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NCT06181266CompletedPhase 1

A Phase 1/1b Study of ZH9 Treatment in Patients With Non-Muscle Invasive Bladder Cancer

A Phase 1/1b Study Evaluating the Safety, Pharmacology, and Clinical Effect of ZH9 Treatment in Patients With Non-Muscle Invasive Bladder Cancer

Source: ClinicalTrials.gov · Last updated 14 Oct 2026

Brief summary (registry, in English)

This is a first-in-human, multicenter, Phase 1/1b, 3-part, double-blind study of ZH9 in patients with recurrent NMIBC who are eligible for intravesical therapy. In Part 1, the safety, tolerability, and pharmacology of ZH9 IVI will be evaluated in a single ascending dose (SAD) patient cohort. In Part 2, the safety, tolerability, and pharmacology of ZH9 oral prime followed by ZH9 IVI will be evaluated in 2 patient cohorts at the doses and schedule established in Part 1. In Part 3, the safety, pharmacology, and clinical efficacy of ZH9 will be further evaluated in 2 expansion cohorts of patients with recurrent intermediate- and high-risk NMIBC.

Status (registry)
Completed
Phase (registry)
Phase 1
Study type
Interventional
Enrollment
22 (actual)
First submitted
12 Dec 2023
Start date
8 Jan 2024
Primary completion date
30 Aug 2025
Lead sponsor
Prokarium Ltd
NCT number
NCT06181266

What you commit to

  • Study type: Interventional · Phase 1
  • Participants enrolled: 22
  • From 8 Jan 2024 to the primary completion date, 30 Aug 2025
  • 4 sites in 1 country
  • Visits and tests: ask the trial team, the registry does not list them

Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.

Who cannot take part

Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.

Prior treatment

  • Received treatment with any local or systemic antineoplastic therapy within 3 weeks or 5× the plasma half-life prior to first dose of ZH9
  • Major surgery or radiation within the 3 weeks prior to Screening (TURBT is not considered major surgery)
  • Concurrent urinary tract infection or history of clinically significant polyuria

Other illness

  • Evidence of infection within 2 weeks of the first dose of ZH9
  • History of malignancy within the previous 12 months
  • History of allogeneic tissue/solid organ transplant

Other

  • Symptoms consistent with typhoid
  • Significant 12-lead electrocardiogram abnormalities

Who the study is looking for

  • Age ≥ 18 years
  • Histologically documented recurrence of NMIBC
  • BCG unresponsive (BCG naïve patients may be enrolled if they have received at least 1 line of adequate intravesical standard of care (SOC) treatment and are either not candidates for BCG or do not have access to BCG (e.g., BCG shortage))
  • Eastern Cooperative Oncology Group Performance Status 0-1
  • Adequate organ and marrow function
  • Highly effective contraception if risk of conception exists.
  • A female participant is eligible if not pregnant, not breastfeeding, not a woman of childbearing potential (WOCBP) or is a WOCBP that uses highly effective contraception.

Age in the registry: 18 years to 99 years · Sex: All · Does not accept healthy volunteers

Full criteria on ClinicalTrials.gov

Sites (4)

Sites in registry order. Pick your city on the disease page to sort them by distance.

SiteCityCountrySite status
Michael G Oefelein Clinical Trials
Coordinator of this site? Confirm its status
BakersfieldUnited StatesUnknown status
Duke Health - Duke Cancer Center
Coordinator of this site? Confirm its status
DurhamUnited StatesUnknown status
Carolina Urologic Research Center, LLC
Coordinator of this site? Confirm its status
Myrtle BeachUnited StatesUnknown status
Urology San Antonio Medical Center
Coordinator of this site? Confirm its status
San AntonioUnited StatesUnknown status

This page is information, not medical advice. Discuss any trial with your doctor.