Authorised Therapeutic exploratory (Phase II) Bladder cancer

COBRA - Chemoablation for Low Grade Bladder Cancer: A single arm, prospective, open-label, investigator-initiated Phase 2 study

EU CTIS ID: 2024-517106-28-00

What this study is testing

To assess efficacy of intravesical gemcitabine in patients with TaLG bladder cancer

  • Therapeutic exploratory (Phase II)

A plain-language read of the study's public EU CTIS listing. The study team confirms the details.

Who can take part

You may be able to join if

  • Diagnosis of a recurrent tumor and a history of TaLG BCa or diagnosis of primary TaLG BCa histologically confirmed by cold cup biopsy at screening or within 8 weeks before screening
  • Female patients of childbearing potential must have a negative serum pregnancy test within 2 weeks prior to enrollment. Female patients of childbearing potential must use adequate contraception during study period
  • Willing and able to provide informed consent
  • On screening cystoscopy: Diameter of the largest lesion ≤15mm
  • Number of lesions ≤5
  • Cystoscopy with bladder diagram including number, site, size and appearance of the tumors with photo documentation

You likely can't join if

  • Tumors that clinicians suspect to be HG
  • History of neurogenic bladder; active urinary retention; any other condition that would prohibit normal voiding
  • Evidence of active urinary tract infection (UTI) that in the Investigator's opinion cannot be treated and resolved prior to biopsy and/or administration of study treatment
  • Patient refused to participate
  • Positive human immunodeficiency virus (HIV) test
  • Female patients who are pregnant/breastfeeding
See the full eligibility criteria
Who can join
  • Diagnosis of a recurrent tumor and a history of TaLG BCa or diagnosis of primary TaLG BCa histologically confirmed by cold cup biopsy at screening or within 8 weeks before screening
  • Female patients of childbearing potential must have a negative serum pregnancy test within 2 weeks prior to enrollment. Female patients of childbearing potential must use adequate contraception during study period
  • Willing and able to provide informed consent
  • On screening cystoscopy: Diameter of the largest lesion ≤15mm
  • Number of lesions ≤5
  • Cystoscopy with bladder diagram including number, site, size and appearance of the tumors with photo documentation
  • Patient who has recurrence of and not other than TaLG NMIBC (low or intermediate EAU risk)
  • NMIBC requiring treatment with transurethral resection of bladder tumors (TURBT)
  • Negative voiding cytology for high grade (HG) disease within 8 weeks before Screening
  • No lymph node metastasis or distant metastasi
  • Male and female patients must use an effective contraceptive method during the study and for a minimum of 6 months after study treatment
What rules you out
  • Tumors that clinicians suspect to be HG
  • History of neurogenic bladder; active urinary retention; any other condition that would prohibit normal voiding
  • Evidence of active urinary tract infection (UTI) that in the Investigator's opinion cannot be treated and resolved prior to biopsy and/or administration of study treatment
  • Patient refused to participate
  • Positive human immunodeficiency virus (HIV) test
  • Female patients who are pregnant/breastfeeding
  • Female patients of childbearing potential not using adequate contraception
  • Positive HG cytology according to Paris criteria
  • Diameter of tumor >15 mm
  • Number of lesions >5
  • Any previous intravesical therapy within 1 year
  • Previous HG NMIBC (within the last 3 years). It is allowed to include patients who had history of HG disease longer than 3 years ago
  • Past or current muscle invasive bladder cancer (i.e., T2, T3, T4) or metastatic UC
  • History of upper tract urothelial carcinoma (UTUC)
  • Clinically significant urethral stricture that would preclude passage of a urethral catheter

The study team makes the final eligibility decision.

Questions & answers

Do participants get paid in this trial?

This listing doesn't specify compensation. Many trials still reimburse travel or offer a stipend, so it's worth asking the study team when you connect.

Is it free to join, and do I need insurance?

Searching and applying through BridgeMD is free. In clinical trials the study-related treatment and visits are generally provided at no cost to you. You usually don't need insurance to take part - confirm specifics with the study team.

How long does this study last?

The listing doesn't state an exact length. The study team walks you through the schedule and number of visits before you decide to enroll.

Who can join this trial?

This study is enrolling all sexes, 65+ years, 18-64 years. The study team makes the final eligibility decision.

Explore other conditions

BridgeMD is an information and trial-matching tool - not medical advice, and not the study sponsor. Details come from EU CTIS; the study team decides eligibility.