TARA-002 vs chemotherapy for high-grade non-muscle invasive bladder cancer in adults not previously treated with BCG
Official title: A Phase 3, Randomized Study to Evaluate the Efficacy and Safety of Intravesical TARA-002 Compared With Investigator's Choice of Intravesical Chemotherapy in Participants With BCG-naïve High-Grade Non-Muscle Invasive Bladder Cancer
Run by Protara Therapeutics · NCT07480356 · Data updated 2026-11-12
A phase 3 study tests whether TARA-002 can help adults with high-grade non-muscle invasive bladder cancer who haven’t had BCG, comparing it to standard intravesical chemotherapy.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 284 (estimated) |
| Sponsor | Protara Therapeutics Industry-sponsored |
| Drugs / interventions | chemotherapy |
| Locations | 11 sites (Queen Creek, Arizona and 10 other locations) |
| Status | Recruiting |
| Started | May 29, 2026 |
| Main results expected | April 2028 |
| Study ends | November 2032 |
| Registry record updated | October 6, 2026 |
| Trial ID | NCT07480356 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults 18+ with high-grade NMIBC (CIS ± Ta/T1) who are BCG-naive or have limited prior BCG exposure and active disease.
✕Probably not a fit
Patients with non-high-grade disease, extensive nodal/metastatic disease, or histologies excluded by the study may not benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This randomized phase 3 trial compares intravesical TARA-002 to the investigator's choice of intravesical chemotherapy in adults with high-grade non-muscle invasive bladder cancer who are BCG-naive or have limited prior BCG exposure. Participants receive intravesical TARA-002 or another chemo option to see if the new therapy can better manage active disease. The study will monitor safety, side effects, and cancer response over the course of treatment. Enrollment is at multiple U.S. sites, with a lead sponsor of Protara Therapeutics. Eligibility requires age 18 or older, histologic confirmation of high-grade CIS (± Ta/T1) with active disease, and specific BCG exposure history.
Why it matters
Potential benefit: If successful, TARA-002 could provide an effective new intravesical option for high-grade NMIBC, potentially improving disease control.
How similar studies have gone: Previous research in similar intravesical therapies has shown potential benefits, but this specific comparison with TARA-002 is investigational.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Male or female participants 18 years of age or older at the time of signing informed consent * Participants who have voluntarily given written informed consent after the nature of the study has been explained according to applicable requirements prior to study entry * Central histologic confirmation of high-grade non-muscle invasive CIS (± Ta/T1) with active disease * Participants who are BCG naive, or participants who are BCG exposed and have not received intravesical BCG for at least 24 months prior to the most recent CIS diagnosis, or participants who received ≤2 doses of BCG within the 24 months prior to the most recent CIS diagnosis Exclusion Criteria: * Penicillin allergy (participants with a questionable history of allergy to penicillin will undergo penicillin blood allergy testing via central laboratory * Central confirmed variant histology * Concomitant prostatic or upper tract urothelial involvement per Investigator's assessment * Nodal and metastatic disease are excluded if they existed at any time (whether present or in the past) * Any history of ≥ T2 bladder cancer that existed at any point in time in the participant's history For more information on eligibility criteria, please contact the Sponsor.
Where it's running
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East Valley Urology Center of Arizona
Queen Creek, Arizona, United States Recruiting -
Arkansas Urology
Little Rock, Arkansas, United States Recruiting -
Michael Oefelein Clinical Trials
Bakersfield, California, United States Recruiting -
Urology of Greater Atlanta - Sandy Springs
Atlanta, Georgia, United States Recruiting -
Renown Regional Medical Center
St Louis, Missouri, United States Recruiting -
START - Carolinas
Myrtle Beach, South Carolina, United States Recruiting
Show 5 more locations
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Urology Partners of North Texas
Arlington, Texas, United States Recruiting -
Urology Austin, LLC
Austin, Texas, United States Recruiting -
Houston Metro Urology
Houston, Texas, United States Recruiting -
Arenia - Ivano-Frankivsk
Ivano-Frankivsk, Ukraine Recruiting -
Arensia Kapitanivka - PPDS
Kapitanivka, Ukraine Recruiting
Study contacts
- Study coordinator: Chief R&D Officer
- Email: clinicaltrials@protaratx.com
- Phone: 16468440337
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Intravesical UGN-501 for Recurrent NMIBC (Phase 1, dose-escalation)
This study tests whether UGN-501 can be safely given into the bladder to treat adults with recurrent non-muscle invasive bladder cancer.
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BL-M07D1: T-bren vs standard platinum chemo for HER2-expressing metastatic urothelial cancer after anti-PD-(L)1 therapy
This trial tests whether T-bren can help people with HER2-expressing metastatic urothelial cancer who progressed after anti-PD-(L)1 therapy, compared with standard platinum-based chemotherapy.
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Is ongoing systemic immunotherapy needed after achieving tumor-free status in very-high-risk NMIBC?
This study tests whether patients who have become tumor-free after a systemic immunotherapy-based bladder-sparing treatment can safely stop therapy and instead be watched closely.
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Irrigation Fluid Absorption and Perioperative cfDNA Changes in TURBT for Bladder Cancer
This study tests whether the amount of irrigation fluid absorbed during TURBT is linked to changes in tumor DNA circulating in the blood in patients with bladder cancer.
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This project will test whether lying down or sitting during BCG treatment changes how long the medicine stays in the bladder for people with intermediate- or high-risk non-muscle invasive bladder cancer.
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This project tests whether a multi-component liquid biopsy (blood and urine ctDNA, urine tumor DNA, exosomes, and protein biomarkers) can help detect disease, track treatment response, and predict recurrence in people with suspected or confirmed urothelial carcinoma.
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.