400 Participants Needed

ADSTILADRIN for Bladder Cancer

(ABLE-41 Trial)

Recruiting at 51 trial locations
GC
Overseen ByGlobal Clinical Compliance
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: Ferring Pharmaceuticals
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial aims to gather real-world data on the use of Adstiladrin, a treatment for patients in the U.S. and Israel. It focuses on understanding how Adstiladrin is used and its outcomes outside a controlled clinical setting. Patients who have been prescribed Adstiladrin by their doctor recently or have received their first dose after September 5, 2023, are eligible to participate. This trial is non-interventional, meaning it will not alter any treatment plans but will observe current practices and results. As a Phase 4 trial, Adstiladrin has already received FDA approval and proven effective, and this research helps determine how it benefits more patients.

Do I have to stop taking my current medications for the ADSTILADRIN trial?

The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with your doctor.

What is the safety track record for Adstiladrin?

Research has shown that Adstiladrin (nadofaragene firadenovec-vncg) is generally well-tolerated. In a previous study, only 11% of patients experienced serious side effects, and no deaths were linked to the treatment. Additionally, less than 4% of patients encountered severe side effects. Importantly, long-term safety data over five years revealed no new serious issues. This suggests that Adstiladrin is safe for most people, though some may still experience side effects.12345

Why are researchers enthusiastic about this study treatment?

ADSTILADRIN is unique because it uses a non-replicating adenovirus vector to deliver the interferon alfa-2b gene directly to the bladder's cells. This innovative approach is different from traditional treatments like Bacillus Calmette-Guérin (BCG) or chemotherapy, which generally involve systemic administration and can have significant side effects. Researchers are excited about ADSTILADRIN because it offers a targeted therapy with the potential for fewer side effects and a more direct action against bladder cancer cells, which could lead to improved outcomes for patients.

What evidence suggests that Adstiladrin is effective?

Research has shown that Adstiladrin, the treatment under study in this trial, is effective for high-risk bladder cancer unresponsive to BCG treatment. In one study, 51% of patients had no detectable cancer three months after receiving Adstiladrin. Of those patients, 46% continued to show no signs of cancer. Another study found an 80% overall survival rate and a 49% rate of avoiding bladder removal surgery after five years with Adstiladrin. Real-world data indicated a 95% rate of avoiding bladder removal and a 100% overall survival rate at an average follow-up of 8.2 months. These results suggest that Adstiladrin can effectively manage this type of bladder cancer.34678

Who Is on the Research Team?

GC

Global Clinical Compliance

Principal Investigator

Ferring Pharmaceuticals

Are You a Good Fit for This Trial?

Inclusion Criteria

You have been prescribed or received the first instillation of ADSTILADRIN by a physician on or after 5 September 2023 but before your site is activated.
You have provided a signed and dated Informed Consent Form.

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Data Collection

Data collected from patients and prescribing physicians in a real-world setting

Up to 2 years

Follow-up

Participants are monitored for safety and effectiveness after treatment

4 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • ADSTILADRIN

How Is the Trial Designed?

1

Treatment groups

Experimental Treatment

Group I: ADSTILADRINExperimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Ferring Pharmaceuticals

Lead Sponsor

Trials
323
Recruited
1,242,000+
Pierre-Yves Berclaz profile image

Pierre-Yves Berclaz

Ferring Pharmaceuticals

Chief Medical Officer since 2023

MD from the University of Lausanne, PhD in Molecular Biology from the Cincinnati College of Medicine

Jean-Frédéric Paulsen profile image

Jean-Frédéric Paulsen

Ferring Pharmaceuticals

Chief Executive Officer since 2023

Master’s degree in Finance from the London School of Economics and Political Science

Citations

First Real-World Outcomes Data for ADSTILADRIN® ...

The study is evaluating complete response rates, high-grade recurrence-free survival, cystectomy-free survival, overall survival, and adverse events.

Final Five-Year Analysis of Phase 3 Data ...

The study demonstrated an 80% overall survival rate and 49% cystectomy-free survival rate at Month 60 in adult patients with high-risk, Bacillus Calmette-Gué ...

Efficacy: REAL-WORLD evidence

Real-world results · At a median follow-up of 8.2 months, CFS and OS were 95% and 100%, respectively · 3 patients experienced progression: 1 from Ta to T1, 1 from ...

4.

pubmed.ncbi.nlm.nih.gov

pubmed.ncbi.nlm.nih.gov/39705065/

FDA Approval Summary: Nadofaragene Firadenovec-vncg ...

Fifty subjects experienced CR 3 months after the initial treatment (CR = 51%; 95% confidence interval, 40.7; 61.3%), of whom 46% remained in ...

5.

adstiladrinhcp.com

adstiladrinhcp.com/efficacy/

Efficacy & Clinical Trial Data

View efficacy data from clinical trials of ADSTILADRIN® for treating high-risk BCG-unresponsive non-muscle invasive bladder cancer. See Important Safety Info.

6.

adstiladrinhcp.com

adstiladrinhcp.com/safety/

Safety & Side Effects

Serious ARs occurred in 11% of patients who received ADSTILADRIN (nadofaragene firadenovec-vncg) · 0 deaths were reported due to treatment-emergent ARs ...

Package Insert - ADSTILADRIN

The safety of ADSTILADRIN was evaluated in Study CS-003, a multicenter, single-arm, open-label study in 157 U.S. patients [see Clinical Studies (14)] with ...

Nadofaragene Firadenovec-vncg (Adstiladrin)

The safety and efficacy of Adstiladrin was evaluated in an open-label, multicenter, single-arm trial that included 157 patients with high-risk BCG-unresponsive ...