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)
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
Study locations (20)
Michael G Oefelein Clinical Trials ( Site 0138)
Bakersfield, California, 93301
Genesis Research, LLC ( Site 0141)
Los Alamitos, California, 90720
USC Norris Comprehensive Cancer Center ( Site 0123)
Los Angeles, California, 90033
Genesis Healthcare-Torrance ( Site 0140)
Torrance, California, 90503
Genesis Research LLC ( Site 0118)
Torrance, California, 90505
Urology Associates ( Site 0144)
Littleton, Colorado, 80122
Urological Research Network ( Site 0133)
Hialeah, Florida, 33016
Associated Urological Specialists - Chicago Ridge ( Site 0139)
Chicago Ridge, Illinois, 60415
Southern Urology, LLC ( Site 0145)
Lafayette, Louisiana, 70508
University of Missouri Health Care ( Site 0126)
Columbia, Missouri, 65212
NHO Revive Research Institute, LLC ( Site 0137)
Lincoln, Nebraska, 68506
Laura and Isaac Perlmutter Cancer Center at NYU Langone Health ( Site 0111)
New York, New York, 10016
TriState Urologic Services PSC Inc. dba The Urology Group ( Site 0122)
Cincinnati, Ohio, 45212
OHSU Knight Cancer Institute - South Waterfront ( Site 0110)
Portland, Oregon, 97239
MidLantic Urology ( Site 0102)
Bala-Cynwyd, Pennsylvania, 19004
The Conrad Pearson Clinic ( Site 0143)
Germantown, Tennessee, 38138
Texas Oncology-Austin Central ( Site 0107)
Austin, Texas, 78705
Urology Austin, PLLC ( Site 0109)
Austin, Texas, 78759
Urology of Virginia ( Site 0125)
Virginia Beach, Virginia, 23462
University of Washington - Fred Hutchinson Cancer Center ( Site 0100)
Seattle, Washington, 98195