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Bladder cancer virus therapy shows promise in Mid-Stage trial
NCT ID NCT06567743
First seen Jun 26, 2026 · Last updated Sep 04, 2026 · Updated 3 times
Summary
This Phase 2 trial tests a drug called cretostimogene grenadenorepvec in 325 people with high-risk non-muscle-invasive bladder cancer. The drug is a virus that is put directly into the bladder to attack cancer cells. The study looks at how well it works and how safe it is, including when used alone or with another drug called gemcitabine.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Cretostimogene grenadenorepvec (a virus-based therapy given directly into the bladder)
- What this could lead to
- If successful, this could offer a new treatment option for high-risk bladder cancer that avoids or delays bladder removal surgery.
- What could go wrong
- This is a Phase 2 trial, so it's still early. The therapy may not work for everyone, and side effects from the virus or combination with other drugs are possible.
Why investors are watching
CG Oncology is testing cretostimogene grenadenorepvec, an experimental therapy for high-risk non-muscle-invasive bladder cancer, in a Phase 2 study with 325 participants. For a small company, this readout is a major test of whether its lead drug works and is safe enough to advance, which could shape the company's future value.
If it works: If the trial shows the drug controls the disease with an acceptable safety profile, CG Oncology could move closer to seeking regulatory approval and building a commercial product. A positive result may also attract larger partners or funding to support further development.
If it fails: The trial could fail to show enough benefit or reveal safety problems, which would likely stall the drug's progress and hurt the company's prospects. Many Phase 2 trials do not succeed, so a negative outcome is a real possibility.
AI-written from the trial record. Speculative, and not investment advice.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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About 325 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Sep 2024
- Expected to finish
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Dec 2027
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Cohort A Key Inclusion Criteria: * Pathologically confirmed BCG-naïve high-risk high-grade NMIBC (i.e., CIS with or without Ta/T1 disease or high-grade Ta/T1 papillary-only disease without CIS) within 90 days of treatment allocation. * All visible disease must be resected, and all CIS resected or fulgurated, as feasible within 90 days prior to treatment allocation. * Acceptable baseline organ function. Cohort B Key Inclusion Criteria: * Pathologically confirmed BCG-exposed high-risk high-grade NMIBC (i.e., CIS with or without Ta/T1 disease or high-grade Ta/T1 papillary-only disease without CIS) within 90 days of treatment allocation. * All visible disease must be resected, and all CIS resected or fulgurated, as feasible within 90 days prior to treatment allocation. * Acceptable baseline organ function. Cohort CX Inclusion Criteria * Pathologically confirmed high-risk high-grade BCG-unresponsive or BCG-exposed NMIBC (i.e., CIS with or without Ta/T1 disease or high-grade Ta/T1 papillary-only disease without CIS) within 90 days of treatment allocation. * All visible disease must be resected, and all CIS resected or fulgurated, as feasible within 90 days prior to treatment allocation. * Acceptable baseline organ function. Key Exclusion Criteria (Both Cohorts): * Current or past history of muscle-invasive, locally advanced or metastatic bladder cancer. * High-grade urothelial carcinoma in the upper urinary tract or prostatic urethra within 24 months or T2 in upper tract within 48 months or any history of locally advanced/ nodal or metastatic disease in the upper urinary tract. * Significant immunodeficiency. * Pregnant or breastfeeding. * Cohort CX Only: serial intravesical gemcitabine within 24 months
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Get notified about this study
Sign up to get updates when this study changes or when new studies for High-risk non-muscle-invasive bladder cancer are added.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
76 sites in 2 countries. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Accellacare
RECRUITINGLisle, Illinois, 60532, United States
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Adult and Adolescent Urology
RECRUITINGOmaha, Nebraska, 68114, United States
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Advanced Urology
WITHDRAWNLos Angeles, California, 90045, United States
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Advanced Urology Institute
RECRUITINGOxford, Florida, 34484, United States
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Advanced Urology Institute (Solaris)
RECRUITINGLargo, Florida, 33771, United States
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Advanced Urology Institute - Tallahassee (Solaris)
WITHDRAWNTallahassee, Florida, 32308, United States
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Amarillo Urology Research
COMPLETEDAmarillo, Texas, 79106, United States
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Anne Arundel Urology
RECRUITINGAnnapolis, Maryland, 21401, United States
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Arizona Urology Specialty
WITHDRAWNTucson, Arizona, 85704, United States
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Arkansas Urology
RECRUITINGLittle Rock, Arkansas, 72211, United States
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Associated Medical Professionals of NY, PLLC (US Urology Partners)
RECRUITINGSyracuse, New York, 13210, United States
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Associated Urological Specialists
RECRUITINGChicago Ridge, Illinois, 60415, United States
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Associated Urologist of North Carolina (Solaris)
RECRUITINGRaleigh, North Carolina, 27612, United States
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Atrium Health/Levine Center
RECRUITINGCharlotte, North Carolina, 28204, United States
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Banner MD Anderson Cancer Center
RECRUITINGGilbert, Arizona, 85234, United States
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Brigham and Women's Hospital
RECRUITINGBoston, Massachusetts, 02115, United States
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Carolina Urologic Research Center, LLC
RECRUITINGMyrtle Beach, South Carolina, 229572, United States
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Central Ohio Urology Group (US Urology Partners)
RECRUITINGGahanna, Ohio, 43230, United States
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Centre of Applied Urology Research Nova Scotia Health Authority
RECRUITINGHalifax, Nova Scotia, B3H 2Y9, Canada
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Charleston Area Medical Center
RECRUITINGCharleston, South Carolina, 25304, United States
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Chesapeake Urology Research Associates
RECRUITINGHanover, Maryland, 21076, United States
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City of Hope
RECRUITINGIrvine, California, 92518, United States
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Cleveland Clinic
RECRUITINGCleveland, Ohio, 44195, United States
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Colorado Urology
RECRUITINGLakewood, Colorado, 80228, United States
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Comprehensive Urology
RECRUITINGRoyal Oak, Michigan, 48073, United States
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Emory University
RECRUITINGAtlanta, Georgia, 30322, United States
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First Urology, PSC
RECRUITINGJeffersonville, Indiana, 47130, United States
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Genesis Research (Greater Los Angeles)
RECRUITINGLos Alamitos, California, 90720, United States
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Genesis Research (Greater Los Angeles)
RECRUITINGTorrance, California, 90503, United States
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Hackensack University Medical Center
RECRUITINGHackensack, New Jersey, 07601, United States
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Houston Methodist
RECRUITINGHouston, Texas, 77030, United States
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Integrated Medical Professionals, PLLC (Solaris)
RECRUITINGNew York, New York, 10016, United States
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Keystone Urology Specialists
RECRUITINGLancaster, Pennsylvania, 17604, United States
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Lowcountry Urology (Solaris)
RECRUITINGNorth Charleston, South Carolina, 29406, United States
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Mayo Clinic Arizona
RECRUITINGPhoenix, Arizona, 85054, United States
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Mayo Clinic Florida
RECRUITINGJacksonville, Florida, 32224, United States
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Mayo Clinic Rochester
RECRUITINGRochester, Minnesota, 55905, United States
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Michael G Oefelein, MD Clinical Trials
RECRUITINGBakersfield, California, 93301, United States
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Michigan Institute of Urology (Solaris)
RECRUITINGTroy, Michigan, 48084, United States
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Midlantic Urology (Solaris)
RECRUITINGBala-Cynwyd, Pennsylvania, 19004, United States
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Minnesota Urology
RECRUITINGWoodbury, Minnesota, 55123, United States
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Montefiore Medical Center
RECRUITINGThe Bronx, New York, 10461, United States
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Ochsner Medical Center
RECRUITINGNew Orleans, Louisiana, 70121, United States
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Ohio State University
RECRUITINGColumbus, Ohio, 43210, United States
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Om research
RECRUITINGSan Diego, California, 91223, United States
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Oregon Health & Science University
RECRUITINGPortland, Oregon, 97239, United States
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Oregon Urology Institute
RECRUITINGSpringfield, Oregon, 97447, United States
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Penn State University Milton S. Hershey Medical Center
RECRUITINGHershey, Pennsylvania, 17033, United States
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Portland VA
RECRUITINGPortland, Oregon, 97239, United States
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Potomac Urology
RECRUITINGAlexandria, Virginia, 22311, United States
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SUNY Upstate
RECRUITINGSyracuse, New York, 13202, United States
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Southern Urology (Urology America)
RECRUITINGLafayette, Louisiana, 70508, United States
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Specialty Clinical Research of St. Louis
RECRUITINGSt Louis, Missouri, 63141, United States
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Spokane Urology
RECRUITINGSpokane, Washington, 99202, United States
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The Conrad Pearson Clinic (Urology America)
RECRUITINGGermantown, Tennessee, 38138, United States
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The Urology Group (Solaris)
RECRUITINGCincinnati, Ohio, 45212, United States
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UC Davis
RECRUITINGSacramento, California, 95817, United States
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UPNT Research Institute, LLC
RECRUITINGArlington, Texas, 76017, United States
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UT Southwestern Medical Center
RECRUITINGDallas, Texas, 75390, United States
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University of Arkansas for Medical Sciences
RECRUITINGLittle Rock, Arkansas, 72205, United States
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University of California, Irvine
RECRUITINGOrange, California, 92868, United States
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University of Cincinnati Cancer Center
RECRUITINGCincinnati, Ohio, 45267, United States
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University of Florida
RECRUITINGGainesville, Florida, 32611, United States
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University of North Carolina
RECRUITINGChapel Hill, North Carolina, 27599, United States
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University of Pennsylvania
RECRUITINGPhiladelphia, Pennsylvania, 19104, United States
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University of Rochester
RECRUITINGRochester, New York, 14620, United States
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University of Southern California
RECRUITINGSan Diego, California, 92123, United States
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Urologic Specialists of Northwest Indiana (Solaris)
RECRUITINGMerrillville, Indiana, 46410, United States
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Urology Associates, Lone Tree
RECRUITINGLone Tree, Colorado, 80124, United States
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Urology Associates, PC
RECRUITINGNashville, Tennessee, 37209, United States
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Urology Austin, PLLC (Urology America)
RECRUITINGAustin, Texas, 78745, United States
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Urology Center of Iowa Research
RECRUITINGClive, Iowa, 50325, United States
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Urology Center of Southern California
RECRUITINGMurrieta, California, 92563, United States
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Urology Clinics of North Texas, PLLC
RECRUITINGDallas, Texas, 75231, United States
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Urology San Antonio, PA dba USA Clinical Trials
RECRUITINGSan Antonio, Texas, 78229, United States
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Urology of Indiana - Carmel
RECRUITINGCarmel, Indiana, 46032, United States
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Urology of Indiana, LLC (US Urology Partners)
RECRUITINGGreenwood, Indiana, 46143, United States
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Urology of Virginia
RECRUITINGVirginia Beach, Virginia, 23462, United States
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Uropartners
RECRUITINGGlenview, Illinois, 60026, United States
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Wichita Urology Group
RECRUITINGWichita, Kansas, 67226, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Could a simple blood or urine test spot bladder cancer earlier?
- Bladder cancer drug delivered directly: a new hope for BCG failures
- New bladder cancer drug enters first human tests
- New bladder gel could help patients avoid bladder removal surgery
- Urine test may spare bladder cancer patients from unnecessary second surgery
- New pill could fight bladder cancer when standard therapy fails