) of the bladder. CIS is not raised and is not growing toward the center of the bladder. The standard treatment for HR NMIBC is a procedure to remove the tumor called transurethral resection of the bladder tumor (TURBT) followed by Bacillus Calmette-Guerin (BCG). Standard treatment is something that is considered the first line of treatment for a condition. BCG is an immunotherapy, which is a treatment that helps the immune system fight cancer. However, BCG may not work to treat HR NMIBC in some people. Researchers want to learn if adding intismeran autogene, the study treatment, to standard treatment can help treat HR NMIBC. Intismeran autogene is designed to help a person's immune system attack their specific cancer. The goal of this study are to learn if people who receive V940 with BCG live longer and without the cancer growing, spreading, or coming back compared to people who receive BCG alone.

Detailed description

As of Amendment 03 (effective 01/05/2026), outcome measures associated with the Intismeran autogene Monotherapy Arm (Cohort B) are no longer considered primary or secondary outcome measures.

Arms & interventions

  • BiologicalIntismeran autogene

    IM injection

  • BiologicalBCG

    Intravesicular instillation. BCG is a preparation of Bacillus Calmette-Guerin.

Outcome measures

Primary

  • Cohort A: Event-free Survival (EFS)

    EFS is defined as the time from randomization to any of the following events, as determined by blinded independent central review (BICR) where applicable: High-grade (HG) non-invasive papillary carcinoma (Ta) or carcinoma in situ (CIS) in the bladder at the 24-week assessment or later; Any T1 stage disease in the bladder; Any T2 stage or greater in the bladder, including transurethral prostate stromal invasion of urothelial carcinoma (UC); High-risk disease (defined as HG Ta, CIS, ≥T1) of the urethra or upper tract (ureters, renal pelvis); Metastatic UC \[defined as regional lymph node metastasis of UC (stage N1 or greater), or distant lymph node or visceral metastasis of UC (stage M1)\]; Or death due to any cause. The EFS for BCG-treated participants will be presented.

    Time frame: Up to approximately 5 years

Secondary

  • Cohort A: 12-Month Event-free Survival (EFS)

    Time frame: Up to approximately 12 months

  • Cohort A: 24-Month Event-free Survival (EFS)

    Time frame: Up to approximately 24 months

  • Cohort A: Recurrence-free Survival (RFS)

    Time frame: Up to approximately 5 years

  • Cohort A: Disease-specific Survival (DSS)

    Time frame: Up to approximately 5 years

  • Cohort A: Overall Survival (OS)

    Time frame: Up to approximately 5 years

  • Cohort A: 12 Month Overall Survival Rate (OSR)

    Time frame: Up to approximately 12 months

  • Cohort A: 24 Month Overall Survival Rate (OSR)

    Time frame: Up to approximately 24 months

  • Cohort A: Complete Response Rate (CRR)

    Time frame: Up to approximately 5 years

  • Cohort A: Duration of Response (DOR)

    Time frame: Up to approximately 5 years

  • Cohort A: Time to Cystectomy

    Time frame: Up to approximately 5 years

  • Cohort A: Number of Participants Who Experience an Adverse Event (AE)

    Time frame: Up to approximately 21 months

  • Cohort A: Number of Participants Who Discontinue Study Intervention Due to an AE

    Time frame: Up to approximately 18 months

Eligibility criteria

Sex: AllAge: 18 Years and olderHealthy volunteers: No
Inclusion Criteria: The main inclusion criteria include but are not limited to the following: \- Is an individual whose most recent TURBT was performed within 12 weeks before randomization/allocation and showed BICR-confirmed high-risk NMIBC histology Cohort A: * Has high-risk non-muscle invasive (HG Ta, T1, and/or CIS) UC of the bladder * Is BCG-naïve defined as either having never received BCG or having received BCG more than 2 years before high-risk NMIBC recurrence. Recurrence must be at least 24 months from the last exposure to BCG with evidence of complete response during the 2-year period post BCG Cohort B: * Has CIS +/-papillary non-muscle invasive UC of the bladder * Is ineligible for, or refusing, any IVESIC therapy * Is either BCG-naïve (as defined above) or BCG-exposed but did not receive protocol-specified minimum dosing of BCG and experienced recurrence of high-risk NMIBC within 2 years of the last dose of BCG * Human immunodeficiency virus (HIV)-infected individuals must have well controlled HIV on antiretroviral therapy (ART) Exclusion Criteria: The main exclusion criteria include but are not limited to the following: * Has a history of or concurrent locally-advanced (ie, T2, T3, T4) or metastatic UC * Has concurrent extravesical (ie, urethra, ureter, renal pelvis) non-muscle invasive UC or a history of extravesical non-muscle invasive UC that recurred within the last 2 years, with certain exceptions * Has a known additional malignancy that is progressing or has required active treatment within the last 3 years * Has had a myocardial infarction within 6 months of randomization/allocation * Has received any systemic anticancer therapy including investigational agents within 4 weeks before randomization/allocation * Has received prior treatment with a cancer vaccine * Has immunodeficiency or is receiving chronic systemic steroid therapy * Has active autoimmune disease that has required systemic treatment in the last 2 years * Has any contraindication to IV contrast and gadolinium or is otherwise unable to have imaging with either computerized tomography urogram (CTU) or Magnetic resonance urography (MRU) Cohort A: * Has current active tuberculosis * Has a known history of HIV infection Cohort B: \- HIV-infected individuals with a history of Kaposi's sarcoma and/or Multicentric Castleman's Disease

Study locations (20)

Michael G Oefelein Clinical Trials ( Site 0138)

Bakersfield, California, 93301

Recruiting
Study Coordinator · Contact

Genesis Research, LLC ( Site 0141)

Los Alamitos, California, 90720

Active Not Recruiting

USC Norris Comprehensive Cancer Center ( Site 0123)

Los Angeles, California, 90033

Recruiting
Study Coordinator · Contact

Genesis Healthcare-Torrance ( Site 0140)

Torrance, California, 90503

Recruiting
Study Coordinator · Contact

Genesis Research LLC ( Site 0118)

Torrance, California, 90505

Recruiting
Study Coordinator · Contact

Urology Associates ( Site 0144)

Littleton, Colorado, 80122

Recruiting
Study Coordinator · Contact

Urological Research Network ( Site 0133)

Hialeah, Florida, 33016

Recruiting
Study Coordinator · Contact

Associated Urological Specialists - Chicago Ridge ( Site 0139)

Chicago Ridge, Illinois, 60415

Recruiting
Study Coordinator · Contact

Southern Urology, LLC ( Site 0145)

Lafayette, Louisiana, 70508

Recruiting
Study Coordinator · Contact

University of Missouri Health Care ( Site 0126)

Columbia, Missouri, 65212

Recruiting
Study Coordinator · Contact

NHO Revive Research Institute, LLC ( Site 0137)

Lincoln, Nebraska, 68506

Recruiting
Study Coordinator · Contact

Laura and Isaac Perlmutter Cancer Center at NYU Langone Health ( Site 0111)

New York, New York, 10016

Recruiting
Study Coordinator · Contact

TriState Urologic Services PSC Inc. dba The Urology Group ( Site 0122)

Cincinnati, Ohio, 45212

Recruiting
Study Coordinator · Contact

OHSU Knight Cancer Institute - South Waterfront ( Site 0110)

Portland, Oregon, 97239

Recruiting
Study Coordinator · Contact

MidLantic Urology ( Site 0102)

Bala-Cynwyd, Pennsylvania, 19004

Recruiting
Study Coordinator · Contact

The Conrad Pearson Clinic ( Site 0143)

Germantown, Tennessee, 38138

Recruiting
Study Coordinator · Contact

Texas Oncology-Austin Central ( Site 0107)

Austin, Texas, 78705

Recruiting
Study Coordinator · Contact

Urology Austin, PLLC ( Site 0109)

Austin, Texas, 78759

Recruiting
Study Coordinator · Contact

Urology of Virginia ( Site 0125)

Virginia Beach, Virginia, 23462

Recruiting
Study Coordinator · Contact

University of Washington - Fred Hutchinson Cancer Center ( Site 0100)

Seattle, Washington, 98195

Recruiting
Study Coordinator · Contact
A Clinical Study of Intismeran Autogene (V940) and BCG in People With Bladder Cancer (V940-011/INTerpath-011) | Cancerify