A Safety and Tolerability Study of SCH 721015 in Patients With Transitional Cell Carcinoma of the Bladder (Study P03816)

Merck Sharp & Dohme (MSD)

Status and phase

Completed

Phase 1

Conditions

Bladder Neoplasms

Treatments

Genetic: SCH 721015 with SCH 209702

Study type

Interventional

Funder types

Industry

Identifiers

NCT00536588

P03816

Details and patient eligibility

About

The purpose of this first-in-human study is to determine the safety and tolerability of SCH 721015 in subjects with transitional cell carcinoma of the bladder.

Full description

A nonrandomized, open-label, rising-dose, parallel-group, multi-center study of SCH 721015 in patients with papillary bladder cancer, or carcinoma in situ that is refractory to Bacillus Calmette-Guerin. Subjects will receive a single intravesical administration of SCH 721015 with SCH 209702 in a total volume of 75 mL with a 1-hour dwell time. Subjects who at 3 months post administration demonstrate a complete response (CR on cystoscopy/biopsy and cytology) and who did not experience dose-limiting toxicity will be allowed to receive a second intravesical administration at the same dose level.

Enrollment

17 patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

Histologically proven recurrent transitional cell carcinoma of the bladder, Stage Tis, Ta.
Patients with recurrent T1 disease who do not wish to have cystectomy.
Subjects must have failed at least two prior courses of BCG with or without recombinant interferon alpha administration.
At least 3 months must have passed since last intravesical treatment for bladder carcinoma.
Subjects must be 18 years of age or older.
Life expectancy of at least 3 months.
Adequate performance status (Karnofsky score >=70%).
Adequate laboratory values.

Exclusion criteria

Suspected hypersensitivity to interferon alpha.
Subjects with organ transplants.
Any known preexisting medical condition that could interfere with the subject's participation in and completion of the study such as:
- History of psychosis or presence of poorly controlled depression;
- CNS trauma or active seizure disorders requiring medication;
- Significant cardiovascular dysfunction within the past 6 months including symptomatic cardiac ischemia, arrhythmia or congestive heart failure requiring hospitalization or emergency room visit within last 3 months;
- Poorly controlled diabetes mellitus (HbA1C >10.0%);
- Unstable chronic pulmonary disease requiring hospitalization or emergency room visit within the last 3 months;
- Immunologically mediated disease (eg, rheumatoid arthritis, autoimmune hepatitis, immune mediated glomerulonephritis).
History of any clinically significant local or systemic infectious disease within 4 weeks prior to initial treatment administration.
Untreated bladder infection.
Positive for hepatitis BsAg or HIV Ab or hepatitis C.
Immunosuppressive therapy within the last 3 months.
BCG therapy or intravesical therapy within 3 months.
Traumatic catheterization within 1 month.