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Trial · NCT04620239

Registered outcomes18

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

ListOutcomeTime frameDescription
PrimaryNumber of patients with absence of UTUC tumors in the entire ipsilateral calyces, renal pelvis and ureter28 +/- 3 days post last treatment
Primary efficacy outcome is the absence of UTUC tumors in the entire ipsilateral calyces renal pelvis and ureter on endoscopic evaluation at the time of Primary Response Evaluation (PRE) (28 +/- 3 days post last treatment) during padeliporfin VTP induction treatment phase. This outcome will be determined dichotomously as either failure or success in achieving complete response. · Complete Response will be defined as absence of disease based on: * absence of visual tumor on endoscopy * no evidence of tumor on biopsy (if feasible) * negative urinary cytology by instrumented collection
SecondaryDuration of response at the entire ipsilateral kidney12 months post PRE
The duration of response at the entire ipsilateral kidney will be defined as absence of disease in the entire ipsilateral calyces, renal pelvis and ureter, based on: * instrumented cytology * visually on endoscopy * biopsy pathology (if feasible) as will be measured at the 12 months maintenance treatment visit post PRE
SecondaryDuration of response at the entire ipsilateral kidney3, 6, 9 months post PRE
The duration of response at the entire ipsilateral kidney will be defined as absence of disease in the entire ipsilateral calyces, renal pelvis and ureter, based on: * instrumented cytology * visually on endoscopy * biopsy pathology (if feasible) as will be measured at the 3, 6, 9 months maintenance treatment visits post PRE
SecondaryDuration of response at the Treatment Area of the ipsilateral kidney3, 6, 9, and 12 months post PRE
Duration of response at the Treatment Area of the ipsilateral kidney will be defined as absence of disease in the ipsilateral Treatment Area, based on: * instrumented cytology * visually on endoscopy * biopsy pathology (if feasible) as will be measured at the 3, 6, 9, and 12 months maintenance treatment visits post PRE
SecondaryOverall renal function6 and 12 months post PRE
Overall renal functional outcome will be measured at the 6 and 12 months maintenance treatment visits post PRE, and will be evaluated by comparing pre-treatment and 12-month estimated glomerular filtration rate (eGFR), calculated from serum creatinine levels, using the CKD-Epi method including: * Absolute change in eGFR as well as categories of CKD will be utilized based on KDIGO 2012 criteria * Description will include change in eGFR, change in CKD stage/risk category
SecondaryKidney organ loss or preservation3, 6, 9, and 12 months post PRE
Kidney organ loss or preservation will be recorded at each maintenance treatment visit post PRE at 3, 6, 9, and 12 months Maintenance Treatment visits, and will describe the reasons for organ preservation or loss. A radical nephroureterectomy, nephron-sparing surgery for UTUC or ureterectomy will be considered as organ loss.
SecondaryPathological evaluation of responseAfter at least one VTP treatment
PathologicalPathological evaluation of response will be performed in kidney tissue of patients that will undergo kidney surgical removal (kidney sparing, or radical nephroureterectomy) following at least one padeliporfin VTP treatment
SecondaryPatients with ureteral obstruction and/or ureteral stentBaseline 12 months
Patients with existing ureteral obstruction and/or existing ureteral stent will be permitted with radiographic evidence of pre-existing obstruction documented, to demonstrate the site and degree of obstruction with retrograde pyelography at baseline (prior to treatment) and will be repeated and recorded at 12 months maintenance treatment visit (post treatment) which will further be supported with CT Urogram results at 12 months to demonstrate the site and degree of obstruction using standard nomenclature.
SecondaryLong Term follow-up Duration of the response18, 24,36,48 and 60 months post PRE or 6 and 12 months post PRE
The duration of response in the ipsilateral kidney and treatment area will be defined as absence of disease, based on: * instrumented cytology * visually on endoscopy * biopsy pathology (if present and performed)
SecondaryLong Term follow-up Kidney organ loss or preservation18, 24,36,48 and 60 months post PRE or 6 and 12 months post PRE
Kidney organ loss or preservation will be recorded and will describe the reasons for organ preservation or loss. A radical nephroureterectomy, nephron-sparing surgery for UTUC or ureterectomy will be considered as organ loss and a pathology report of the removed tissue will be recorded (if available or feasible)
SecondaryLong Term follow-up Overall renal functional18, 24,36,48 and 60 months post PRE or 6 and 12 months post PREOverall renal functional outcome will be evaluated by estimated glomerular filtration rate(eGFR) using CKD-Epimethod
SecondaryLong Term follow-up Safety Follow up18, 24,36,48 and 60 months post PRE or 6 and 12 months post PRESafety follow up based and recording of adverse events
SecondaryExploratory EndpointBaseline
Blood,tumor and cytology samples will be collected, centrally stored and later submitted for tumor genomic sequencing studies to explore the tumor genomic alterations, and mutation status as biomarkers with association to treatment response and progression events such as recurrence, grade transformation, increased stage and metastases.
SecondaryPharmacokinetic Endpoint Cmax0 (before injection) and 20, 40, 60, 90, 120 and 360 mn after end of injectionPatients with moderate hepatic impairment, will undergo a pharmacokinetic evaluation, blood samples will be collected to evaluate Cmax
SecondaryPharmacokinetic Endpoint Tmax0 (before injection) and 20, 40, 60, 90, 120 and 360 mn after end of injectionPatients with moderate hepatic impairment, will undergo a pharmacokinetic evaluation, blood samples will be collected to evaluate Tmax
SecondaryPharmacokinetic Endpoint T1/20 (before injection) and 20, 40, 60, 90, 120 and 360 mn after end of injectionPatients with moderate hepatic impairment, will undergo a pharmacokinetic evaluation, blood samples will be collected to evaluate T1/2
SecondaryPharmacokinetic Endpoint AUC0 (before injection) and 20, 40, 60, 90, 120 and 360 mn after end of injectionPatients with moderate hepatic impairment, will undergo a pharmacokinetic evaluation, blood samples will be collected to evaluate AUC
SecondaryPharmacokinetic Endpoint CL0 (before injection) and 20, 40, 60, 90, 120 and 360 mn after end of injectionPatients with moderate hepatic impairment, will undergo a pharmacokinetic evaluation, blood samples will be collected to evaluate CL

Source ClinicalTrials.govtrials-2026-11-12-0.5.0

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.

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