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Brief Title: Adjuvant Cretostimogene Grenadenorepvec for Treatment of Intermediate Risk NMIBC Following TURBT

A Phase 3, Randomized Study of Adjuvant Cretostimogene Grenadenorepvec Versus Observation for the Treatment of Intermediate Risk Non-Muscle Invasive Bladder Cancer (IR-NMIBC) Following Transurethral Resection of Bladder Tumor (TURBT)

INTRODUCTION

  • Org Study ID: PIVOT-006
  • Secondary ID: N/A
  • NCT ID: NCT06111235
  • Sponsor: CG Oncology, Inc.

DESCRIPTION

The purpose of this study is to see if cretostimogene can reduce the risk of your bladder cancer returning, or coming back as quickly as if you did not receive cretostimogene. People in the study will continue to be monitored by cystoscopy and pathology to see how long it takes for the cancer to return. Cretostimogene is an experimental drug and not all risks are known. It is being studied to determine whether it is effective and safe in the treatment of Non-Muscle Invasive Bladder Cancer.

View the PIVOT-006 website or download this document for more information about this trial. Or for a listing of questions to ask your doctor, click here.

BRIEF SUMMARY

This is a Phase 3, open-label, randomized trial designed to evaluate the RFS of TURBT followed by cretostimogene grenadenorepvec versus TURBT followed by observation for the treatment of participants with IR-NMIBC.

DETAILED DESCRIPTION

Participants will be randomized 1:1 to cretostimogene grenadenorepvec after TURBT (Arm A) vs observation after TURBT (Arm B).

Participants in Arm A will receive an induction course and then quarterly maintenance courses of cretostimogene through Month 13, if there is no disease recurrence.

Disease status will be assessed using urine cytology, complete bladder visualization (e.g., cystoscopy), and directed TURBT/biopsy (if indicated) every 3 months for the first 2 years after randomization and then every 6 months for an additional year or until disease recurrence.

Participants in Arm B who recur with IR-NMIBC after TURBT and observation will be offered treatment with cretostimogene as per the treatment schedule in Arm A.

  • Overall Status
    Recruiting
  • Start Date
    December 14, 2023
  • Phase
    Phase 3
  • Study Type
    Interventional

PRIMARY OUTCOMES

Primary Outcome 1 - Measure:

Primary Outcome 1 - Timeframe: N/A

CONDITION

  • Non Muscle Invasive Bladder Cancer
  • Urologic Cancer
  • Bladder Cancer
  • Urothelial Carcinoma

ELIGIBILITY

Inclusion Criteria:
* Pathologically confirmed IR-NMIBC, per American Urologic Association/Society of Urologic Oncology/National Comprehensive Cancer Network guidelines, within 90 days of participant randomization:
1. Recurrent LG Ta within 12 months of prior LG or HG (HG Ta ≤ 3 cm) tumor

- 2. Solitary LG Ta >3 cm tumor

- 3. Multifocal LG Ta tumors

- 4. Primary and solitary HG Ta ≤3 cm tumor

- 5. LG T1 tumor

- * All visible disease removed by TURBT within 12 weeks of study randomization

- * Acceptable baseline organ function
Exclusion Criteria:
* High-risk NMIBC (e.g., HG T1, Recurrent or multifocal HG Ta>3cm tumor(s), CIS)

- * Low-Risk NMIBC (e.g., solitary LG Ta ≤3 cm tumor)

- * Disease in the prostatic urethra at any time or in the upper genitourinary tract within 24 months of randomization

- * Muscle-invasive bladder cancer, locally advanced or metastatic bladder cancer

- * Prior treatment with any human adenovirus serotype 5 based therapy (e.g., Ad-interferon or Adstiladrin)

Gender: All

Minimum Age: 18 Years

Maximum Age: N/A

Healthy Volunteers: No

OFFICIAL INFORMATION

Name: Robert Svatek, MD

Role: Principal Investigator

Affiliation: University of Texas Health Science Center, San Antonio

Overall Contact

Name: Shelly Basye, MD, Andy Darilek, MD

Phone: 949-419-6149, 949-419-6149

Email: pivot-006@CGoncology.com; Recruitment@cgoncology.com, pivot-006@CGoncology.com; Recruitment@cgoncology.com

LOCATION

Facility Status Contact
Facility: Arizona Institute of Urology PLLC
Tucson, Arizona 85745
United States
Status: Recruiting Contact: Contact
Andrea Navarrette

Principal Investigator
Kalpesh Patel, MD

Facility: Arkansas Urology PA
Little Rock, Arkansas 72211
United States
Status: Recruiting Contact: Contact
Katie O'Brien

Principal Investigator
R. Jonathan Henderson, MD

Facility: Michael G. Oefelein MD Clinical Trials
Bakersfield, California 93301-2284
United States
Status: Recruiting Contact: Contact
Evelyn De La Cruz

Principal Investigator
Michael Oefelein, MD

Facility: Tower Urology
Los Angeles, California 90048
United States
Status: Recruiting Contact: Contact
Shiblee Nomanee

Principal Investigator
David Josephson, MD

Facility: Sun Kim Urology
Orange, California 92868
United States
Status: Recruiting Contact: Contact
Tam Le

Principal Investigator
Sun Kim, MD

Facility: Urology Associates, PC
Lone Tree, Colorado 80124
United States
Status: Recruiting Contact: Contact
Bradley Gord

Principal Investigator
Bradley Bell, MD

Facility: Lakeland Regional Health
Lakeland, Florida 33805
United States
Status: Recruiting Contact: Contact
Maczko Bridget

Principal Investigator
Peter Hinds, MD

Facility: Wichita Urology Group
Wichita, Kansas 67226
United States
Status: Recruiting Contact: Contact
Tyler Gentry

Principal Investigator
PHilippe Nabbout, MD

Facility: Southern Urology
Lafayette, Louisiana 70508
United States
Status: Recruiting Contact: Contact
Wilson Simmons

Principal Investigator
Jason Bourque, MD

Facility: Chesapeake Urology Associates, LLC
Baltimore, Maryland 21204
United States
Status: Recruiting Contact: Contact
Katie Wright

Principal Investigator
Rian Dickstein, MD

Facility: Objective Health - Specialty Clinical Research of St. Louis
Saint Louis, Missouri 63141
United States
Status: Recruiting Contact: Contact
Nicholas Bossaller

Principal Investigator
Gregory Auffenberg, MD

Facility: Montefiore Medical Center
Bronx, New York 10461
United States
Status: Recruiting Contact: Contact
Andrea Asencio

Principal Investigator
Alexander Sankin, MD

Facility: Oregon Urology Insititute
Springfield, Oregon 97477
United States
Status: Recruiting Contact: Contact
Maxim DiMarco

Principal Investigator
Bryan Mehlhaff, MD

Facility: Keystone Urology Specialists
Lancaster, Pennsylvania 17604
United States
Status: Recruiting Contact: Contact
Kristina Baker

Principal Investigator
Paul Sieber, MD

Facility: University of Pennsylvania - Perelman School of Medicine
Philadelphia, Pennsylvania 19104
United States
Status: Recruiting Contact: Contact
Dylan Kolman

Principal Investigator
Trinity Bivalacqua, MD

Facility: Carolina Urologic Research Center
Myrtle Beach, South Carolina 29572
United States
Status: Recruiting Contact: Contact
Jessica Richardson

Principal Investigator
Neal Shore, MD

Facility: Lowcountry Urology Clinics
North Charleston, South Carolina 29406
United States
Status: Recruiting Contact: Contact
Samara Grimes

Principal Investigator
Justin Ellett, MD

Facility: The Conrad Pearson Clinic
Germantown, Tennessee 38138
United States
Status: Recruiting Contact: Contact
Russell Grigsby

Principal Investigator
Ravi Chauhan, MD

Facility: Urology Associates, P.C.
Nashville, Tennessee 37209
United States
Status: Recruiting Contact: Contact
Joe Wallace

Principal Investigator
Gautam Jayram, MD

Facility: Urology Austin, PLLC
Austin, Texas 78745
United States
Status: Recruiting Contact: Contact
Cecilia Moreno

Principal Investigator
Brian Mazzarella, MD

Facility: Houston Metro Urology
Houston, Texas 77074
United States
Status: Recruiting Contact: Contact
Johanna Villamizar

Principal Investigator
Zvi Schiffman, MD

Facility: Urology San Antonio PA
San Antonio, Texas 78229
United States
Status: Recruiting Contact: Contact
Gavon T Payne

Contact
Juliana M Velazquez

Principal Investigator
Daniel Zainfeld, MD

Facility: Spokane Urology- Southside
Spokane, Washington 99202
United States
Status: Recruiting Contact: Contact
Amy Bardwell

Principal Investigator
Shane Pearce, MD