RecruitingPhase 1Phase 2NCT05710848

A Study of STM-416 Administered to Patients Undergoing TURBT for Recurrent Bladder Cancer

A Phase 1/2a Study of STM-416 Administered Intraoperatively to Patients Undergoing Transurethral Resection of Bladder Tumor (TURBT) for Recurrent High-Grade Papillary Bladder Cancer


Sponsor

SURGE Therapeutics

Enrollment

75 participants

Start Date

Jul 11, 2023

Study Type

INTERVENTIONAL

Conditions

Summary

This is a first-in-human (FIH), Phase 1/2a, multi center, open-label, single treatment, dose escalation and expansion study designed to determine the safety and tolerability of STM-416 in patients with bladder cancer.


Eligibility

Min Age: 18 Years

Inclusion Criteria11

  • Are aged 18 years or older;
  • Have a history of pathologically confirmed high-grade Ta or T1 NMIBC without CIS who have completed SOC previously, with recurrent papillary disease seen on cystoscopy, and who are undergoing TURBT without perioperative intravesical chemotherapy;
  • Are considered high risk for recurrence;
  • Have Eastern Cooperative Oncology Group (ECOG) Performance Status of 0, 1, or 2;
  • Have adequate organ and marrow function as defined below:
  • Hemoglobin 9.0 g/dL;
  • Absolute neutrophil count 1.5 × 109/L (1500 per mm3);
  • Platelet count 75 × 109/L (75,000 per mm3);
  • Serum bilirubin 1.5 × institutional upper limit of normal (ULN);
  • AST (serum glutamic-oxaloacetic transaminase)/ALT (serum glutamic-pyruvic transaminase) 2.5 × institutional ULN; and
  • Creatinine CL 60 mL/min by the Cockcroft-Gault formula or by 24-hour urine collection for determination of creatinine CL: Males: Creatinine CL (mL/min) = Weight (kg) × (140 - Age)/72 × serum creatinine (mg/dL); or Females: Creatinine CL (mL/min) = Weight (kg) × (140 - Age) × 0.85/72 × serum creatinine (mg/dL).

Exclusion Criteria6

  • Have a history of CIS or MIBC;
  • Are receiving any other investigational agents;
  • Have a history of allergic reactions attributed to compounds of similar chemical or biologic composition to resiquimod (R848), or excipients used in STM-416 including poloxamer 407 and sodium hyaluronate;
  • Have an uncontrolled intercurrent illness including, but not limited to, ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia, or psychiatric illness/social situations that would limit compliance with study requirements.
  • Urinary tract infections are not exclusionary unless they are NCI-CTCAE Grade 3 or higher;
  • Are a woman of childbearing potential regardless of contraceptive use; Note: Women of childbearing potential are only to be excluded in Phase 1 and Phase 2a to avoid bias due to the low prevalence of NMIBC in this population. However, they will be included in subsequent Phase 2/3 studies.

Interventions

DRUGSTM-416

STM-416 monotherapy


Locations(10)

Arizona Urology Specialists

Tucson, Arizona, United States

University of Florida

Gainesville, Florida, United States

Beth Israel Deaconess Medical Center

Boston, Massachusetts, United States

Duke Cancer Center

Durham, North Carolina, United States

The Ohio State University

Columbus, Ohio, United States

Carolina Urologic Research Center

Myrtle Beach, South Carolina, United States

Urology Associates, P.C.

Nashville, Tennessee, United States

University of Texas Southwestern Medical Center

Dallas, Texas, United States

Baylor College of Medicine

Houston, Texas, United States

Houston Methodist

Houston, Texas, United States

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NCT05710848


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