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Trial · NCT02773849

ADSTILADRIN (=INSTILADRIN) in Patients With High-Grade, Bacillus Calmette-Guerin (BCG) Unresponsive Non-Muscle Invasive Bladder Cancer (NMIBC)

NCT02773849, Phase 3, Completed, Ferring Pharmaceuticals; results first posted 2022-07-13

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. ADSTILADRIN (=INSTILADRIN) in Patients With High-Grade, Bacillus Calmette-Guerin (BCG) Unresponsive Non-Muscle Invasive Bladder Cancer (NMIBC). Trials, record NCT02773849. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT02773849

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
ADSTILADRIN (=INSTILADRIN) in Patients With High-Grade, Bacillus Calmette-Guerin (BCG) Unresponsive Non-Muscle Invasive Bladder Cancer (NMIBC)
NCT number
NCT02773849
Status
Completed
Phases
Phase 3
Enrollment
157 participants, actual
Lead sponsor
Ferring Pharmaceuticals
Conditions
Superficial Bladder Cancer
Interventions
ADSTILADRIN
First posted
2016-05-16
Last updated
2024-07-29
Results first posted
2022-07-13

Source ClinicalTrials.gov

Registered outcomes9

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryNumber of Patients With a Complete Response Rate Based on Patients With Carcinoma in Situ (CIS), With or Without Concomitant High-grade Ta or T1 Papillary Disease.12 Months
A patient in the CIS cohort was judged to have achieved CR where urine cytology was reported as normal, atypical, degenerative, reactive, inflammatory, or nonspecific AND cystoscopy was reported as normal or with findings that did not include evidence of low-grade or high-grade recurrence. Bladder biopsy, if performed (not mandatory), demonstrated an absence of low-grade or high-grade recurrence.
SecondaryDurability of Complete Response in Patients With CIS (With or Without Concomitant Ta or T1 Papillary Disease) Who Achieve a Complete Response.Up to 57 months
Durability of complete response (CR) was defined as the time from first observed CR to the documented treatment failure. Patients without treatment failure were censored at the last disease assessment not showing treatment failure, where treatment failure was defined as high-grade disease recurrence, disease progression, or death, whichever occurred earlier.
SecondaryRate of Event-free Survival, Where Event-free Survival is Defined as High-grade Recurrence Free (HGRF) Survival in Patients With High-grade Ta or T1 Disease (Without Concomitant CIS)up to 57 months
Complete response rate will be measured by determining the number of patients without recurrence of high-grade disease using results from urine cytology, cystoscopy, and biopsy of the bladder. Incidence of HGRF survival at Months 3, 6, 9, and 12, and every 3 months up to Month 24, and then at Months 36, 48, and 57.
SecondaryDurability of High-grade-recurrence-free Survival in Patients With High-grade Ta or T1 Papillary Disease (With or Without Concomitant CIS)Up to 57 months
HGRF survival was defined as the time from the first dose to the first recurrence of high-grade disease (including muscle-invasive disease progression and death due to any cause). Patients without high-grade disease recurrence were censored at the last disease assessment not showing high-grade disease recurrence.
SecondaryIncidence of Cystectomy at 12 Months, 2 Years and 5 Years60 MonthsThe incidence of cystectomy is described as the proportion of patients undergoing radical cystectomy for any reason after the first dose, within 12 months, 2 years and 5 years.
SecondaryOverall Survival Rate in All Patients60 Months
Overall survival rate was defined as the time from the first dose to death due to any cause. Patients who were still alive were censored at the last date the patient was known to be alive. Overall survival rate is a Kaplan-Meier estimate of the survivor function at each specific time point. The 95% CI is calculated using the Greenwood's formula with a log-log transformation. Percentage is calculated using the number of patients in the column heading as the denominator.
SecondaryAnti-adenoviral Antibody Levels for Correlation to Response Rate12 Months
Measurement of anti-adenoviral antibody levels at each dosing period, withdrawal, and at 12 months were done. A patient was considered to have a positive immunogenic response in anti-adenoviral antibodies if a post-baseline titration demonstrated a greater than a 2-fold dilution increase from baseline. The table represent data at any time during the 12 months period, which means that the patients were included in the Yes group if they at any measurement during the trial had a 2-fold dilution increase from baseline.
SecondarySafety of ADSTILADRIN60 MonthsThe type, incidence, relatedness and severity of treatment emergent adverse events of ADSTILADRIN as assessed by NCI-CTCAE V4.03 were monitored.
SecondaryDurability of Response During the Long-term Follow-up Period.Up to 60 Months
Durability will be measured by determining the number of patients without recurrence of high-grade disease using results from urine cytology, cystoscopy, and biopsy of the bladder if clinically indicated.

Outcomes9

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYNumber of Patients With a Complete Response Rate Based on Patients With Carcinoma in Situ (CIS), With or Without Concomitant High-grade Ta or T1 Papillary Disease.12 MonthsSubjects analyzed for this endpoint represent subjects who were evaluable for this outcome measure.participantsNUMBER
SECONDARYDurability of Complete Response in Patients With CIS (With or Without Concomitant Ta or T1 Papillary Disease) Who Achieve a Complete Response.Up to 57 monthsPatients who achieved CRMonthsMEDIAN
SECONDARYRate of Event-free Survival, Where Event-free Survival is Defined as High-grade Recurrence Free (HGRF) Survival in Patients With High-grade Ta or T1 Disease (Without Concomitant CIS)up to 57 months
A patient was judged to have achieved HGRF survival at a time point (eg, Months 3, 6, 9, and 12) if the patient was alive and without documented recurrence of high-grade disease or muscle-invasive disease progression as assessed by the Investigator at that time point.
ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYDurability of High-grade-recurrence-free Survival in Patients With High-grade Ta or T1 Papillary Disease (With or Without Concomitant CIS)Up to 57 monthsPatients with no recurrence of high-grade diseaseMonthsMEDIAN
SECONDARYIncidence of Cystectomy at 12 Months, 2 Years and 5 Years60 MonthsProportion of patients undergoing cystectomy within 5 years, 2 years and 12 monthsParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYOverall Survival Rate in All Patients60 Monthspercentage of patientsNUMBER
SECONDARYAnti-adenoviral Antibody Levels for Correlation to Response Rate12 MonthsPatients with Positive Immunogenic Response in Anti-Adenoviral Antibodies at Post-Baseline based on patients who had achieved High-Grade Recurrence Free Survival at 12 monthsParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYSafety of ADSTILADRIN60 MonthsSafety Analysis SetParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYDurability of Response During the Long-term Follow-up Period.Up to 60 MonthsmonthsMEDIAN

Results by group70

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Number of Patients With a Complete Response Rate Based on Patients With Carcinoma in Situ (CIS), With or Without Concomitant High-grade Ta or T1 Papillary Disease.Carcinoma in Situ5595% Confidence Interval 43.3 to 63.3participants
Durability of Complete Response in Patients With CIS (With or Without Concomitant Ta or T1 Papillary Disease) Who Achieve a Complete Response.Carcinoma in Situ9.7295% Confidence Interval 9.17 to 23.95Months
Rate of Event-free Survival, Where Event-free Survival is Defined as High-grade Recurrence Free (HGRF) Survival in Patients With High-grade Ta or T1 Disease (Without Concomitant CIS)Papillary DiseaseMonth 335Participants
Rate of Event-free Survival, Where Event-free Survival is Defined as High-grade Recurrence Free (HGRF) Survival in Patients With High-grade Ta or T1 Disease (Without Concomitant CIS)Papillary DiseaseMonth 630Participants
Rate of Event-free Survival, Where Event-free Survival is Defined as High-grade Recurrence Free (HGRF) Survival in Patients With High-grade Ta or T1 Disease (Without Concomitant CIS)Papillary DiseaseMonth 928Participants
Rate of Event-free Survival, Where Event-free Survival is Defined as High-grade Recurrence Free (HGRF) Survival in Patients With High-grade Ta or T1 Disease (Without Concomitant CIS)Papillary DiseaseMonth 1221Participants
Rate of Event-free Survival, Where Event-free Survival is Defined as High-grade Recurrence Free (HGRF) Survival in Patients With High-grade Ta or T1 Disease (Without Concomitant CIS)Papillary DiseaseMonth 2416Participants
Rate of Event-free Survival, Where Event-free Survival is Defined as High-grade Recurrence Free (HGRF) Survival in Patients With High-grade Ta or T1 Disease (Without Concomitant CIS)Papillary DiseaseMonth 3611Participants
Rate of Event-free Survival, Where Event-free Survival is Defined as High-grade Recurrence Free (HGRF) Survival in Patients With High-grade Ta or T1 Disease (Without Concomitant CIS)Papillary DiseaseMonth 487Participants
Rate of Event-free Survival, Where Event-free Survival is Defined as High-grade Recurrence Free (HGRF) Survival in Patients With High-grade Ta or T1 Disease (Without Concomitant CIS)Papillary DiseaseMonth 577Participants

Participant flow3

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDADSTILADRIN157
Overall StudyCOMPLETEDADSTILADRIN95
Overall StudyNOT COMPLETEDADSTILADRIN62

Adverse events186

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherAbdominal painGastrointestinal disordersCarcinoma in Situ (CIS)21072
otherAbdominal painGastrointestinal disordersPapillary Disease (Without Concomitant CIS)5505
otherAbdominal painGastrointestinal disordersTotal TEAE71577
otherConstipationGastrointestinal disordersCarcinoma in Situ (CIS)01070
otherConstipationGastrointestinal disordersPapillary Disease (Without Concomitant CIS)3503
otherConstipationGastrointestinal disordersTotal TEAE31573
otherDiarrhoeaGastrointestinal disordersCarcinoma in Situ (CIS)1010710
otherDiarrhoeaGastrointestinal disordersPapillary Disease (Without Concomitant CIS)7507
otherDiarrhoeaGastrointestinal disordersTotal TEAE1715717
otherNauseaGastrointestinal disordersCarcinoma in Situ (CIS)81078

Adverse event totals9

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityCarcinoma in Situ (CIS)21107
Total, all-cause mortalityPapillary Disease (Without Concomitant CIS)550
Total, all-cause mortalityTotal TEAE26157
Total, other adverse eventsCarcinoma in Situ (CIS)101107
Total, other adverse eventsPapillary Disease (Without Concomitant CIS)4550
Total, other adverse eventsTotal TEAE146157
Total, serious adverse eventsCarcinoma in Situ (CIS)10107
Total, serious adverse eventsPapillary Disease (Without Concomitant CIS)950
Total, serious adverse eventsTotal TEAE19157

Papers3

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
33253641RESULTPubMed
38704840DERIVEDPubMed
40194933DERIVEDPubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT02773849

GET https://conductscience.org/api/trials/v1/NCT02773849/results?page=2