Recruiting at 13 sites Phase 2 Non-Muscle Invasive Bladder Cancer ("NMIBC") Unresponsive/Intolerant to BCG

Non-Muscle Invasive Bladder Cancer ("NMIBC") Unresponsive/Intolerant to BCG study: Ruvidar®

Official title Intravesical Photodynamic Therapy ("PDT") in BCG-Unresponsive/Intolerant Non-Muscle Invasive Bladder Cancer ("NMIBC") Patients

ClinicalTrials.gov ID: NCT03945162

What this study is testing

What is Ruvidar® (TLD-1433)?

an investigational bladder infusion combined with light therapy being studied for non‑muscle invasive bladder cancer that is unresponsive or intolerant to BCG. is designed to deliver a photosensitizing drug to the bladder lining that, when activated by a specific light source, creates reactive oxygen species to kill cancer cells.

Plain-language explanation of the investigational treatment. It is being studied and is not an approved or proven therapy. The study team can confirm the details.

What it's testing
The study aims to see how safe and effective photodynamic therapy is for these bladder cancer patients.
Who it's for
Adults with non‑muscle invasive bladder cancer (including carcinoma in situ) that is BCG‑unresponsive or BCG‑intolerant.
What's involved
Participants will receive a bladder‑instilled photodynamic therapy treatment, with up to two additional repeat treatments if needed, plus the required clinic visits and tests.
Time commitment
The trial involves up to three treatment visits over several months, with follow‑up appointments after each procedure.
  • Phase 2: a mid-size study of how well it works

A plain-language read of the study's public ClinicalTrials.gov listing. The study team confirms the details.

Who can take part

Ages 18 and older

You may be able to join if

  • Be willing and able to provide a written Informed Consent Form ("ICF") for the Study.
  • Be \> 18 years of age on day of signing ICF.
  • Have histologically confirmed NMIBC CIS via biopsy with/without resected papillary disease (Ta, T1) (high grade) using the 2004 World Health...
  • At least five of six doses of an initial induction course, plus at least two of three doses of maintenance therapy, or
  • At least five of six doses of an initial induction course, plus at least two of six doses of a second induction course.

You likely can't join if

  • Past or current muscle invasive (i.e.: T2, T3, T4) or metastatic urothelial carcinoma.
  • Has concurrent extravesical (i.e.: urethra, ureter, renal pelvis, prostate or prostatic ducts) non-muscle invasive transitional cell carcinoma of the...
  • Active gross hematuria.
  • Have a known additional malignancy that is progressing or requires active treatment.
  • Have a history or current evidence of any condition, therapy, surgery or laboratory abnormality that, in the opinion of the PI, might confound the...
  • Currently receiving treatment with a prohibited concomitant therapy (refer to 12.2.1, Prohibited Medications).
See the full eligibility criteria
Who can join
  • Be willing and able to provide a written Informed Consent Form ("ICF") for the Study.
  • Be \> 18 years of age on day of signing ICF.
  • Have histologically confirmed NMIBC CIS via biopsy with/without resected papillary disease (Ta, T1) (high grade) using the 2004 World Health Organization ("WHO") / International Society of Urologic Pathology...
  • At least five of six doses of an initial induction course, plus at least two of three doses of maintenance therapy, or
  • At least five of six doses of an initial induction course, plus at least two of six doses of a second induction course.
  • Are not candidates for cystectomy on medical grounds or refuse radical cystectomy.
  • Have an Eastern Cooperative Oncology Group ("ECOG") performance score of 0 to 2.
  • Have satisfactory bladder function. Ability to retain Study Drug for a minimum of 60 minutes.
  • Are available for the duration of the Study including follow-up (approximately 15 months).
  • Female patients of childbearing potential must have a negative Human Chorionic Gonadotropin ("HCG") pregnancy test taken during the screening visit and confirmed prior to the Study Procedure.
  • Female patients of childbearing potential must be willing to use 2 methods of birth control (i.e.: oral contraceptive, pills, diaphragm or condoms) or be surgically sterile, or abstain from heterosexual activity for two...
What rules you out
  • Past or current muscle invasive (i.e.: T2, T3, T4) or metastatic urothelial carcinoma.
  • Has concurrent extravesical (i.e.: urethra, ureter, renal pelvis, prostate or prostatic ducts) non-muscle invasive transitional cell carcinoma of the urothelium.
  • Active gross hematuria.
  • Have a known additional malignancy that is progressing or requires active treatment. Exceptions include basal cell carcinoma of the skin, squamous cell carcinoma of the skin that has undergone potentially curative...
  • Have a history or current evidence of any condition, therapy, surgery or laboratory abnormality that, in the opinion of the PI, might confound the results of the study, interfere with the patient's participation in the...
  • Currently receiving treatment with a prohibited concomitant therapy (refer to 12.2.1, Prohibited Medications).
  • Participated in a study with an investigational agent or device within 1 month from the first dose of current Study Procedure.
  • Prior treatment with an intravesical chemotherapeutic agent within 1 month of the first dose of current Study Drug, with the exception of a single perioperative dose of chemotherapy immediately post-TURBT (not...
  • Have an active infection requiring systemic therapy, including active or intractable Urinary Tract Infection ("UTI"), not resolved prior to the procedure.
  • Has any contraindication to general or spinal anesthesia.
  • Is pregnant or breastfeeding within the projected duration of Study II, starting with the screening visit through to two weeks following the last Study Procedure.

The study team makes the final eligibility decision.

Where it is enrolling

  • Chicago, Illinois, United States
  • Greenwood, Indiana, United States
  • Syracuse, New York, United States
  • Gahanna, Ohio, United States
  • Myrtle Beach, South Carolina, United States
  • Nashville, Tennessee, United States
  • Madison, Wisconsin, United States
  • Vancouver, British Columbia, Canada
  • Halifax, Nova Scotia, Canada
  • Hamilton, Ontario, Canada
  • London, Ontario, Canada
  • Toronto, Ontario, Canada
  • Montreal, Quebec, Canada

Questions & answers

Do participants get paid in this trial?

This listing doesn't specify compensation. Many trials still reimburse travel or offer a stipend, so it's worth asking the study team when you connect.

Is it free to join, and do I need insurance?

Searching and applying through BridgeMD is free. In clinical trials the study-related treatment and visits are generally provided at no cost to you. You usually don't need insurance to take part, but confirm specifics with the study team.

How long does this study last?

The listing doesn't state an exact length. The study team walks you through the schedule and number of visits before you decide to enroll.

Who can join this trial?

This study is enrolling all sexes, 18 years and older. The study team makes the final eligibility decision.

Where is this trial taking place?

This study is enrolling now at Chicago, Illinois, United States; Greenwood, Indiana, United States; Syracuse, New York, United States; Gahanna, Ohio, United States; Myrtle Beach, South Carolina, United States; Nashville, Tennessee, United States and 7 more locations. Enter your location above to see the nearest enrolling site and check your eligibility.

Explore other conditions

BridgeMD is an information and trial-matching tool that is independent of the study sponsor. Details come from ClinicalTrials.gov. The study team decides eligibility, and your own doctor gives medical advice.