Study on Sasanlimab for People with Early-Stage Bladder Cancer

Sponsor: Pfizer

Sponsor score: 60

ClinicalTrials ID:NCT04165317

This clinical trial is exploring the safety and effects of a new medicine, sasanlimab, for people with early-stage bladder cancer that hasn't spread beyond the bladder. The study involves participants whose cancer is high-risk or has not responded to a standard treatment called BCG.

Patient Parameters

Program Overview

The aim of this study is to understand how safe and effective sasanlimab is for treating early-stage bladder cancer that hasn't spread outside the bladder. The study is divided into two parts. Part A, which is now closed, involved participants with high-risk bladder cancer who had surgery to remove the cancer. They were divided into three groups: one received sasanlimab and BCG, another received sasanlimab and BCG for six weeks, and the third received only BCG. Part B, which is no longer enrolling new participants, focused on those whose cancer did not respond to BCG treatment. All participants in Part B received sasanlimab. The decision to stop enrolling in Part B was not due to safety concerns.

Description

This study, called CREST, is testing a combination of sasanlimab and different BCG treatment plans to see how well they work for people with early-stage bladder cancer. The study is in Phase 3 and has two main groups. Group A included people who had not received BCG before and were divided into three treatment arms: two received sasanlimab with BCG, and one received only BCG. Group B included people whose cancer did not respond to BCG. They were divided into two subgroups based on their type of bladder cancer and received sasanlimab. The study aims to show that sasanlimab with BCG is better than BCG alone in preventing cancer from coming back in people with high-risk bladder cancer. It also aims to see how well sasanlimab works on its own for those whose cancer did not respond to BCG. Enrollment for Part B has been stopped, but not for safety reasons.

Eligibility Criteria

Inclusion Criteria

  • Diagnosed with high-risk, early-stage bladder cancer.
  • Cancer must be mostly transitional cell type, even if mixed with other types.
  • All visible cancer must have been removed by surgery within 12 weeks before starting the study.
  • For Group B: Cancer must not have responded to BCG treatment within the last 6 to 12 months.
  • Must have refused or be ineligible for bladder removal surgery.

Exclusion Criteria

  • Cancer has spread to muscles, nearby areas, or other parts of the body.
  • For Group A: Received BCG treatment in the last 2 years.
  • For Group B: Received any chemotherapy or immunotherapy after the last surgery before starting the study.
  • Previous treatment with certain immune therapies or radiation to the bladder.
  • For Group B: Previously participated in Group A of this study.

Locations

FACILITYZIPCITYSTATE
Arizona Urology Specialists85741TucsonArizona
Arkansas Urology72211Little RockArkansas
Koman Family Outpatient Pavilion92037La JollaCalifornia
Sulpizio Cardiovascular Center at UC San Diego Health92037La JollaCalifornia
UC San Diego Medical Center - La Jolla (Jacobs Medical Center / Thornton Pavilion)92037La JollaCalifornia
UC San Diego Moores Cancer Center92093La JollaCalifornia
University of California Irvine Medical Center92868OrangeCalifornia
UC San Diego Medical Center - Hillcrest92103San DiegoCalifornia
The Urology Center of Colorado80211DenverColorado
Urological Research Network Corp33016HialeahFlorida

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