Treatment of High-risk Non-muscle Invasive Bladder Cancer With IMUNO BGC Moreau RJ as Prophylaxis

Last updated: June 10, 2019
Sponsor: Biofabri, S.L
Overall Status: Active - Recruiting

Phase

2

Condition

Bladder Cancer

Urothelial Cancer

Urothelial Carcinoma

Treatment

N/A

Clinical Study ID

NCT03982797
ENCORE-01
2017-002928-24
  • Ages 18-80
  • All Genders

Study Summary

Bladder cancer is the fourth reason of neoplasia in our environment, there are 25 new cases diagnosed per 100,000 inhabitants each year. To decrease the recurrence there are two standardized treatments: Mitomycin as chemotherapy drug and BCG *Bacile Calmette-Guérin" as immunotherapy drug.

BCG Moreau strain is not authorized by AEMPS, it was developed in Brazil and this country has extensive experience in treatment of non-muscle invasive bladder cancer with BCG Moreau, also BCG Moreau Rio de Janeiro make same immunological reaction as TICE, but with less adverse events. Thus, BCG Moreau RJ treatment could be used more time than TICE with the same dose, keeping immunologic status and better prophylaxis of recurrence or progression results for the patient.

Each patient will be instillated via transurethral each time with 80 mg of IMUNO BCG Moreau RJ. There are 15 instillations during the clinical trial, 6 instillations on induction phase and 9 will be performed during maintaince phase.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  1. Signature of the informed consent before any activity related to the study, includingthe necessary evaluations for the selection.

  2. Age between 18 and 80 years at the time of signing the informed consent.

  3. Urothelial tumor.

  4. High risk non-muscle invasive bladder tumor (defined as Ta-T1 and GIIb or GIII)diagnosed de novo or relapsed with or without associated in situ carcinoma. orcarcinoma in situ isolated without visible tumor.

  5. Patient with risk of recurrence or progression greater than or equal to 10 points,according to CUETO tables.

Exclusion

Exclusion Criteria:

  1. No muscle layer in pathological examination piece's.

  2. Non-urothelial tumor.

  3. Active cancer in any other location.

  4. Diagnosis of any other pathology that in the opinion of the researcher may increasethe risk of the subject or reduce the chances of obtaining satisfactory data toachieve the objectives of the study, including the consumption of alcohol or any otherdrug.

  5. Administration of BCG in the last year before signing the informed consent. 6. BCGinstillation contraindication during more than 15 days for any cause such as lowbladder capacity, urinary infection, hematuria, etc.

  6. Impossibility of performing a second transurethral resection (ReRTU) between 4 and 8weeks after the first.

  7. Inability to start treatment within the first 4 weeks after the second transurethralresection (ReRTU).

  8. Participation in another clinical study where they received a research drug in the 6months prior to signing the informed consent.

  9. Woman considered potentially fertile. Following the Clinical Trial Facilitation Group (CTFG) recommendations, a woman is considered childbearing potential (WOCBP), followingmenarche and until becoming post-menopausal unless permanently sterile. Permanentsterilisation methods include hysterectomy, bilateral salpingectomy and bilateraloophorectomy. A postmenopausal state is defined as no menses for 12 months without analternative medical cause.

  10. Patients with difficulties to perform the follow-up visits established in the protocol.

Study Design

Total Participants: 306
Study Start date:
May 17, 2019
Estimated Completion Date:
March 03, 2022

Connect with a study center

  • Hospital Universitario Basurto

    Bilbao, 48013
    Spain

    Site Not Available

  • Complejo Hospitalario Puerta Del Mar

    Cadiz, 11009
    Spain

    Site Not Available

  • Complexo Hospitalario Universitario A Coruña

    Coruña, 15006
    Spain

    Site Not Available

  • Complejo Hospitalario Regional Reina Sofía

    Córdoba, 14004
    Spain

    Site Not Available

  • Hospital Universitario Virgen de Las Nieves

    Granada, 18014
    Spain

    Active - Recruiting

  • Complejo Hospitalario Médico Quirúrjico de Jaén

    Jaén, 23007
    Spain

    Site Not Available

  • Hospital de Especialidades de Jerez de La Frontera

    Jerez de la Frontera, 11408
    Spain

    Site Not Available

  • Complejo Universitario La Paz

    Madrid, 28046
    Spain

    Site Not Available

  • Hospital Fundacion Jimenez Diaz

    Madrid, 28040
    Spain

    Site Not Available

  • Hospital Universitario 12 de Octubre

    Madrid, 28041
    Spain

    Site Not Available

  • Hospital Universitario Puerta de Hierro Majadahonda

    Majadahonda, 28222
    Spain

    Site Not Available

  • Complejo Hospitalario Regional de Málaga

    Málaga, 29010
    Spain

    Site Not Available

  • Hospital Universitario Central de Asturias

    Oviedo, 33011
    Spain

    Site Not Available

  • Clinica Universidad de Navarra

    Pamplona, 31008
    Spain

    Site Not Available

  • Hospital Clínico Universitario de Valladolid

    Valladolid, 47003
    Spain

    Site Not Available

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