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TAR-200

Phase 3

Non-Muscle Invasive Bladder Neoplasms | Small molecule | Oncology |Johnson & Johnson|Last Updated: Jul 31, 2026

Success Probability

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Market & Valuation

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Trial Design

RandomizedACTIVE_CONTROLLEDDMC
Total Trials1
Total Enrollment272

FDA Designations

BREAKTHROUGH_THERAPYPRIORITY_REVIEW

Clinical trial landscape

TAR-200 · 5 trials · 3 indications

Phase 3 2Phase 2 2Phase 1 1
NCT06211764A Study of TAR-200 Versus Intravesical Chemotherapy in Participants With Recurrent High-Risk Non-Muscle-Invasive Bladder Cancer (HR-NMIBC) After Bacillus Calmette-Guérin (BCG)Non-Muscle Invasive Bladder Neoplasms
ACTIVE NOT_RECRUITING272 Analytics
NCT05714202A Study of TAR-200 in Combination With Cetrelimab or TAR-200 Alone Versus Intravesical Bacillus Calmette-Guérin (BCG) in Participants With BCG-naïve High-risk Non-muscle Invasive Bladder Cancer (HR-NMIBC)Bladder Cancer
ACTIVE NOT_RECRUITING1,135 Analytics
PHASE3ACTIVE NOT_RECRUITING
A Study of TAR-200 Versus Intravesical Chemotherapy in Participants With Recurrent High-Risk Non-Muscle-Invasive Bladder Cancer (HR-NMIBC) After Bacillus Calmette-Guérin (BCG)
Non-Muscle Invasive Bladder NeoplasmsUnlock trial analytics
PHASE3ACTIVE NOT_RECRUITING
A Study of TAR-200 in Combination With Cetrelimab or TAR-200 Alone Versus Intravesical Bacillus Calmette-Guérin (BCG) in Participants With BCG-naïve High-risk Non-muscle Invasive Bladder Cancer (HR-NMIBC)
Bladder CancerUnlock trial analytics

Study Endpoints

Primary Endpoints

Disease-free Survival (DFS)
Up to 6 years 7 months

DFS will be measured as the time from randomization to the time of the first recurrence of high-risk non-muscle-invasive bladder cancer (HR-NMIBC) \[high grade (HG) Ta, any T1 or carcinoma in situ (CIS)\], progression, or death due to any cause, whichever occurs first.

Event-free Survival (EFS)
Up to 5 years 2 months

EFS is defined as the time from randomization to either the time of the first recurrence of high-risk disease, progression, or death due to any cause, whichever occurs first. For participants with carcinoma In-situ (CIS), persistent disease at 6 months (Week 24) is also considered an EFS event. Progression is defined as: an increase of stage from Ta to T1 or from CIS to T1 or progression to muscle invasive bladder cancer (MIBC) (T greater than or equal to \[\>=\] 2) or to lymph node (N+) or to distant disease (M+), whichever occurs first.

Pathologic Complete Response (pCR) Rate
At Week 12

pCR was defined as percentage of participants who achieved complete pathologic response. Complete pathologic response is defined as ypT0N0 (no evidence of disease) as assessed by pathologic evaluation on radical cystectomy (RC) specimen. pCR was determined by central pathologic review.

Cohorts 1, 2, and 3: Overall Complete Response (CR) Rate
From date of first dose up to clinical cut-off date 3rd July 2025 (up to 50 months)

Overall CR rate was defined as the percentage of participants who met at least one of the following: negative cystoscopy and negative (including atypical) centrally read urine cytology, or positive cystoscopy with biopsy-proven benign or low-grade non-muscle invasive bladder cancer (NMIBC) and negative (including atypical) centrally read cytology at any time point.

Cohort 4: Disease-free Survival (DFS)
From date of first dose up to clinical cut-off date 3rd July 2025 (up to 50 months)

DFS was defined as the time from the date of first dose of study treatment to the time of one of the following events, whichever occurred first: (1) The first recurrence of high-risk disease (high-grade Ta, any T1 or CIS), (2) progression to muscle invasive bladder cancer (MIBC) (T greater than or equal to \[\>=\] 2) or to lymph node (N+) or to distant disease (M+), whichever occurred first, (3) Death due to any cause.

Number of Participants with Adverse Events as a Measure of Safety and Tolerability
Up to Day 84

An Adverse Event (AE) is any untoward medical occurrence in a participant participating in a clinical study that does not necessarily have a causal relationship with the intervention under study.

Secondary Endpoints

Recurrence-Free Survival (RFS)
Up to 6 years 7 months
Time to Next Intervention (TTNI)
Up to 6 years 7 months
Time to Disease Worsening (TTDW)
Up to 6 years 7 months
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Group A: TAR-200EXPERIMENTALParticipants will receive intravesical TAR-200 every 3 weeks during an induction phase and every 12 weeks during a maintenance phase.
Group B: Mitomycin C (MMC) or GemcitabineACTIVE_COMPARATORParticipants will receive either single agent intravesical MMC or gemcitabine every week during an induction phase and every 4 weeks during a maintenance phase.
Treatment Group A: TAR-200 + CetrelimabEXPERIMENTALParticipants will receive intravesical TAR-200 once every 3 weeks (Q3W) and cetrelimab.
Treatment Group B: Bacillus Calmette-Guerin (BCG) VesicultureACTIVE_COMPARATORParticipants will receive intravesical BCG once every week for 6 weeks (induction) and then followed by once every week for 3 weeks starting at Weeks 12, 24, 48, 72, and 96 (maintenance).
Treatment Group C: TAR-200 AloneEXPERIMENTALParticipants will receive intravesical TAR-200 alone once Q3W.
Cohort 1: TAR-200 + CetrelimabEXPERIMENTALParticipants will receive TAR-200 in combination with cetrelimab.
Cohort 2: CetrelimabEXPERIMENTALParticipants will receive cetrelimab.
Cohort 1: TAR-200 and CetrelimabEXPERIMENTALTAR-200 is placed into the bladder through a urinary placement catheter in participants with carcinoma in situ (CIS), with or without papillary disease, on Day 0 and will be dosed every 3 weeks (Q3W) for up to the first 24 weeks (6 months), then every 12 weeks through Week 99 (Year 2). In addition, Cetrelimab will be dosed Q3W through Week 78 (18 months).
Cohort 2: TAR-200EXPERIMENTALTAR-200 is placed into the bladder through a urinary placement catheter in participants with CIS, with or without papillary disease, on Day 0 and will be dosed Q3W for up to the first 24 weeks (6 months), then every 12 weeks through Week 99 (Year 2).
Cohort 3: CetrelimabEXPERIMENTALParticipants with CIS, with or without papillary disease, will receive Cetrelimab which will be dosed Q3W through Week 78 (18 months).
Cohort 4: TAR-200 (Participants with Papillary Disease only)EXPERIMENTALTAR-200 is placed into the bladder through a urinary placement catheter in participants with papillary disease only, on Day 0 and will be dosed Q3W for up to the first 24 weeks (6 months), then every 12 weeks through Week 99 (Year 2).
Participants Ineligible for Radical CystectomyEXPERIMENTALParticipants will receive the TAR-200 transuretherally on Day 0 in to the bladder through an Inserter and gradually releases gemcitabine during the 21-day indwelling period before being removed on Day 21 via flexible or rigid cystoscopy. Participants will undergo an 84-day induction period comprised of four consecutive 21-day dosing cycles. Participants may undergo 21 day cycle every 3 months for a maximum of 3 cycles as maintenance (Up to 14 months). Each TAR-200 system will be removed at 21 days after insertion.

Interventions

NameTypeDescription
TAR-200DRUGParticipants will receive TAR-200 intravesically.
Mitomycin CDRUGParticipants will receive MMC intravesically.
GemcitabineDRUGParticipants will receive gemcitabine intravesically.
CetrelimabBIOLOGICALCetrelimab will be administered.
BCG VesicultureBIOLOGICALBCG will be administered intravesically.
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites123

Inclusion Criteria: * Histologically confirmed diagnosis by local pathology (within 90 days of documented informed consent) of recurrent, papillary-only high-risk non-muscle-invasive bladder cancer (HR-NMIBC) \[defined as high-grade Ta or any T1, no carcinoma in situ (CIS)\] * Participants with var...

Countries:United StatesArgentinaBelgiumBrazilChinaFranceGermanyItalyJapanPolandRomaniaSouth KoreaSpainUnited KingdomAustraliaCanadaCzechiaIndiaMexicoNetherlandsPortugalTaiwanIsraelGreeceRussiaUkraine
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Recent Changes (Last 90 Days)

LOWJul 31, 2026NCT04640623lastUpdatePostDate: changed
LOWJul 31, 2026NCT04640623lastUpdatePostDate: changed
LOWJul 29, 2026NCT04640623lastUpdatePostDate: changed
LOWJul 29, 2026NCT04640623lastUpdatePostDate: changed
MEDIUMJul 24, 2026NCT04919512TRIAL_REMOVED: changed
MEDIUMJul 24, 2026NCT04919512TRIAL_REMOVED: changed
LOWJul 7, 2026NCT06211764lastUpdatePostDate: changed
LOWJul 7, 2026NCT06211764lastUpdatePostDate: changed
LOWJul 6, 2026NCT05714202lastUpdatePostDate: changed
LOWJul 6, 2026NCT05714202lastUpdatePostDate: changed
HIGHJun 23, 2026NCT04919512Status: ACTIVE_NOT_RECRUITING → COMPLETED
HIGHJun 23, 2026NCT04919512Status: ACTIVE_NOT_RECRUITING → COMPLETED
LOWJun 5, 2026NCT05714202lastUpdatePostDate: changed
LOWJun 5, 2026NCT06211764lastUpdatePostDate: changed
LOWJun 5, 2026NCT04640623lastUpdatePostDate: changed
LOWJun 5, 2026NCT05714202lastUpdatePostDate: changed
LOWJun 5, 2026NCT06211764lastUpdatePostDate: changed
LOWJun 5, 2026NCT04640623lastUpdatePostDate: changed
LOWJun 5, 2026NCT05714202lastUpdatePostDate: changed
LOWJun 5, 2026NCT06211764lastUpdatePostDate: changed

Frequently asked questions about TAR-200

What is TAR-200 used for?

TAR-200 is an investigational small molecule being developed for bladder cancer, specifically for non-muscle invasive bladder cancer (NMIBC) and muscle-invasive urothelial carcinoma of the bladder. It is being studied in patients who are unresponsive to Bacillus Calmette-Guérin (BCG) therapy or who are ineligible for or refuse cisplatin-based chemotherapy.

How does TAR-200 work?

TAR-200 is a small molecule drug designed for intravesical delivery, meaning it is administered directly into the bladder. It is being studied as a monotherapy and in combination with cetrelimab, an anti-PD-1 antibody, to treat bladder cancer. The specific molecular target of TAR-200 has not been disclosed.

Who makes TAR-200?

TAR-200 is being developed by Johnson & Johnson (NYSE: JNJ). The company is conducting clinical trials to evaluate the drug's safety and efficacy in patients with bladder cancer, including non-muscle invasive bladder cancer and muscle-invasive urothelial carcinoma.

What phase is TAR-200 in?

TAR-200 is currently in Phase 3 clinical development. It has received Breakthrough Therapy designation and Priority Review from the FDA. The drug is investigational and has not yet been approved for any indication.

What clinical trials is TAR-200 in?

TAR-200 is being studied in several clinical trials. NCT06211764 is a Phase 3 trial comparing TAR-200 to intravesical chemotherapy in patients with recurrent high-risk NMIBC after BCG. NCT04640623 is a Phase 2 trial evaluating TAR-200 with or without cetrelimab in NMIBC unresponsive to BCG. NCT04919512 is a Phase 2 trial of TAR-200 plus cetrelimab in muscle-invasive bladder cancer.

Is TAR-200 the same as cetrelimab?

No, TAR-200 is not the same as cetrelimab. TAR-200 is a small molecule drug being developed by Johnson & Johnson, while cetrelimab is an anti-PD-1 antibody. They are being studied both alone and in combination for the treatment of bladder cancer.