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Recruiting Phase 1

A Study of RAG-01 in Patients With Non-muscle-invasive Bladder Cancer (NMIBC) Who Have Failed Bacillus Calmette Guérin (BCG) Therapy

NCT06351904 · tracked via the Priya Life Science Australia tracker
Phase
Phase 1
Started
2024-04-03
Last updated
2025-09-11

Condition(s) studied

Non-Muscle-Invasive Bladder Cancer (NMIBC)

Investigational drug(s) / intervention(s)

RAG-01 →

RAG-01: RAG-01 is a therapeutic small activating RNA (saRNA) duplex molecule comprised of two partially chemically modified complementary oligonucleotide strands.

Study summary

This is an open label, multi-center study to evaluate the safety, tolerability, pharmacokinetics, pharmacodynamics and preliminary efficacy of RAG-01 in patients with NMIBC who have failed BCG therapy.

Eligibility

Sex
ALL
Min age
18 Years
Max age
75 Years
Healthy volunteers
No
Inclusion Criteria: 1. Ability to understand the study and have signed the informed consent form; 2. Any adult ≥ 18 years old; 3. Pathologically confirmed high grade NMIBC defined as grade 2 or grade 3 disease; 4. Expected survival ≥ 6 months; 5. ECOG PS ≤2; 6. Sufficient organ functions, as defined below: Investigations Hematology Absolute Neutrophil Count (ANC): ≥ 1.5 x 109/L Hemoglobin: ≥ 90 g/L Platelet: ≥ 100 x 109/L Liver Function Serum bilirubin: ≤ 1.25×ULN or 2.5×ULN(with Gilbert syndrome) AST \& ALT: ≤ 2.5×ULN Renal Function Creatinine Clearance (Cockcroft-Gault equation): ≥ 30 mL/min 7. Subject must be able to tolerate catheterization; 8. Female subject of childbearing potential and her spouse must use adopt effective contraception (non-pharmacological contraception required) from signing informed consent to within 6 months after the last instillation; Exclusion Criteria: 1. Subject who is allergy to RAG-01 or similar products; 2. Except for TURBT, the subject received other anti-tumor treatments, and the last administration date is within ≤ 21 days or 5 half-lifes whichever is shorter from the date of signing ICF; 3. Subject with imaging examination diagnosed extravesical metastasis, including ureter and urethra; 4. Subject has other malignancies within the past 3 years, except for adequately treated carcinoma of the cervix, basal or squamous cell carcinomas of the skin, or adenocarcinoma of the prostate that has been surgically treated with a post-treatment PSA that is non-detectable; 5. The following illnesses have not been relieved to CTCAE 0-1: 1. Uncontrolled acute and chronic infections, such as pneumonia, biliary tract infection, hepatitis B virus infection and hepatitis C virus infection; 2. Dyspnea; 3. Acute and chronic kidney injury, and inflammation; 4. Urinary incontinence; 5. Urinary frequency; 6. Urinary tract obstruction (except benign prostatic hypertrophy); 6. Subject could not hold the urine for at least 90 mins due to any reason; 7. New York Heart Association (NYHA) 3 or 4 grade; 8. Coronary heart disease related symptoms have not been relieved to CTCAE 0-1, including: myocardial infarction, unstable angina pectoris, congestive heart failure and arrhythmia; 9. Subject with QTc \>470 msec. 10. Cerebrovascular accidents have not been relieved to CTCAE 0-1; 11. HIV positive; Active hepatitis B or C. For active HBV, it's defined as HBsAg positive with HBV DNA ≥ ULN, for active HCV, it's defined as HCV antibody positive with HCV RNA ≥ ULN, respectively. 12. Subject is pregnant or lactating during the treatment period; 13. History of central nervous system or psychiatric disorders, e.g., epilepsy or dementia; 14. Other severe systemic diseases which might compromise the subject's compliance to the study, e.g., uncontrolled diabetes, gastrointestinal disorders, and renal diseases; 15. Any other situations which are judged by the investigator, would exposure the subject to unnecessary risk, therefore he/she is not eligible.

Primary outcome measure(s)

  • Safety and tolerability of RAG-01 in patients with non-muscle-invasive bladder cancer (NMIBC) — From the screening to 6 months after the first instillation of RAG-01
    Adverse events (AEs), serious adverse events (SAEs), and adverse events during treatment (TEAEs)
  • Maximum tolerated dose (MTD) and/or recommended phase 2 dose (RP2D) of RAG-01 — Within 21 days after first instillation
    Dose-limiting toxicity (DLT)

Trial sites (3)

FacilityCityRegionStatus
GenesisCare North Shore St Leonards New South Wales Recruiting
The Royal Melbourne Hospital Melbourne Victoria Recruiting
Peninsula & South Eastern Haematology and Oncology Group Melbourne Victoria Recruiting
Official registry record

This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.

View NCT06351904 on ClinicalTrials.gov ↗ ← All trials in Australia