All studies
Active not recruitingPHASE2INTERVENTIONAL

A Study of TAR-200 in Combination With Cetrelimab and Cetrelimab Alone in Participants With Muscle-Invasive Urothelial Carcinoma of the Bladder

This study is looking into new treatments for muscle-invasive bladder cancer, a type of bladder cancer that has spread into the muscle wall. The main aim is to see how effective two treatments are: TAR-200 used together with a drug called cetrelimab, and cetrelimab used by itself. TAR-200 is a device that slowly releases medication (gemcitabine) directly into the bladder. Cetrelimab is a type of medicine that helps your body’s immune system fight cancer. We want to find out if these treatments can shrink tumours or stop them from growing. This research is important because bladder cancer is common, and many people with muscle-invasive bladder cancer later develop cancer in other parts of the body.

At a glance

Status
Active not recruiting
Phase
PHASE2
Sponsor
Janssen Research & Development, LLC
Enrolment target
163
Start
07 Jul 2022
Estimated completion
31 Mar 2026

Results

Results from this study

Posted February 2026

Results have been published for this study.

Primary outcome
Pathologic Complete Response (pCR) Rate
pCR was defined as percentage of participants who achieved complete pathologic response. Complete pathologic response is defined as ypT0N0 (no evidence of disease) as assessed by pathologic evaluation on radical cystectomy (RC) specimen. pCR was determined by central pathologic review.
Full results on the registry

What is this study about?

This study is about finding new ways to treat a specific type of bladder cancer called muscle-invasive urothelial carcinoma. This means the cancer has grown into the muscle layer of the bladder wall. For many people with this type of cancer, surgery to remove the bladder (called a radical cystectomy) is the main treatment option. However, researchers are always looking for other treatments that might work well, especially for those who might not be able to have surgery or who want other options.

In this study, we are looking at two different treatment approaches. One approach combines a treatment called TAR-200 with another drug called cetrelimab. TAR-200 is a clever device that sits in the bladder and slowly releases a cancer-fighting medicine called gemcitabine over time. Cetrelimab is a type of 'immunotherapy' drug that helps your body's own immune system recognise and attack cancer cells. The study will also look at cetrelimab given on its own.

Understanding how these treatments work, how safe they are, and if they can effectively fight the cancer is really important. Bladder cancer is quite common, and around a quarter of people are diagnosed with the muscle-invasive type. Unfortunately, about half of these people may see their cancer spread to other parts of the body later on. This research aims to improve treatment options for people living with this condition.

Key takeaways

  • Tests new treatments for muscle-invasive bladder cancer.
  • Compares TAR-200 with cetrelimab, and cetrelimab alone.
  • Aims to see how effective and safe these new treatments are.
  • Involves regular hospital visits for treatments and check-ups.
  • Participation could last up to two and a half years.

Who may be eligible?

To be part of this study, you would need to have a specific type of bladder cancer that has spread into the muscle, but not yet to distant parts of your body. Your diagnosis must have been quite recent, within about four months before starting the study. It's important that any tumours inside your bladder either aren't there anymore, or are quite small (3cm or less) after a procedure to remove them. You also need to be well enough to undergo major surgery like bladder removal, should that be needed later.

There are also some things that would mean you couldn't join. For example, if you've already had certain cancer treatments like chemotherapy or radiation very recently. We also couldn't include you if your cancer has already spread to lymph nodes or other parts of your body, or if you have specific types of bladder cancer cells that are not being studied here. The doctors will check your general health, like how well your thyroid is working and if you have any ongoing issues from previous surgeries.

Could this study suit you?

Answer these quick questions to see if you may be eligible. This is a guide only — the research team makes the final call.

  1. Do I have urothelial bladder cancer that has grown into the muscle?
  2. Was my diagnosis of this cancer within the last 4 months?
  3. Are any tumours in my bladder small (3cm or less) or fully removed after a procedure?
  4. Am I generally well enough for major surgery if I needed it?
  5. Have I avoided recent chemotherapy or radiation treatments (within the last 2 weeks)?
Answer every question to see your result.

What does participation involve?

If you decide to take part in this study, you'll go through several stages. First, there's a 'screening' phase where various tests will be done to make sure the study is right for you. If you qualify, you'll then enter the 'treatment' phase, where you'll receive either TAR-200 combined with cetrelimab, or cetrelimab on its own. The specific schedule for these treatments will be explained to you in detail.

Throughout the treatment phase, you'll have regular visits to the clinic for check-ups, blood tests, and scans. These are to see how you're responding to the treatment, monitor any side effects, and check drug levels in your body. After the treatment period, there will be a 'follow-up' phase where doctors continue to monitor your health. The total time you'd be involved in the study, from beginning to end, could be up to two and a half years.

Potential risks and benefits

Taking part in a clinical trial may offer the potential benefit of accessing new treatments before they are widely available, which could improve your health or slow down your cancer. However, there are also potential risks, as these are new treatments and their full effects might not be completely known. You might experience side effects, some of which could be serious. The research team will explain all the known and potential risks to you. You are free to withdraw from the study at any time, for any reason, without it affecting your usual medical care.

Locations (109)

Some site locations are approximate. We're improving this — please verify with the trial team before travelling.
  • University of Alabama at Birmingham
    Verified postcode
    Birmingham, United States
  • Urological Associates of Southern Arizona, P.C.
    Verified postcode
    Tucson, United States
  • UAMS Winthrop P. Rockefeller Cancer Institute
    Verified postcode
    Little Rock, United States
  • Arkansas Urology
    Verified postcode
    Little Rock, United States
  • City of Hope
    Verified postcode
    Duarte, United States
  • Genesis Research
    Verified postcode
    San Diego, United States
  • Colorodo Urology- St. Anthony Hospital
    Verified postcode
    Golden, United States
  • University of Florida Health Jacksonville
    Verified postcode
    Jacksonville, United States
  • Mayo Clinic
    Verified postcode
    Jacksonville, United States
  • Baptist Hospital of Miami
    Verified postcode
    Miami, United States
  • Winship Cancer Institute Emory University
    Verified postcode
    Atlanta, United States
  • DuPage Medical Group
    Verified postcode
    Lisle, United States

Common questions

What type of cancer is this study for?

It's for a specific type of bladder cancer called muscle-invasive urothelial carcinoma, where the cancer has grown into the muscle of the bladder wall.

What treatments are being tested?

Researchers are testing TAR-200 with cetrelimab, and cetrelimab on its own. TAR-200 is a device that delivers medicine, and cetrelimab is an immunotherapy drug.

How long would I be in the study?

The total duration of the study, including screening, treatment, and follow-up, could be up to two and a half years.

Can I leave the study if I want to?

Yes, you have the right to withdraw from the study at any time, for any reason, without it affecting your medical care.

Will I still need surgery for my bladder cancer?

The study is for people who are considered well enough to have bladder removal surgery, if needed. The treatments being tested are being explored as potential options.

How to find out more

Always speak to your GP or specialist before deciding to take part in a study.

Discussion

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