A Phase 1, Open-label Trial of Belzupacap Sarotalocan (AU-011) to Determine the Feasibility and Safety of Intratumoral Injection With or Without Intramural Injection in Subjects With Bladder Cancer

Status: Recruiting
Location: See all (17) locations...
Intervention Type: Drug, Combination product
Study Type: Interventional
Study Phase: Phase 1
SUMMARY

The main objectives of this study are to determine the feasibility and safety of Belzupacap Sarotalocan (AU-011, bel-sar) treatment of bladder cancer utilizing focal injections with or without laser application.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Healthy Volunteers: f
View:

• Meet the following histopathologic requirements for urothelial carcinoma:

‣ For Cohorts 1b, 4a-c:

• histopathological diagnosis of NMIBC (any grade) is required. For participants with first diagnosis of NMIBC, confirmation of urothelial carcinoma by recent biopsy (≤6 months of Screening Visit) is required. Participants with recurrent NMIBC must have a current lesion that clinically appears to be NMIBC with histopathologic confirmation based on TURBT or biopsy within the last 24 months).

• For Cohorts 4d, 4e, 4g and 4h, a diagnosis of LG IR NMIBC (according to

• AUA risk classification guidelines) is required, specifically:

⁃ Multifocal LG Ta; OR

⁃ Solitary LG Ta \>3 cm; OR

⁃ Low-grade Ta with prior recurrence(s) within 1 year.

• For Cohorts 4f and 4i, a diagnosis of HR NMIBC (according to AUA risk classification guidelines) is required, specifically:

⁃ Ta HG papillary disease with or without CIS; OR

⁃ T1 papillary disease with or without CIS

⁃ Participants may be BCG-naïve or may have received prior treatment with BCG for HR or IR NMIBC (BCG-exposed, BCG-failed, BCG-intolerant)

⁃ BCG-refractory participants are excluded. BCG-refractory is defined by the following:

• Persistent HG disease at 6 months following adequate BCG (defined as ≥5/6 induction instillations and ≥2 additional doses, either from re-induction or maintenance), OR

∙ HG T1 disease at first evaluation (3 months) after BCG, OR

∙ Persistent CIS that remains despite a second BCG course, OR

∙ Disease progression in stage or grade during BCG therapy, including maintenance

• Have no evidence of current or prior metastatic urothelial carcinoma

• Adequate bone marrow, renal, and hepatic function

Locations
United States
Arkansas
Arkansas Urology
TERMINATED
Little Rock
California
Tower Urology
RECRUITING
Los Angeles
Saint John's Cancer Institute
RECRUITING
Santa Monica
New York
Montefiore Medical Center
RECRUITING
The Bronx
South Carolina
Carolina Urologic Research Center
RECRUITING
Myrtle Beach
Tennessee
Urology Associates, P.C.
SUSPENDED
Nashville
Texas
Urology Clinics of North Texas
RECRUITING
Dallas
Baylor College of Medicine
RECRUITING
Houston
The University of Texas San Antonio
RECRUITING
San Antonio
The Urology Place
RECRUITING
San Antonio
Urology San Antonio/USA Clinical Trials
RECRUITING
San Antonio
Other Locations
Australia
Austin Health
NOT_YET_RECRUITING
Heidelberg
Warringal Private Hospital
RECRUITING
Heidelberg
Penninsula Private Hospital
NOT_YET_RECRUITING
Langwarrin
Hollywood Private Hospital
RECRUITING
Nedlands
The Royal Melbourne Hospital
NOT_YET_RECRUITING
Parkville
Westmead Private Hospital
RECRUITING
Westmead
Contact Information
Primary
Medical Monitor
clinical@aurabiosciences.com
617-500-8864
Time Frame
Start Date: 2022-09-26
Estimated Completion Date: 2027-03
Participants
Target number of participants: 55
Treatments
Experimental: Focal injections of AU-011 prior to TURBT (1b)
Intratumoral (50 μg) and intramural (50 μg) injection of AU-011 prior to the standard of care (TURBT) in patients with NMIBC.
Experimental: Focal injections of AU-011 with laser application before TURBT (4a)
Intratumoral (50 μg) and intramural (50 μg) injection of AU-011 with laser application before standard of care (TURBT) in patients with NMIBC.
Experimental: Focal injection of AU-011 with laser application before TURBT (4b)
Focal injection of AU-011 (100 μg) with laser application before standard of care (TURBT) in patients with NMIBC.
Experimental: Focal injection of AU-011 with laser application before TURBT (4c)
Focal injection of AU-011 (200 μg) with laser application before standard of care (TURBT) in patients with NMIBC.
Experimental: Focal injection of AU-011 and laser application with option for TURBT (4d)
Participants with intermediate-risk NMIBC will receive multiple treatment cycles of focal AU-011 (200 ug per lesion) with laser treatment and option for TURBT in patients with intermediate risk NMIBC. Participants will be evaluated for safety and response to AU-011 up to 12 months from initiation of treatment.
Experimental: Focal injection of AU-011 and laser application with option for TURBT (4e)
Participants with intermediate-risk NMIBC will receive multiple treatment cycles of focal AU-011 (400 µg per lesion) followed by laser activation, with the option for TURBT. Participants will be evaluated for safety and response to AU-011 for up to 12 months from initiation of treatment. Enrollment will occur in parallel with Cohort 4g, with randomized (1:1) assignment.
Experimental: Focal injection of AU-011 and laser application with mandatory TURBT (4f)
Participants with high-risk NMIBC will receive multiple treatment cycles of focal AU-011 (400 µg per lesion) followed by laser activation prior to mandatory TURBT. Participants will be evaluated for safety and response to AU-011 for up to 12 months from initiation of treatment.
Experimental: Focal injection of AU-011 and laser application with optional TURBT (4g)
Participants with intermediate-risk NMIBC will receive multiple treatment cycles of focal AU-011 (400 µg per lesion) followed by laser activation with the option of TURBT. Participants will be evaluated for safety and response to AU-011 for up to 12 months from initiation of treatment. Enrollment will occur in parallel with Cohort 4e, with randomized (1:1) assignment.
Experimental: Focal injection of AU-011 and laser application with option for TURBT (4h)
Participants with intermediate-risk NMIBC will receive multiple treatment cycles of focal AU-011 (800 ug per lesion) with laser treatment and option for TURBT. Participants will be evaluated for safety and response to AU-011 up to 12 months from initiation of treatment. This arm is optional and will be run at the discretion of the sponsor.
Experimental: Focal injection of AU-011 and laser application with mandatory TURBT (4i)
Participants with high-risk NMIBC will receive multiple treatment cycles of focal AU-011 (800 µg per lesion) before mandatory TURBT. Participants will be evaluated for safety and response to AU-011 up to 12 months from initiation of treatment. This arm is optional and will be run at the discretion of the sponsor.
Related Therapeutic Areas
Sponsors
Leads: Aura Biosciences

This content was sourced from clinicaltrials.gov