About this trial
This is a multicenter, randomized, open-label phase III study to determine the efficacy and safety of intravesical SHR-1501 combined with Bacillus Calmette Guerin (BCG) versus investigator-selected chemotherapy in patients with BCG-unresponsive papillary-only non-muscle-invasive bladder cancer (NMIBC).
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Aged at least 18 years, gender is not limited;
Eastern Cooperative Oncology Group (ECOG) performance status of ≤ 2;
Histologic confirmation of high-risk non-muscle invasive bladder cancer (high-grade Ta and/or any T1, no carcinoma in situ); BCG-unresponsive;
Cystoscopy within 6 weeks before the randomization shows that the lesion has been completely removed; for T1 stage lesions, pathological results must show the presence of bladder muscle tissue;
Disqualifiers
Previous histopathological diagnosis was muscle-invasive, locally advanced or metastatic urothelial carcinoma (T2 or T3 or T4 or N+ or M+);
Received surgery such as TURBT or radiotherapy for bladder lesions within 2 weeks before the randomization; Major surgery was performed within 28 days before randomization;
Those who have previously received the following treatments and have not experienced disease recurrence or progression before enrolment: a) Intravesical infusion of cytotoxic chemotherapy or other drugs (such as oncolytic viruses), etc; b) Immune checkpoint inhibitors; c) Other investigatory drugs for the treatment of NMIBC;
Those who have previously received immunostimulant therapy;
Trial design
Parallel
Treatments tested in this trial
SHR-1501 for Injection
DrugSHR-1501 for injection.
BCG for Injection
DrugBacillus calmette guerin (BCG) for injection.
Epirubicin Hydrochloride for Injection
DrugEpirubicin hydrochloride for injection.
Pirarubicin Hydrochloride for Injection
DrugPirarubicin hydrochloride for injection.
Gemcitabine Hydrochloride for Injection
DrugGemcitabine hydrochloride for injection.
Hydroxycamptothecin for Injection
DrugHydroxycamptothecin for injection.
Mitomycin for Injection
DrugMitomycin for injection.
Treatment groups
Trial outcomes
Primary outcomes
Disease-Free Survival (DFS) assessed by Blinded Independent Central Review (BICR)
Disease free survival is defined as the time from randomization to date of DFS event assessed by BICR.
Secondary outcomes
Disease-Free Survival (DFS) assessed by investigator
Disease-free survival (DFS) is defined as the time from randomization to date of DFS event assessed by investigator.
Overall Survival (OS)
Overall Survival (OS) is defined as the time from randomization to date of death from any cause.
Number of adverse events (AEs) as assessed by CTCAE v6.0.
Number of serious adverse events (SAEs) as assessed by CTCAE v6.0.
Sponsors and contacts
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