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.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 454 (estimated) |
| Sponsor | Ferring Pharmaceuticals Industry-sponsored |
| Drugs / interventions | chemotherapy |
| Locations | 116 sites (Mobile, Alabama and 115 other locations) |
| Status | Recruiting |
| Started | October 1, 2024 |
| Main results expected | September 30, 2028 |
| Study ends | September 30, 2032 |
| Registry record updated | October 30, 2026 |
| Trial ID | NCT06510374 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
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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
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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
- Study coordinator: Ferring Pharmaceuticals
- Email: disclosure@ferring.com
- Phone: 833-548-1402
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Treatment of intermediate and high-risk non-muscle invasive bladder cancer with SHR-2005
This study is testing a new treatment called SHR-2005 for people with intermediate and high-risk non-muscle invasive bladder cancer to see if it is safe and effective.
-
NMIBC sample collection to test cancer monitoring biomarkers
This study tests a blood, urine, and tumor tissue collection approach in people with high-risk non-muscle invasive bladder cancer to see if a molecular test can detect residual disease and monitor recurrence.
-
JL19001 Injection for High-Risk NMIBC (alone or with BCG)
This early-stage study tests different doses of JL19001 injections to see if they are safe and tolerable in adults with high-risk non-muscle invasive bladder cancer.
-
HS-10566 treatment in high-risk non-muscle-invasive bladder cancer where surgery isn’t an option
This study tests HS-10566 to see if it can help people with high-risk NMIBC who can’t or won’t have radical cystectomy.
-
Evaluating a new treatment for high-risk non-muscle-invasive bladder cancer
This study tests a new treatment for people with high-risk non-muscle-invasive bladder cancer to see if it works better than current options.
-
Evaluating a new treatment for high-risk bladder cancer that expresses HER2
This study is testing a new treatment for high-risk bladder cancer that shows a specific protein called HER2 to see if it is safe and effective for patients.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.