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NCT03636256

Evaluation of NanoDoce® in Participants With Urothelial Carcinoma

Completed Phase 1, PHASE2 Results posted Last updated 14 August 2023
What this trial tests

Phase 1, PHASE2 trial testing NanoDoce (direct injection) in Bladder Cancer in 36 participants. Completed in 2 November 2021.

Timeline
2 April 2019
Primary endpoint
2 November 2021
2 November 2021

Quick facts

Lead sponsorNanOlogy, LLC
PhasePhase 1, PHASE2
StatusCompleted
Study typeINTERVENTIONAL
Allocationnon randomized
Designsequential
Maskingnone
Primary purposetreatment
Enrollment36
Start date2 April 2019
Primary completion2 November 2021
Estimated completion2 November 2021
Sites5 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

NanOlogy, LLC — full company profile →

Who can join

18 and older, any sex, with Bladder Cancer or Urothelial Carcinoma. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Incidence of Treatment Emergent Adverse Events (Safety and Tolerability) Primary · Up to End of Treatment (Month 6 for Group 1 and Group 2 Subset, and Day 45 for Group 2)

Treatment Emergent Adverse Events included laboratory assessments, physical examination findings, and vital signs.

GroupValue95% CI
Non-Muscle Invasive Bladder Cancer (Group 1) 0.75 mg/mL3
Non-Muscle Invasive Bladder Cancer (Group 1) 1.5 mg/mL3
Non-Muscle Invasive Bladder Cancer (Group 1) 2.5 mg/mL3
Non-Muscle Invasive Bladder Cancer (Group 1) 3.75 mg/mL9
Muscle Invasive Bladder Cancer (Group 2) Subset 3.75 mg/mL1
Muscle Invasive Bladder Cancer (Group 2) 0.75 mg/mL5
Muscle Invasive Bladder Cancer (Group 2) 1.5 mg/mL2
Muscle Invasive Bladder Cancer (Group 2) 2.5 mg/mL1
Muscle Invasive Bladder Cancer (Group 2) 3.75 mg/mL6
Recurrence Free Survival (RFS) Secondary · At Months 6, 9, and 12

No evidence of tumor recurrence or disease progression

GroupValue95% CI
Non-Muscle Invasive Bladder Cancer - 0.75 mg/mL NanoDoce Injection Cohort5.1± 1.79
Non-Muscle Invasive Bladder Cancer - 1.5 mg/mL NanoDoce Injection Cohort6.7± 3.10
Non-Muscle Invasive Bladder Cancer - 2.5 mg/mL NanoDoce Injection Cohort4.7± 1.10
Non-Muscle Invasive Bladder Cancer - 3.75 NanoDoce Injection Cohort9.6± 3.31
Disease Progression Secondary · Day 45

Disease progression at Day 45 derived from cytology and biopsy assessments

GroupValue95% CI
Muscle Invasive Bladder Cancer - 0.75 mg/mL NanoDoce Injection Cohort2
Muscle Invasive Bladder Cancer - 1.5 mg/mL NanoDoce Injection Cohort1
Muscle Invasive Bladder Cancer - 2.5 mg/mL NanoDoce Injection Cohort0
Muscle Invasive Bladder Cancer - 3.75 NanoDoce Injection Cohort1
Muscle Invasive Bladder Cancer Subset (Group 2 Subset) - 3.75/mg/mL NanoDoce Injection0

Adverse events — posted to ClinicalTrials.gov

Time frame: AE were captured from first study drug dose (injection) until 45 days after the last study drug dose (injection or instillation) for Group 2 subjects or until the End of Treatment (Visit 13 - Day 180) visit for Group 1 or Group 2 subset subjects. Subjects were required to spontaneously report any AEs. Study personnel asked open-ended questions to obtain information about AEs at every visit.. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Non-Muscle Invasive Bladder Cancer (Group 1) 0.75 mg/mL
Serious: 0/4 (0%)
Deaths: 0/4
Non-Muscle Invasive Bladder Cancer (Group 1) 1.5 mg/mL
Serious: 0/3 (0%)
Deaths: 0/3
Non-Muscle Invasive Bladder Cancer (Group 1) 2.5 mg/mL
Serious: 0/3 (0%)
Deaths: 0/3
Non-Muscle Invasive Bladder Cancer (Group 1) 3.75 mg/mL
Serious: 1/9 (11%)
Deaths: 0/9
Muscle Invasive Bladder Cancer (Group 2) Subset 3.75 mg/mL
Serious: 0/1 (0%)
Deaths: 0/1
Muscle Invasive Bladder Cancer (Group 2) 0.75 mg/mL
Serious: 1/5 (20%)
Deaths: 0/5
Muscle Invasive Bladder Cancer (Group 2) 1.5 mg/mL
Serious: 0/2 (0%)
Deaths: 0/2
Muscle Invasive Bladder Cancer (Group 2) 2.5 mg/mL
Serious: 0/2 (0%)
Deaths: 0/2
Muscle Invasive Bladder Cancer (Group 2) 3.75 mg/mL
Serious: 1/7 (14%)
Deaths: 0/7

Serious adverse events (4 terms)

ReactionSystemNon-Muscle Invasive Bladde…Non-Muscle Invasive Bladde…Non-Muscle Invasive Bladde…Non-Muscle Invasive Bladde…Muscle Invasive Bladder Ca…Muscle Invasive Bladder Ca…Muscle Invasive Bladder Ca…Muscle Invasive Bladder Ca…Muscle Invasive Bladder Ca…
NephrolithiasisRenal and urinary disorders
Bladder PerforationRenal and urinary disorders
Chest PainGeneral disorders
HaematemesisGastrointestinal disorders
Other adverse events (108 terms — click to expand)

ReactionSystemNon-Muscle Invasive Bladde…Non-Muscle Invasive Bladde…Non-Muscle Invasive Bladde…Non-Muscle Invasive Bladde…Muscle Invasive Bladder Ca…Muscle Invasive Bladder Ca…Muscle Invasive Bladder Ca…Muscle Invasive Bladder Ca…Muscle Invasive Bladder Ca…
FatigueGeneral disorders
DysuriaRenal and urinary disorders
InsomniaPsychiatric disorders
HaematuriaRenal and urinary disorders
PolyuriaRenal and urinary disorders
Abdominal PainGastrointestinal disorders
NauseaGastrointestinal disorders
ChillsGeneral disorders
SinusitisInfections and infestations
Urinary Tract InfectionInfections and infestations
Decreased appetiteMetabolism and nutrition disorders
MyalgiaMusculoskeletal and connective tissue disorders
Bladder painRenal and urinary disorders
Micturition urgencyRenal and urinary disorders
Urinary incontinenceRenal and urinary disorders
VomitingGastrointestinal disorders
PalpitationsCardiac disorders
VertigoEar and labyrinth disorders
Abdominal Pain LowerGastrointestinal disorders
Abdominal Pain upperGastrointestinal disorders
ConstipationGastrointestinal disorders
DiarrhoeaGastrointestinal disorders
Dry MouthGastrointestinal disorders
DysphagiaGastrointestinal disorders
FlatulenceGastrointestinal disorders
Gastrooesophageal Reflux DiseaseGastrointestinal disorders
Gingival BleedingGastrointestinal disorders
Oral PainGastrointestinal disorders
Tongue DiscolorationGastrointestinal disorders
AstheniaGeneral disorders
Chest PainGeneral disorders
Disease ProgressionGeneral disorders
Oedema PeripheralGeneral disorders
Corona Virus InfectionInfections and infestations
Herpes Virus InfectionInfections and infestations
Oral CandidiasisInfections and infestations
ContusionInjury, poisoning and procedural complications
Alanine aminotransferase increasedInvestigations
Aspartate aminotransferase increasedInvestigations
Blood bilirubin increasedInvestigations

Most-reported serious reactions: Nephrolithiasis, Bladder Perforation, Chest Pain, Haematemesis.

Data from ClinicalTrials.gov NCT03636256 adverse events section.

Sponsor's own description

This is a clinical trial studying the administration of NanoDoce as a direct injection to the bladder wall immediately after tumor resection and as an intravesical instillation. All participants will receive NanoDoce, and will be evaluated for safety and tolerability, as well as the potential effects of NanoDoce on urothelial carcinoma.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Nanoparticles in the clinic: An update post COVID-19 vaccines.
    Anselmo AC, Mitragotri S. · · 2021 · cited 211× · PMID 34514159 · DOI 10.1002/btm2.10246
  2. Local Injection of Submicron Particle Docetaxel is Associated with Tumor Eradication, Reduced Systemic Toxicity and an Immunologic Response in Uro-Oncologic Xenografts.
    Maulhardt HA, Hylle L, Frost MV, Tornio A, et al · · 2019 · cited 14× · PMID 31022918 · DOI 10.3390/cancers11040577
  3. The State of the Art of Theranostic Nanomaterials for Lung, Breast, and Prostate Cancers.
    Freitas LF, Ferreira AH, Thipe VC, Varca GHC, et al · · 2021 · cited 11× · PMID 34685018 · DOI 10.3390/nano11102579
  4. New Roadmaps for Non-muscle-invasive Bladder Cancer With Unfavorable Prognosis.
    Pane K, Mirabelli P, Coppola L, Illiano E, et al · · 2020 · cited 11× · PMID 32850635 · DOI 10.3389/fchem.2020.00600
  5. Submicron particle docetaxel intratumoral injection in combination with anti-mCTLA-4 into 4T1-Luc orthotopic implants reduces primary tumor and metastatic pulmonary lesions.
    Maulhardt H, Marin A, Hesseltine H, diZerega G. · · 2021 · cited 9× · PMID 34331595 · DOI 10.1007/s12032-021-01555-1
  6. Advancing Clinical Trial Design for Non-Muscle Invasive Bladder Cancer.
    Chang E, Hahn NM, Lerner SP, Fallah J, et al · · 2023 · cited 7× · PMID 38993184 · DOI 10.3233/blc-230056
  7. Local administration of large surface area microparticle docetaxel to solid carcinomas induces direct cytotoxicity and immune-mediated tumoricidal effects: preclinical and clinical studies.
    Maulhardt H, Verco S, Baltezor M, Marin A, et al · · 2023 · cited 7× · PMID 36058988 · DOI 10.1007/s13346-022-01226-2
  8. Phase 1/2 Trial Results of a Large Surface Area Microparticle Docetaxel for the Treatment of High-Risk Nonmuscle-Invasive Bladder Cancer.
    Kates M, Mansour AM, Lamm DL, Shore N, et al · · 2022 · cited 7× · PMID 35574612 · DOI 10.1097/ju.0000000000002778

Verify or expand the search:

Other recruiting trials for Bladder Cancer

Currently open trials in the same condition.

Other NanOlogy, LLC trials

Trials by the same sponsor.

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