Clinical trial Recruiting at 114 sites Phase 3 Interventional Ages 18 and up

Comparing Nadofaragene Firadenovec to Observation for Bladder Cancer

Official title: A Phase 3b, Randomized, Controlled Trial of Nadofaragene Firadenovec vs. Observation in Participants With Intermediate Risk Non-Muscle Invasive Bladder Cancer

Run by Ferring Pharmaceuticals · NCT06510374 · Data updated 2026-11-12

This study is testing if a new treatment for bladder cancer can help prevent it from coming back compared to just keeping an eye on it.

More Non Muscle Invasive Bladder Cancer trials

Quick facts

PhasePhase 3
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment454 (estimated)
SponsorFerring Pharmaceuticals
Industry-sponsored
Drugs / interventionschemotherapy
Locations116 sites (Mobile, Alabama and 115 other locations)
StatusRecruiting
StartedOctober 1, 2024
Main results expectedSeptember 30, 2028
Study endsSeptember 30, 2032
Registry record updatedOctober 30, 2026
Trial IDNCT06510374 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are individuals diagnosed with intermediate risk non-muscle invasive bladder cancer who have recently undergone TURBT.

Probably not a fit

Patients with muscle invasive or metastatic bladder cancer will not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This phase 3b trial evaluates the efficacy of Nadofaragene Firadenovec compared to observation in patients diagnosed with intermediate risk non-muscle invasive bladder cancer (IR NMIBC). Participants must have undergone a complete transurethral resection of bladder tumor (TURBT) within the last 60 days and meet specific criteria for their cancer type. The study aims to determine if the treatment can reduce recurrence rates compared to simply monitoring the condition. It is a randomized, controlled trial designed to provide robust data on the treatment's effectiveness.

Why it matters

Potential benefit: If successful, this treatment could significantly reduce the recurrence of bladder cancer in patients with intermediate risk.

How similar studies have gone: Other studies have shown promise with similar treatment approaches, indicating potential for success in this trial.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Diagnosed with intermediate risk non-muscle invasive bladder cancer (IR NMIBC) as defined by American Urological Association (AUA)/Society of Urologic Oncology \[SUO\] Guideline (2020)
* Has undergone adequate transurethral resection of bladder tumor (TURBT; with or without peri-operative chemotherapy) within 60 days prior to randomization:

  * Recurrence within 1 year, low-grade Ta
  * Solitary low-grade Ta \>3 cm
  * Low-grade Ta, multifocal
  * Solitary high-grade Ta, ≤3 cm
  * Low-grade T1

    * Patients with T1 disease should undergo resection at the base of the lesion and biopsies should contain muscle fibres.
    * Restage TURBT may be done at the discretion of the investigator

Exclusion Criteria:

* Current or previous evidence of muscle invasive (muscularis propria) or metastatic disease presented at the screening visit

High risk NMIBC defined as:

* High-grade T1
* Any recurrent, high-grade Ta
* High-grade Ta \>3 cm (or multifocal)
* Any carcinoma in situ (CIS)
* Any Bacillus Calmette-Guérin (BCG) failure in high-grade subject
* Any variant histology
* Any prostatic urethral involvement

Low risk NMIBC defined as:

* First occurrence of low-grade solitary Ta ≤3 cm
* Recurrence of low-grade solitary Ta ≤3 cm \>12 months from previous occurrence
* Papillary urothelial neoplasm of low malignant potential

Where it's running

  • University of South Alabama (USA) Health System - USACM
    Mobile, Alabama, United States
    Recruiting
  • Urology Associates of Mobile
    Mobile, Alabama, United States
    Recruiting
  • Mayo Clinic Arizona
    Phoenix, Arizona, United States
    Recruiting
  • Center for Neurosciences
    Tucson, Arizona, United States
    Recruiting
  • Arkansas Urology, North Little Rock
    Little Rock, Arkansas, United States
    Recruiting
  • Michael G Oefelein, MD Clinical Trials
    Bakersfield, California, United States
    Recruiting
Show 44 more locations
  • Urology Associates of Central California
    Fresno, California, United States
    Recruiting
  • American Institute of Research
    Los Angeles, California, United States
    Recruiting
  • Urology Center of Southern California
    Murrieta, California, United States
    Recruiting
  • University of California, Irvine
    Orange, California, United States
    Recruiting
  • Providence Saint John's Cancer Institute
    Santa Monica, California, United States
    Recruiting
  • Advent Health
    Denver, Colorado, United States
    Recruiting
  • Medstar Georgetown University Hospital
    Washington D.C., District of Columbia, United States
    Recruiting
  • Mayo Clinic
    Jacksonville, Florida, United States
    Recruiting
  • Lakeland Regional Health North Campus - Hollis Cancer Center
    Lakeland, Florida, United States
    Recruiting
  • Advanced Urology institute - Pinellas
    Largo, Florida, United States
    Recruiting
  • Sarasota Memorial Healthcare System
    Sarasota, Florida, United States
    Recruiting
  • Emory University
    Atlanta, Georgia, United States
    Recruiting
  • NextStage Clinical Research
    Lisle, Illinois, United States
    Recruiting
  • Blessing Health System
    Quincy, Illinois, United States
    Recruiting
  • First Urology Research (Jeffersonville)
    Jeffersonville, Indiana, United States
    Recruiting
  • Urology Center of Iowa Research
    Clive, Iowa, United States
    Recruiting
  • Wichita Urology Group
    Wichita, Kansas, United States
    Recruiting
  • University of Kentucky (UK) - Markey Cancer Center
    Lexington, Kentucky, United States
    Recruiting
  • Anne Arundel Urology, PA
    Annapolis, Maryland, United States
    Recruiting
  • Beth Israel Lahey Health-Beth Israel Deaconess Medical Center (BIDMC)
    Boston, Massachusetts, United States
    Recruiting
  • Mayo Clinic - Rochester Minnesota
    Rochester, Minnesota, United States
    Recruiting
  • The Urology Group P.C
    Southaven, Mississippi, United States
    Recruiting
  • Specialty Clinical Research of St. Louis
    St Louis, Missouri, United States
    Recruiting
  • Adult and Pediatric Urology P.C.
    Omaha, Nebraska, United States
    Recruiting
  • Atlantic Health
    Morristown, New Jersey, United States
    Recruiting
  • Albany Medical College
    Albany, New York, United States
    Recruiting
  • Great Lakes Physician PC d/b/a Western New York Urology Associates
    Cheektowaga, New York, United States
    Recruiting
  • AccuMed Research Associates
    Garden City, New York, United States
    Recruiting
  • Northwell Health -The Arthur Smith Institute for Urology
    Lake Success, New York, United States
    Recruiting
  • Veterans Affairs New York Harbor Healthcare System - Manhattan VA Medical Center
    New York, New York, United States
    Recruiting
  • Integrated Medical Professionals, PLLC
    New York, New York, United States
    Recruiting
  • James J. Peters VA Medical Center
    The Bronx, New York, United States
    Recruiting
  • WakeMed
    Raleigh, North Carolina, United States
    Recruiting
  • University of Cincinnati
    Cincinnati, Ohio, United States
    Recruiting
  • Oregon Health and Science University (Portland)
    Portland, Oregon, United States
    Recruiting
  • MidLantic Urology
    Bala-Cynwyd, Pennsylvania, United States
    Recruiting
  • Keystone Urology Specialists
    Lancaster, Pennsylvania, United States
    Recruiting
  • University of Pennsylvania - Perelman Center for Advanced Medicine - Penn Urology
    Philadelphia, Pennsylvania, United States
    Recruiting
  • University of Pittsburgh Medical Center - Shadyside Medical Building
    Pittsburgh, Pennsylvania, United States
    Recruiting
  • Carolina Urologic Research Center
    Myrtle Beach, South Carolina, United States
    Recruiting
  • The Conrad Pearson Clinic - Wolf River Office (Urology Center of the South)
    Germantown, Tennessee, United States
    Recruiting
  • Urology Austin
    Austin, Texas, United States
    Recruiting
  • Urology Clinics of North Texas PLLC (Dallas)
    Dallas, Texas, United States
    Recruiting
  • Houston Metro Urology - Memorial City
    Houston, Texas, United States
    Recruiting

+66 more sites. See ClinicalTrials.gov for the full list.

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.