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Apaziquone

Phase 3

Bladder Cancer | Small molecule | Oncology |Assertio Holdings, Inc.|Last Updated: Mar 30, 2021

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDBiomarker
Total Trials2
Total Enrollment1,614

FDA Designations

No designations recorded

Clinical trial landscape

Apaziquone · 3 trials · 2 indications

Phase 3 2Phase 2 1
NCT00598806Single Dose Intravesical Apaziquone Postoperative in Patients Undergoing TURBT for Noninvasive Bladder Cancer (SPI-612)Bladder Cancer
COMPLETED812 Analytics
NCT00461591Single Dose Intravesical Apaziquone Postoperative in Patients Undergoing TURBT for Noninvasive Bladder Cancer (SPI-611)Bladder Cancer
COMPLETED802 Analytics
PHASE3COMPLETED
Single Dose Intravesical Apaziquone Postoperative in Patients Undergoing TURBT for Noninvasive Bladder Cancer (SPI-612)
Bladder CancerUnlock trial analytics
PHASE3COMPLETED
Single Dose Intravesical Apaziquone Postoperative in Patients Undergoing TURBT for Noninvasive Bladder Cancer (SPI-611)
Bladder CancerUnlock trial analytics

Study Endpoints

Primary Endpoints

Recurrence Rate at 2 Years
2 years

The percentage of participants with histologically confirmed recurrence of the bladder tumor at any time after randomization and on or before year 2.

Time to progression / Duration of remission following transurethral resection of superficial bladder cancer
18 months

Secondary Endpoints

Time to Recurrence
2 years
Progression Rate at 2 Years
2 years
Time to Progression
2 years
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
ApaziquoneEXPERIMENTALTURBT + a single intravesical dose of Apaziquone 4mg in 40ml instilled into the bladder post-TURBT
PlaceboPLACEBO_COMPARATORTURBT + a single intravesical dose of placebo instilled into the bladder post-TURBT

Interventions

NameTypeDescription
ApaziquoneDRUGA single intravesical dose of Apaziquone 4mg in 40ml instilled into the bladder post-TURBT
PlaceboDRUGA single intravesical dose of placebo instilled into the bladder post-TURBT
TURBTPROCEDURETransUrethral Resection of the Bladder Tumor
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites77

Inclusion Criteria: All of the following questions must be answered "Yes" in order for the patient to participate in the study. 1. Has the patient given written informed consent? 2. Is the patient at least 18 years old? 3. Does the patient have transitional cell carcinoma of the bladder with clini...

Countries:United StatesCanadaPolandNetherlands
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Frequently asked questions about Apaziquone

What is Apaziquone used for?

Apaziquone is an investigational small molecule being studied for the treatment of bladder cancer, specifically bladder neoplasms. It is administered intravesically, meaning directly into the bladder, and has been evaluated in clinical trials for noninvasive bladder cancer in patients undergoing transurethral resection of bladder tumor (TURBT).

Who makes Apaziquone?

Apaziquone is being developed by Assertio Holdings, Inc., a company traded on NASDAQ under the ticker symbol ASRT. The company has sponsored clinical trials of the drug for bladder cancer indications.

What phase is Apaziquone in?

Apaziquone has completed Phase 3 clinical trials for bladder cancer. It is an investigational drug and has not been approved by the FDA. Two Phase 3 trials, SPI-611 and SPI-612, have been completed, along with an earlier Phase 2 trial.

What clinical trials is Apaziquone in?

Apaziquone has been studied in three completed clinical trials: NCT00141531, a Phase 2 trial in high-risk superficial bladder cancer in the Netherlands; NCT00461591 (SPI-611), a Phase 3 trial in the United States; and NCT00598806 (SPI-612), a Phase 3 trial in the United States, Canada, and Poland. All trials involved patients with bladder cancer.

How does Apaziquone work?

Apaziquone is a small molecule that acts as a bioreductive agent. It is activated within cells to form a cytotoxic compound that damages DNA, leading to cell death. This mechanism is particularly relevant in bladder cancer, where the drug is delivered directly into the bladder to target tumor cells.