A Phase 3 trial of BCG with or without pembrolizumab for High Risk Non Muscle Invasive Bladder Cancer

2022-501817-29-00 Protocol MK-3475-676 Therapeutic confirmatory (Phase III) Ongoing, recruitment ended

Start 27 Nov 2018 · Status Ongoing, recruitment ended · 13 EU/EEA countries · 57 sites · Protocol MK-3475-676

Overview

Sponsor-declared trial summary

Phase Therapeutic confirmatory (Phase III)
Status Ongoing, recruitment ended
Participants planned 1,397
Countries 13
Sites 57

High Risk Non-muscle invasive bladder cancer

1. Cohort A: To compare the CRR for the combination of pembrolizumab + BCG versus BCG alone in participants with CIS 2. Cohort B: To compare the EFS between participants who receive pembrolizumab + BCG (reduced maintenance) versus BCG alone 3. Cohort B: To compare the EFS between participants who receive pembrolizumab+…

Key facts

Sponsor
Merck Sharp & Dohme LLC
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Neoplasms [C04]
Trial duration
27 Nov 2018 → ongoing
Decision date (initial)
2023-05-02
Transition trial
Yes
Low-intervention
No
Rare-disease indication
No
Vulnerable population
Yes
Funding sources
Merck Sharp & Dohme LLC

External identifiers

EU CT number
2022-501817-29-00
EudraCT number
2018-001967-22
WHO UTN
U1111-1282-1555

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Safety, Efficacy, Pharmacokinetic, Pharmacogenomic, Others, Therapy

1. Cohort A: To compare the CRR for the combination of pembrolizumab + BCG versus BCG alone in participants with CIS
2. Cohort B: To compare the EFS between participants who receive pembrolizumab + BCG (reduced maintenance) versus BCG alone
3. Cohort B: To compare the EFS between participants who receive pembrolizumab+ BCG (full maintenance) versus BCG alone

Secondary objectives 13

  1. Cohort A: To compare the EFS between participants who receive pembrolizumab + BCG and BCG alone
  2. Cohort A: To compare the following endpoints between participants who receive pembrolizumab + BCG and BCG alone: RFS, OS, DSS, Time to cystectomy
  3. Cohort A: To assess the following endpoints in participants who receive pembrolizumab + BCG and BCG alone: 12-month EFS rate, DOR in CIS participants with a CR, 12-month DOR rate in CIS participants with a CR
  4. Cohort A: To determine the safety and tolerability of pembrolizumab + BCG
  5. Cohort A: To evaluate changes from baseline and TDD in HRQoL scores in both treatment groups, using two general instruments (EORTCQLQ-C30, and EuroQoL EQ-5D-5L) and one disease-specific instrument EORTC QLQ-NMIBC24
  6. Cohort B: To compare the CRR for the combination of pembrolizumab + BCG (reduced maintenance) versus BCG alone in participants with CIS
  7. Cohort B: To compare the CRR for the combination of pembrolizumab + BCG (full maintenance) versus BCG alone in participants with CIS
  8. Cohort B: To compare the following endpoints between participants who receive pembrolizumab + BCG (reduced maintenance) and BCG alone: RFS, OS, DSS, Time to cystectomy
  9. Cohort B: To compare the following endpoints between participants who receive pembrolizumab + BCG (full maintenance) and BCG alone: RFS, OS, DSS, Time to cystectomy
  10. Cohort B: To compare the following endpoints in participants with CIS who receive pembrolizumab + BCG (reduced maintenance), pembrolizumab + BCG (full maintenance), and BCG alone: DOR, 12-month DOR rate
  11. Cohort B: To assess the 24-month EFS rate in participants who receive pembrolizumab + BCG (reduced maintenance), pembrolizumab + BCG (full maintenance) and BCG alone
  12. Cohort B: To evaluate changes from baseline and TTD in HRQoL scores in all treatment groups, using two general instruments (EORTC QLQ-C30, and EuroQoL EQ-5D-5L) and one disease-specific instrument EORTC QLQ-NMIBC24
  13. Cohort B: To determine the safety and tolerability of pembrolizumab + BCG

Conditions and MedDRA coding

High Risk Non-muscle invasive bladder cancer

VersionLevelCodeTermSystem organ class
21.1 LLT 10022877 Invasive bladder cancer 10029104

Study design 1 period

#TitleAllocationBlindingRoles blindedArms
1 Unblinded open-label treatment
In adult participants (≥18 years of age) with HR NMIBC that is either a) persistent or recurrent following BCG induction (Cohort A) or b) naïve to BCG treatment (Cohort B)
Randomised Controlled None Cohort A- BCG Post-induction Cohort: Arms A1 (BCG with pembrolizumab) and A2 (BCG monotherapy)
Cohort B- BCG Naïve: Arms B1(Reduced BCG maintenance with pembrolizumab), B2 (Full BCG Maintenance with pembrolizumab, and B3 (BCG Monotherapy)

Regulatory references

Scientific advice from competent authorities
European Medicines Agency
Plan to share IPD
Yes

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 9

  1. Have locally and blinded independent central review (BICR)-confirmed histological diagnosis of high-risk non-muscle invasive (T1, high grade Ta and/or CIS) UC of the bladder
  2. Has undergone cystoscopy/ transurethral resection of bladder tumor (TURBT) to remove all resectable disease
  3. Has provided tissue for biomarker analysis
  4. Has Eastern Cooperative Oncology Group (ECOG) performance status of 0, 1 or 2
  5. Has adequate organ function
  6. During the treatment period and for ≥7 days after the last dose of BCG, male participants are EITHER abstinent from heterosexual intercourse as their preferred and usual lifestyle and agree to remain abstinent, OR, must agree to use contraception unless confirmed to be azoospermic
  7. Female participants who are not pregnant, not breastfeeding, and either not a woman of child bearing potential (WOCBP); or are a WOCBP who agrees to use a contraception method that is highly effective or remains abstinent from heterosexual intercourse during the treatment period and for ≥7 days after the last dose of BCG or 120 days after the last dose of pembrolizumab, whichever comes last
  8. BCG Post-induction Cohort (Cohort A) Only: Has been treated with one adequate course of BCG induction therapy for the treatment of HR NMIBC
  9. BCG Post-induction Cohort (Cohort A) Only: Following adequate BCG induction therapy, must have persistent or recurrent HR NMIBC

Exclusion criteria 18

  1. Has a history of or concurrent locally advanced (i.e., T2, T3, T4) or metastatic UC
  2. Has concurrent extra-vesical (i.e, urethra, ureter, renal pelvis) non-muscle invasive urothelial carcinoma or a history of extra-vesical non-muscle invasive UC
  3. Has received prior therapy with anti-PD-1, anti-PD-L1, or anti-PD-L2 agent or with an agent directed to another stimulatory or co-inhibitory T-cell receptor
  4. Has received prior systemic anti-cancer therapy including investigational agents within 4 weeks of start of study treatment
  5. Is currently participating in or has participated in a study of an investigational agent or has used an investigational device within 4 weeks of start of study treatment
  6. Has a diagnosis of immunodeficiency or is receiving chronic systemic steroid therapy or any other form of immunosuppressive therapy within 7 days of start of study treatment
  7. Has a known additional malignancy that is progressing or requires active treatment within the past 3 years
  8. Has an active autoimmune disease that has required systemic treatment in past 2 years
  9. Has a history of (non-infectious) pneumonitis/interstitial lung disease that required steroids or has current pneumonitis/interstitial lung disease
  10. Has one or more of the following contraindications to BCG: prior BCG sepsis or systemic infection, total bladder incontinence, or an adverse experience to a previous BCG instillation that resulted in treatment discontinuation and precludes retreating with BCG
  11. Has an active infection or diagnosis requiring systemic antimicrobial therapy
  12. Has a known history of human immunodeficiency virus (HIV) infection
  13. Has a known history of Hepatitis B or known active Hepatitis C virus infection
  14. Has current active tuberculosis
  15. Has had an allogenic-tissue/solid organ transplant
  16. Has any contraindication(s) to IV contrast or is otherwise unable to have screening imaging with IV contrast performed
  17. BCG Post-induction Cohort (Cohort A) Only: Has persistent T1 disease following an induction course of BCG
  18. BCG Naïve Cohort (Cohort B) Only: Has received any prior treatment with BCG for their NMIBC within the past 2 years prior to study entry

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 2

  1. Complete Response Rate (CRR) by Blinded Independent Central Review (BICR) (Cohort A)
  2. Event-Free Survival (EFS) (Cohort B)

Secondary endpoints 18

  1. EFS (Cohort A)
  2. Recurrence-Free Survival (RFS) (Cohorts A and B)
  3. Overall Survival (OS) (Cohorts A and B)
  4. Disease Specific Survival (DSS) (Cohorts A and B)
  5. Time to Cystectomy (Cohorts A and B)
  6. 12-Month EFS Rate (Cohort A)
  7. Duration of Response (DOR) (Cohorts A and B)
  8. 12-Month DOR Rate (Cohorts A and B)
  9. Percentage of Participants Experiencing Adverse Events (AEs) (Cohorts A and B)
  10. Percentage of Participants Discontinuing Study Drug Due to AEs (Cohorts A and B)
  11. Change from Baseline in the European Organization for Research and Treatment of Cancer (EORTC)-Quality of Life Questionnaire-Core 30 (QLQ-C30) Global Health Status/Quality of Life (Items 29 and 30) Combined Score (Cohorts A and B)
  12. Change from Baseline in EORTC-QLQ-C30 Physical Functioning (Items 1-5) Combined Score (Cohorts A and B)
  13. Change from Baseline in EORTC-QLQ-Non-muscle Invasive Bladder Cancer Module 24 (NMIBC24) Total Score (Cohorts A and B)
  14. Change from Baseline in European Quality of Life (EuroQoL)-5 Dimensions, 5-level Questionnaire (EQ-5D-5L) Visual Analogue Score (VAS) (Cohorts A and B)
  15. Time to Deterioration (TTD) in the EORTC-QLQ-C30 Global Health Status/Quality of Life (Items 29 and 30) Combined Score (Cohorts A and B)
  16. TTD in the EQ-5D-5L VAS (Cohorts A and B)
  17. CRR by BICR (Cohort B)
  18. 24-Month EFS Rate (Cohort B)

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 2

KEYTRUDA 25 mg/mL concentrate for solution for infusion

PRD4323105 · Product

Active substance
Pembrolizumab
Substance synonyms
Lambrolizumab, MK-3475, SCH-900475, ABP 234
Pharmaceutical form
SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS
Max daily dose
400 mg milligram(s)
Max total dose
7000 mg milligram(s)
Max treatment duration
105 Week(s)
Authorisation status
Authorised
ATC code
L01FF02 — -
Marketing authorisation
EU/1/15/1024/002
MA holder
MERCK SHARP & DOHME BV
MA country
EU
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Bacillus Calmette-Guérin (Bcg), Tice

SUB25779 · Substance

Active substance
Bacillus Calmette-Guérin (Bcg), Tice
Pharmaceutical form
POWDER FOR INTRAVESICAL SUSPENSION
Route of administration
INTRAVESICAL USE
Max daily dose
50 mg milligram(s)
Max total dose
1350 mg milligram(s)
Max treatment duration
147 Week(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Comparator 1

Bacillus Calmette-Guérin (Bcg), Tice

SUB25779 · Substance

Active substance
Bacillus Calmette-Guérin (Bcg), Tice
Pharmaceutical form
POWDER FOR INTRAVESICAL SUSPENSION
Route of administration
INTRAVESICAL USE
Max daily dose
50 mg milligram(s)
Max total dose
1350 mg milligram(s)
Max treatment duration
147 Week(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Merck Sharp & Dohme LLC

Sponsor organisation
Merck Sharp & Dohme LLC
Address
126 East Lincoln Avenue
City
Rahway
Postcode
07065-4607
Country
United States

Scientific contact point

Organisation
Merck Sharp & Dohme LLC
Contact name
Hema Dave

Public contact point

Organisation
Merck Sharp & Dohme LLC
Contact name
Hema Dave

Third parties 10

OrganisationCity, countryDuties
Bioclinica Inc.
ORG-100033079
Princeton, United States Other
Reify Health Inc.
ORG-100049669
Boston, United States Code 2
Almac Clinical Technologies LLC
ORG-100043036
Souderton, United States Interactive response technologies (IRT)
Iqvia Limited
ORG-100008655
Livingston, United Kingdom Laboratory analysis
Quest Diagnostics Nichols Institute Inc.
ORG-100012789
Chantilly, United States Laboratory analysis
Azenta US Inc.
ORG-100012907
Indianapolis, United States Other
Exco Intouch Limited
ORG-100040806
Nottingham, United Kingdom E-data capture
Q Squared Solutions Holdings LLC
ORG-100043288
Valencia, United States Laboratory analysis
Pharmaceutical Product Development LLC
ORG-100016999
Richmond, United States Laboratory analysis
Parexel International Corporation
ORG-100007310
Auburndale, United States Other

Locations

13 EU/EEA countries · 57 investigational sites

By country

CountryMS statusPlanned subjectsSites
Austria Ongoing, recruitment ended 41 3
Belgium Ongoing, recruitment ended 65 5
Finland Ongoing, recruitment ended 5 1
France Ongoing, recruitment ended 25 5
Germany Ongoing, recruitment ended 45 5
Greece Ongoing, recruitment ended 40 2
Hungary Ongoing, recruitment ended 36 4
Italy Ongoing, recruitment ended 58 10
Netherlands Ongoing, recruitment ended 21 2
Norway Ongoing, recruitment ended 16 2
Poland Ongoing, recruitment ended 104 7
Portugal Ongoing, recruitment ended 48 3
Spain Ongoing, recruitment ended 55 8
Rest of world
Peru, Puerto Rico, Colombia, Brazil, Taiwan, Canada, Guatemala, Japan, Switzerland, United Kingdom, Korea, Republic of, Turkey, Costa Rica, China, United States, Australia
838

Investigational sites

Austria

3 sites · Ongoing, recruitment ended
Ordensklinikum Linz GmbH
Abteilung für Urologie und Andrologie, Fadingerstrasse 1, 4020, Linz
Medical University Of Vienna
Department of Urology, Waehringer Guertel 18-20, Alsergrund, Vienna
Gemeinnutzige Salzburger Landes kliniken Betriebsgesellschaft mbH
Department of Urology and Andrology, Muellner Hauptstrasse 48, 5020, Salzburg

Belgium

5 sites · Ongoing, recruitment ended
Az Maria Middelares Gent
Integrated Cancer Center, Buitenring-Sint-Denijs 30, 9000, Gent
Universitair Ziekenhuis Gent
Department of Medical Oncology, Corneel Heymanslaan 10, 9000, Gent
AZORG Campus Aalst-Moorselbaan
Urological Department, Moorselbaan 164, 9300, Aalst
Antwerp University Hospital
Department of Urology, Drie Eikenstraat 655, 2650, Edegem
CHU UCL Namur
Oncology Department, Avenue Dr-Gaston-Therasse 1, 5530, Yvoir

Finland

1 site · Ongoing, recruitment ended
Tampere University Hospital
Department of Urology, Teiskontie 35, 33520, Tampere

France

5 sites · Ongoing, recruitment ended
Centre Hospitalier Universitaire De Lille
Urology, Rue Michel Polonovski, 59037, Lille Cedex
Centre Hospitalier Universitaire De Rennes
Urology, 2 Rue Henri Le Guilloux, 35033, Rennes Cedex 9
Centre Hospitalier Universitaire De Dijon
Urology, 14 Rue Paul Gaffarel, 21000, Dijon
Assistance Publique Hopitaux De Paris
NA, 51 Av Du Mal De Lattre De Tassigny, 94000, Creteil
Hospital Foch
Urology, 40 Rue Worth, 92150, Suresnes

Germany

5 sites · Ongoing, recruitment ended
University Hospital Jena KöR
Klinik und Poliklinik für Urologie, Am Klinikum 1, Lobeda, Jena
Klinikum Rechts Der Isar Der TU Muenchen AöR
Urologische Klinik und Poliklinik, Ismaninger Strasse 22, Au-Haidhausen, Munich
Klinikum Weiden
Klinik für Urologie, Andrologie und Kinderurologie, Soellnerstrasse 16, Scheibe, Weiden I D Opf
Barmherzige Brueder Trier gGmbH
Abteilung für Urologie und Kinderurologie Institut für Lithotripsie, Nord, Nordallee 1, Trier
Universitatsklinikum Wurzburg AöR
Klinik und Poliklinik für Urologie und Kinderurologie, Oberduerrbacher Strasse 6, Grombuehl, Wuerzburg

Greece

2 sites · Ongoing, recruitment ended
General University Hospital Of Larissa
University Urology Clinic, P. O. Box 1425, 411 10, Larissa
University General Hospital Attikon General Hospital Of West Attica H Agia Varvara
2nd University Propaedeutic Pathology clinic, Rimini 1, 124 61, Chaidari

Hungary

4 sites · Ongoing, recruitment ended
University Of Pecs
Urológiai Klinika, Munkacsy Mihaly Utca 2, 7621, Pecs
University Of Debrecen
Urológiai Klinika, Nagyerdei Korut 98, 4032, Debrecen
Semmelweis University
Urológiai Klinika, Ulloi Ut 78/b, 1082, Budapest
University Of Szeged
Urológiai Klinika, Kalvaria Sugarut 57, 6725, Szeged

Italy

10 sites · Ongoing, recruitment ended
Central Hospital Of Bolzano
Oncologia medica, Via Lorenz Boehler 5, 39100, Bolzano
Ospedale Buccheri La Ferla di Palermo - Fatebenefratelli
UOC di Oncologia Medica, Via Messina Marine 197, 90123, Palermo
Azienda Sanitaria Usl Toscana Sud Est
UOC Oncologia Medica, Ospedale Area Aretina Nord, Via Pietro Nenni 20/22, Arezzo
Fondazione Policlinico Universitario Agostino Gemelli IRCCS
U.O.C. Oncologia Medica, Largo Francesco Vito 1, 00168, Rome
Fondazione IRCCS Istituto Nazionale Dei Tumori
S.S. Oncologia Medica Genitourinaria, Via Giacomo Venezian 1, 20133, Milan
Azienda Sanitaria Locale 2 Lanciano Vasto Chieti
Unità Operativa Complessa di Urologia, Via Dei Vestini Snc, 66100, Chieti
Ospedale San Raffaele S.r.l.
Dipartimento di Medicina Oncologica, Via Olgettina 60, 20132, Milan
Careggi University Hospital
Urologia e Trapianti Renali, Largo Giovanni Alessandro Brambilla 3, 50134, Florence
Azienda Ospedaliera Ordine Mauriziano Di Torino
Department of Oncology, Via Ferdinando Magellano 1, 10128, Turin
Azienda Ospedaliera Universitaria Integrata Verona
U.O.C. Oncologia, Piazzale Aristide Stefani 1, 37126, Verona

Netherlands

2 sites · Ongoing, recruitment ended
Erasmus Universitair Medisch Centrum Rotterdam (Erasmus MC)
Medical Oncology, Dr. Molewaterplein 40, 3015 GD, Rotterdam
University Hospital Maastricht
Internal Medicine, P. O. Box 5800, 6202 AZ, Maastricht

Norway

2 sites · Ongoing, recruitment ended
Akershus University Hospital
Urologisk Avdeling, Sykehusveien 25, 1474, Lørenskog
Stavanger University Hospital
Urologisk seksjon, Postboks 8100, 4068, Stavanger

Poland

7 sites · Ongoing, recruitment ended
Clinical Research Center Sp. z o.o. Medic-R sp.k.
CLINICAL RESEARCH CENTER Sp. z o.o. MEDIC-R SP. K., Ul. Feliksa Nowowiejskiego 5, 61-731, Poznan
MEDICAL CONCIERGE Centrum Medyczne
MEDICAL CONCIERGE Centrum Medyczne, Ul. Ulica Polnej Rozy 6/u2, 02-798, Warsaw
Wojewodzki Szpital Specjalistyczny Im. Janusza Korczaka W Slupsku Sp. z o.o.
Oddział Urologiczny, Ul. Hubalczykow 1, 76-200, Slupsk
Szpital Wojewodzki Im. Sw. Lukasza Samodzielny Publiczny Zaklad Opieki Zdrowotnej W Tarnowie
Oddział urologii, Ul. Lwowska 178a, 33-100, Tarnow
Uniwersytecki Szpital Kliniczny Im Jana Mikulicza Radeckiego We Wroclawiu
Klinika Urologii i Onkologii Urologicznej, Ul. Borowska 213, 50-556, Wroclaw
Medicover Integrated Clinical Services Sp. z o.o.
MICS Centrum Medyczne Toruń, Ul. Stefana Batorego 18/22, 87-100, Torun
Wojewodzki Szpital Im. Sw.Ojca Pio W Przemyslu
Oddział onkologiczny z Pododdziałem dziennej chemioterapii, Ul. Monte Cassino 18, 37-700, Peremyshl

Portugal

3 sites · Ongoing, recruitment ended
Instituto Portugues De Oncologia Do Porto Francisco Gentil E.P.E.
Serviço de Urologia, Rua Dr. Antonio Bernardino De Almeida, 4200-072, Porto
Centro Hospitalar Universitario De Lisboa Norte E.P.E.
Serviço de Oncologia Médica, Avenida Professor Egas Moniz, 1649-035, Lisbon
CCAB Centro Clinico Academico Braga Associacao
Serviço de Urologia, Lugar De Sete Fontes S Victor, 4710-243, Braga

Spain

8 sites · Ongoing, recruitment ended
Hospital Universitario Lucus Augusti
Department of Urology, Calle Ulises Romero 1, 27003, Lugo
Hospital Universitario Y Politecnico La Fe
Medical Oncology, Avenida De Fernando Abril Martorell 106, 46026, Valencia
Hospital Universitario Ramon Y Cajal
Department of Urology, Carretera Del Colmenar Viejo Km 9 100, Por El Pardo, Madrid
MD Anderson Cancer Center
Medical Oncology, Calle De Arturo Soria Nº 270, 28033, Madrid
Fundacio Puigvert
Department of Urology, Cartagena 340-350, 8025, Barcelona
Hospital Universitario La Paz
Department of Urology, Paseo Castellana 261, 28046, Madrid
Hospital General Universitario Gregorio Maranon
Oncología Médica, Calle Del Doctor Esquerdo 46, 28009, Madrid
Hospital Universitario Quironsalud Madrid
Medical Oncology, Calle De Diego De Velazquez 1, 28223, Pozuelo De Alarcon

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Austria 2018-12-13 2019-02-14 2024-10-31
Belgium 2018-12-19 2019-02-18 2024-10-31
Finland 2018-12-19 2020-11-04 2023-05-15
France 2021-09-10 2021-10-13 2024-10-31
Germany 2019-04-02 2019-04-10 2024-10-31
Greece 2019-05-03 2019-07-09 2024-10-31
Hungary 2021-08-24 2021-10-05 2024-10-31
Italy 2019-04-08 2019-06-19 2024-10-31
Netherlands 2019-05-08 2019-08-13 2024-10-31
Norway 2019-01-03 2021-07-15 2023-11-01
Poland 2019-02-06 2019-04-23 2024-10-31
Portugal 2019-01-24 2019-09-05 2024-10-31
Spain 2018-11-27 2019-03-06 2024-10-31

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 163 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) D1_Protocol signature page_for publication 06
Protocol (for publication) D1_Protocol_2022-501817-29_GRC_EL_SM06_for pub 07R
Protocol (for publication) D1_Protocol_2022-501817-29_SM06_for pub 07R
Protocol (for publication) D4_Copyright statement_AUT_EN_SM07_for pub- 04DEC2024
Protocol (for publication) D4_Copyright statement_DEU_EN_SM07_for pub- 04DEC2024
Protocol (for publication) D4_Copyright statement_EN_SM07_for pub 04DEC2024
Protocol (for publication) D4_Copyright statement_ESP_EN_SM07_for pub 04DEC2024
Protocol (for publication) D4_Copyright statement_FRA_EN_SM07_for pub__ 04DEC2024
Protocol (for publication) D4_Copyright statement_GRC_EN_SM07_for pub-- 04DEC2024
Protocol (for publication) D4_Copyright statement_HUN_EN_SM07_for pub_ 04DEC2024
Protocol (for publication) D4_Copyright statement_ITA_EN_SM07__for pub 04DEC2024
Recruitment arrangements (for publication) CTIS Placeholder document 3475-676 21FEB2023
Recruitment arrangements (for publication) K1_Recruitment Arrangements and IC Proced_ESP_ES_SM06_for pub 24OCT2024
Recruitment arrangements (for publication) K1_Recruitment Arrangements and IC Procedure_AUT_for pub 27APR2023
Recruitment arrangements (for publication) K1_Recruitment Arrangements and IC Procedure_BEL_EN_all_for pub 1-0
Recruitment arrangements (for publication) K1_Recruitment Arrangements and IC Procedure_DEU_EN_SM06_for pub 2.0
Recruitment arrangements (for publication) K1_Recruitment Arrangements and IC Procedure_FIN_Finnish_for pub 11SEP2018
Recruitment arrangements (for publication) K1_Recruitment Arrangements and IC Procedure_FRA_FR_for pub 1.0
Recruitment arrangements (for publication) K1_Recruitment Arrangements and IC Procedure_GRC_EN_for pub 1.0
Recruitment arrangements (for publication) K1_Recruitment Arrangements and IC Procedure_HUN_EN_for pub v1.0
Recruitment arrangements (for publication) K1_Recruitment Arrangements and IC Procedure_NLD_EN_for pub v1.0
Recruitment arrangements (for publication) K1_Recruitment Arrangements and ICF Procedure_NOR_EN_for pub 1.0
Recruitment arrangements (for publication) K1_Recruitment Arrangements and Informed Consent Procedure_POL_Polish_for pub 23OCT2018
Recruitment arrangements (for publication) K1_Recruitment Arrangements_BEL_FR_for pub 11SEP2018
Recruitment arrangements (for publication) K1_Recruitment Arrangements_BEL_NL_for pub 11SEP2018
Recruitment arrangements (for publication) K1_Recruitment Arrangements_ESP_ES_for pub 10AUG2018
Recruitment arrangements (for publication) K1_Recruitment Arrangements_FRA_FR_for pub 03MAR2021
Recruitment arrangements (for publication) K1_Recruitment Arrangements_GRC_EL_for pub 08Nov2022
Recruitment arrangements (for publication) K1_Recruitment Arrangements_PRT_Portuguese_for pub 18SEP2018
Recruitment arrangements (for publication) K2_Recruitment Doc Brochure_GRC_EL_for pub 03
Recruitment arrangements (for publication) K2_Recruitment Doc Leave Behind Flyer_ESP_ES_for pub 25Nov2019
Recruitment arrangements (for publication) K2_Recruitment Doc Master Tissue Brochure_AUT_German_for pub 1.0
Recruitment arrangements (for publication) K2_Recruitment Doc Master Tissue Brochure_BEL_EN_for pub 1
Recruitment arrangements (for publication) K2_Recruitment Doc Master Tissue Brochure_BEL_FR_for pub 1
Recruitment arrangements (for publication) K2_Recruitment Doc Master Tissue Brochure_BEL_NL_for pub 1
Recruitment arrangements (for publication) K2_Recruitment Doc Patient Brochure_AUT_German_for pub 1.0
Recruitment arrangements (for publication) K2_Recruitment Doc Patient Brochure_BCG_DEU_DE_for pub 2.00
Recruitment arrangements (for publication) K2_Recruitment Doc Patient Brochure_BEL_EN_for pub 1
Recruitment arrangements (for publication) K2_Recruitment Doc Patient Brochure_BEL_FR_for pub 1
Recruitment arrangements (for publication) K2_Recruitment Doc Patient Brochure_BEL_NL_for pub 1
Recruitment arrangements (for publication) K2_Recruitment Doc Patient Brochure_DEU_DE_for pub 30Oct2020
Recruitment arrangements (for publication) K2_Recruitment Doc Patient Brochure_ESP_ES_for pub 1.0
Recruitment arrangements (for publication) K2_Recruitment Doc Patient Brochure_FIN_Finnish_for pub 30OCT2020
Recruitment arrangements (for publication) K2_Recruitment Doc Patient Brochure_FIN_Swedish_for pub 30OCT2020
Recruitment arrangements (for publication) K2_Recruitment Doc Patient Brochure_HUN_HU_for pub 03
Recruitment arrangements (for publication) K2_Recruitment Doc Patient Brochure_NOR_NN_for pub 1.0
Recruitment arrangements (for publication) K2_Recruitment Doc Patient Brochure_PRT_Portuguese_for pub 1.0
Recruitment arrangements (for publication) K2_Recruitment Doc Patient Flyer_BCGInformation_PRT_Portuguese_for pub 2.0
Recruitment arrangements (for publication) K2_Recruitment Doc Patient Letter_ESP_ES_for pub 25Nov2019
Recruitment arrangements (for publication) K2_Recruitment Doc Poster_AUT_German_for pub 1.0
Recruitment arrangements (for publication) K2_Recruitment Doc Poster_BEL_EN_for pub 2
Recruitment arrangements (for publication) K2_Recruitment Doc Poster_BEL_FR_for pub 2
Recruitment arrangements (for publication) K2_Recruitment Doc Poster_BEL_NL_for pub 2
Recruitment arrangements (for publication) K2_Recruitment Doc Poster_GRC_EL_for pub 00
Recruitment arrangements (for publication) K2_Recruitment Doc Poster_PRT_Portuguese_for pub 2.0
Recruitment arrangements (for publication) K2_Recruitment Doc Social Media_NLD_NL_for pub 1
Recruitment arrangements (for publication) K2_Recruitment Doc Subject Recruitment_NLD_NL_SM06_for pub 3
Recruitment arrangements (for publication) K2_Recruitment DocPoster_DEU_DE_for pub 2.00
Recruitment arrangements (for publication) K2_Recruitment_Doc Patient Brochure_NOR_NN_for pub 2.0
Subject information and informed consent form (for publication) L1_ICF_FBR consent_adults_GRC_EL_for pub 03
Subject information and informed consent form (for publication) L1_ICF_FBR consent_AUT_German_for pub 02
Subject information and informed consent form (for publication) L1_ICF_FBR consent_BEL_EN_for pub 0.04
Subject information and informed consent form (for publication) L1_ICF_FBR consent_BEL_FR_for pub 0.04
Subject information and informed consent form (for publication) L1_ICF_FBR consent_BEL_NL_for pub 0.04
Subject information and informed consent form (for publication) L1_ICF_FBR consent_DEU_DE_for pub 03
Subject information and informed consent form (for publication) L1_ICF_FBR consent_ESP_ES_for pub 03
Subject information and informed consent form (for publication) L1_ICF_FBR consent_FRA_FR_for pub 03R
Subject information and informed consent form (for publication) L1_ICF_FBR consent_HUN_HU_for pub v02
Subject information and informed consent form (for publication) L1_ICF_FBR consent_ITA_DE_0355_for pub 03
Subject information and informed consent form (for publication) L1_ICF_FBR consent_ITA_IT_for pub v03
Subject information and informed consent form (for publication) L1_ICF_FBR consent_NLD_NL_for pub 03
Subject information and informed consent form (for publication) L1_ICF_FBR consent_NOR_Norwegian_for publication 18Oct2022
Subject information and informed consent form (for publication) L1_ICF_FBR consent_POL_PL_for pub 03
Subject information and informed consent form (for publication) L1_ICF_FBR consent_PRT_Portuguese_for pub 03
Subject information and informed consent form (for publication) L1_ICF_FBR data privacy_ITA_DE_0355_for pub 08MAY2023
Subject information and informed consent form (for publication) L1_ICF_FBR data privacy_ITA_IT_for pub 08MAY2023
Subject information and informed consent form (for publication) L1_ICF_Genetic consent_BCG Naive_HUN_HU_SM06_for pub 02
Subject information and informed consent form (for publication) L1_ICF_Genetic consent_BCG Post-induction_HUN_HU_SM06_for pub v02
Subject information and informed consent form (for publication) L1_ICF_Genetic consent_PRT_Portuguese_for pub 01
Subject information and informed consent form (for publication) L1_ICF_Main consent BCG Naive_0701_PRT_PT_SM16_for pub AM02v2-03
Subject information and informed consent form (for publication) L1_ICF_Main consent BCG Naive_0702_PRT_PT_SM16_for pub AM02v2-03
Subject information and informed consent form (for publication) L1_ICF_Main consent BCG Naive_ESP_ES_SM07_for pub AM02v2.02R
Subject information and informed consent form (for publication) L1_ICF_Main consent BCG Naive_GRC_EL_SM07_for pub AM02v2.02
Subject information and informed consent form (for publication) L1_ICF_Main consent BCG Naive_HUN_HU_SM16_for pub AM02v2-01R
Subject information and informed consent form (for publication) L1_ICF_Main consent BCG Naive_ITA_IT_SM16-RFI003_for pub AM02v2-03
Subject information and informed consent form (for publication) L1_ICF_Main consent BCG Naive_POL_PL_SM16_for pub AM02v2-03R
Subject information and informed consent form (for publication) L1_ICF_Main consent BCG Naive_PRT_PT_SM16_for pub AM02v2-03
Subject information and informed consent form (for publication) L1_ICF_Main consent BCG Post-induction_0701_PRT_PT_SM16_for pub AM04v4-03
Subject information and informed consent form (for publication) L1_ICF_Main consent BCG Post-induction_0702_PRT_PT_SM16_for pub AM04v4-03
Subject information and informed consent form (for publication) L1_ICF_Main consent BCG Post-induction_DEU_DE_SM16_for pub AM04v4-03R
Subject information and informed consent form (for publication) L1_ICF_Main consent BCG Post-induction_ESP_ES_SM07_for pub AM04v4.02R
Subject information and informed consent form (for publication) L1_ICF_Main consent BCG Post-induction_GRC_EL_SM16_for pub AM04v4-03
Subject information and informed consent form (for publication) L1_ICF_Main consent BCG Post-induction_HUN_HU_SM16_for pub AM04v2-01R
Subject information and informed consent form (for publication) L1_ICF_Main consent BCG Post-induction_ITA_IT_SM16-RFI003_for pub AM04v4-03
Subject information and informed consent form (for publication) L1_ICF_Main consent BCG Post-induction_POL_PL_SM16_for pub AM04v4-03R
Subject information and informed consent form (for publication) L1_ICF_Main consent BCG Post-induction_PRT_PT_SM16_for pub AM04v4-03
Subject information and informed consent form (for publication) L1_ICF_Main consent_BCG Naive_BEL_EN_SM07_for pub AM02v2.02R
Subject information and informed consent form (for publication) L1_ICF_Main consent_BCG Naive_BEL_FR_SM07_for pub AM02v2.02R
Subject information and informed consent form (for publication) L1_ICF_Main consent_BCG Naive_BEL_NL_SM07_for pub AM02v2.02R
Subject information and informed consent form (for publication) L1_ICF_Main consent_BCG Naive_DEU_DE_SM06_for pub AM02v2.01R
Subject information and informed consent form (for publication) L1_ICF_Main consent_BCG Naive_FIN_FI_SM06_for pub AM02v2.01
Subject information and informed consent form (for publication) L1_ICF_Main consent_BCG Naive_ITA_DE_0355_for pub AM01v1.02
Subject information and informed consent form (for publication) L1_ICF_Main consent_BCG Naive_NLD_NL_SM07_for pub AM02v2.02R
Subject information and informed consent form (for publication) L1_ICF_Main consent_BCG Naive_NOR_NN_SM06_for pub AM02v2.01
Subject information and informed consent form (for publication) L1_ICF_Main consent_BCG Post induction_NLD_NL_SM07_for pub AM04v4.02R
Subject information and informed consent form (for publication) L1_ICF_Main consent_BCG Post-ind_BEL_FR_SM07_for pub AM04v4.02R
Subject information and informed consent form (for publication) L1_ICF_Main consent_BCG Post-induction_BEL_EN_SM07_for pub AM04v4.02R
Subject information and informed consent form (for publication) L1_ICF_Main consent_BCG Post-induction_BEL_NL_SM07_for pub AM04v4.02R
Subject information and informed consent form (for publication) L1_ICF_Main consent_BCG Post-induction_FIN_FI_for pub AM03v3.02
Subject information and informed consent form (for publication) L1_ICF_Main consent_BCG Post-Induction_ITA_DE_0355_for pub AM03v3.02
Subject information and informed consent form (for publication) L1_ICF_Main consent_BCG Treated_NOR_NN_for pub AM03 v3.02
Subject information and informed consent form (for publication) L1_ICF_Main consent_Cohort A_AUT_DE_SM06_for pub 4.01R
Subject information and informed consent form (for publication) L1_ICF_Main consent_Cohort A_FRA_FR_SM16-RFI002_for pub AM02v2-03R
Subject information and informed consent form (for publication) L1_ICF_Main consent_Cohort B_AUT_DE_SM06_for pub 2.01R
Subject information and informed consent form (for publication) L1_ICF_Main consent_Cohort B_FRA_FR_SM07-RFI005_for pub AM02V2-02R
Subject information and informed consent form (for publication) L1_ICF_Main data privacy_ITA_DE_0355_for pub 08MAY2023
Subject information and informed consent form (for publication) L1_ICF_Main data privacy_ITA_IT_SM06_for pub 24OCT2024
Subject information and informed consent form (for publication) L1_ICF_Optional_add crossborder_DEU_DE_for pub 00
Subject information and informed consent form (for publication) L1_ICF_Optional_addendum_Rechallenge_DEU_DE_0259_for pub 00
Subject information and informed consent form (for publication) L1_ICF_Optional_DILI sample_ITA_DE_0355_for pub 08MAY2023
Subject information and informed consent form (for publication) L1_ICF_Optional_DILI sample_ITA_IT_SM06_for pub 23OCT2024
Subject information and informed consent form (for publication) L1_ICF_Optional_Greenphire adults_naive_BEL_EN_SM07-RFI004_for pub 0-00
Subject information and informed consent form (for publication) L1_ICF_Optional_Greenphire adults_naive_BEL_FR_SM07-RFI004_for pub 0-00
Subject information and informed consent form (for publication) L1_ICF_Optional_Greenphire adults_naive_BEL_NL_SM07-RFI004_for pub 0-00
Subject information and informed consent form (for publication) L1_ICF_Optional_Greenphire adults_post-induction_BEL_EN_SM07-RFI004_for pub 0-00
Subject information and informed consent form (for publication) L1_ICF_Optional_Greenphire adults_post-induction_BEL_FR_SM07-RFI004_for pub 0-00
Subject information and informed consent form (for publication) L1_ICF_Optional_Greenphire adults_post-induction_BEL_NL_SM07-RFI004_for pub 0-00
Subject information and informed consent form (for publication) L1_ICF_Optional_pregnancy follow-up_PRT_Portuguese_for pub 01
Subject information and informed consent form (for publication) L1_ICF_Optional_withdrawal_PRT_Portuguese_for_pub 01
Subject information and informed consent form (for publication) L1_Patient contacts per site_0052_AUT_DE_for pub 16JAN2024R
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC RSI_V914 INTRAVESICAL-BLADDER CANCER Merck_NSM03_for pub 20MAR2025
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC RSI_V914 INTRAVESICAL-BLADDER CANCER Merck_SM12_for pub 21MAY2024
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_OncoTICE_SM06_for pub 08FEB2022
Summary of Product Characteristics (SmPC) (for publication) G2_SmPC quality_OncoTICE_MSD Australia Pty Ltd_for publication 23NOV2016
Synopsis of the protocol (for publication) D1_PPLS_2022-501817-29 _HUN_HU_SM06_for pub 2.0
Synopsis of the protocol (for publication) D1_PPLS_2022-501817-29_BEL_DE_SM06_for pub 2.0
Synopsis of the protocol (for publication) D1_PPLS_2022-501817-29_BEL_EN_SM06_for pub 2.0
Synopsis of the protocol (for publication) D1_PPLS_2022-501817-29_BEL_FR_SM06_for pub 2.0
Synopsis of the protocol (for publication) D1_PPLS_2022-501817-29_BEL_NL_SM06_for pub 2.0
Synopsis of the protocol (for publication) D1_PPLS_2022-501817-29_ESP_ES_SM06_for pub 2.0_PA07
Synopsis of the protocol (for publication) D1_PPLS_2022-501817-29_FRA_FR_SM06_for pub 21OCT2024
Synopsis of the protocol (for publication) D1_PPLS_2022-501817-29_GRC_EL_SM06_for pub 2.0
Synopsis of the protocol (for publication) D1_PPLS_2022-501817-29_ITA_IT_SM06_for pub 2.0
Synopsis of the protocol (for publication) D1_PPLS_2022-501817-29_NOR_NN_SM06_for pub 2
Synopsis of the protocol (for publication) D1_PPLS_2022-501817-29_POL_PL_SM06_for pub 2.0
Synopsis of the protocol (for publication) D1_PPLS_2022-501817-29_SM06_for pub 2.0
Synopsis of the protocol (for publication) D1_PPLS_2022-50187-29_NLD_NL_SM06_for pub 2.0
Synopsis of the protocol (for publication) D1_PPLS_AUT_DE_for pub 1.0
Synopsis of the protocol (for publication) D1_PPLS_DEU_DE_2022-501817-29_for pub 1.0
Synopsis of the protocol (for publication) D1_Protocol Scientific Synopsis_2022-501817-29_AUT_DE_SM06_for pub AM07R
Synopsis of the protocol (for publication) D1_Protocol Scientific Synopsis_2022-501817-29_PRT_PT_SM06_for pub 22OCT2024R
Synopsis of the protocol (for publication) D1_Protocol Scientific Synopsis_AUT_English_for publication 00
Synopsis of the protocol (for publication) D1_Protocol Scientific Synopsis_BEL_DE_for pub 06
Synopsis of the protocol (for publication) D1_Protocol Scientific Synopsis_BEL_EN_for pub 06
Synopsis of the protocol (for publication) D1_Protocol Scientific Synopsis_BEL_FR_for pub 06
Synopsis of the protocol (for publication) D1_Protocol Scientific Synopsis_BEL_NL_for pub 06
Synopsis of the protocol (for publication) D1_Protocol Scientific Synopsis_DEU_DE_for pub 00
Synopsis of the protocol (for publication) D1_Protocol Scientific Synopsis_ESP_ES_for pub 06
Synopsis of the protocol (for publication) D1_Protocol Scientific Synopsis_FRA_FR_for pub 2.1
Synopsis of the protocol (for publication) D1_Protocol Scientific Synopsis_GRC_EL_for pub 06
Synopsis of the protocol (for publication) D1_Protocol Scientific Synopsis_HUN_Hungarian_for pub 03
Synopsis of the protocol (for publication) D1_Protocol Scientific Synopsis_ITA_IT_for pub 06
Synopsis of the protocol (for publication) D1_Protocol Scientific Synopsis_POL_2022-501817-29-00_Polish_for publication 09AUG2018

Application history

14 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2023-02-23 Finland Acceptable
2023-04-27
2023-04-27
2 SUBSTANTIAL MODIFICATION SM-1 2023-05-24 Finland Acceptable
2023-08-09
2023-08-09
3 SUBSTANTIAL MODIFICATION SM-2 2023-12-18 Finland Acceptable
2024-03-04
2024-03-04
4 SUBSTANTIAL MODIFICATION SM-5 2024-04-15 Acceptable 2024-06-17
5 SUBSTANTIAL MODIFICATION SM-4 2024-04-25 Acceptable 2024-05-08
6 NON SUBSTANTIAL MODIFICATION NSM-1 2024-06-24 Finland Acceptable 2024-06-24
7 SUBSTANTIAL MODIFICATION SM-6 2024-10-29 Finland Acceptable
2025-01-09
2025-01-09
8 SUBSTANTIAL MODIFICATION SM-7 2025-03-04 Finland Acceptable
2025-04-29
2025-04-29
9 SUBSTANTIAL MODIFICATION SM-12 2025-06-19 Finland Acceptable
2025-08-19
2025-08-19
10 SUBSTANTIAL MODIFICATION SM-13 2025-09-11 Acceptable 2025-10-02
11 SUBSTANTIAL MODIFICATION SM-14 2025-09-25 Acceptable 2025-10-13
12 NON SUBSTANTIAL MODIFICATION NSM-2 2025-10-15 Finland Acceptable 2025-10-15
13 NON SUBSTANTIAL MODIFICATION NSM-3 2025-10-29 Finland Acceptable 2025-10-29
14 SUBSTANTIAL MODIFICATION SM-16 2025-12-05 Finland Acceptable
2026-01-28
2026-01-28