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NCT Number: NCT07260162

Evaluation of ATO-101™ in Patients With Non-Muscle-Invasive Bladder Cancer (PERSEVERANCE EU)

Non-Muscle-Invasive Bladder cancer (NMIBC) tumours often recur despite TransUrethral Resection of Bladder (TURB) and Bacillus Calmette-Guerin (BCG) intravesical instillations, and have no effective conservative treatment options. Alpha emitters like Astatine-211 (211At), due to their short path and short half-life, show promise for superficial targets such as NMIBC.

Carbonic anhydrase IX (CAIX), overexpressed in 70-90% of NMIBC cases but absent in healthy tissues, is an ideal target.

A clinical feasibility Positron emission tomography-computed tomography (PET/CT) imaging study (Pertinence, NCT04897763) was conducted at Institut de cancérologie Ouest (ICO) in six patients using Girentuximab labelled with Zirconium-89 ([89Zr]Zr-girentuximab). It demonstrated successful tracer targeting and no radioactive leakage beyond the bladder following intravesical instillation. The study also confirmed the absence of toxicity, contamination, or significant additional staff radiation exposure.

ATO-101™ ([²¹¹At]At-girentuximab) could enable localised tumour destruction while preserving the bladder in patients with BCG-unresponsive NMIBC. The ongoing First In Human (FIH) study evaluate the safety of ATO-101™ in patients with BCG-unresponsive NMIBC.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

Institut de Cancérologie de l'Ouest

Saint-Herblain, Loire Atlantique, 44800, France

Location contact

Caroline ROUSSEAU, MD, PhD

CONTACT

[email protected]

+33 2 40 67 99 00

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Performance Status (PS): 0 or 1.
  • Patient experiencing relapse following standard treatment (BCG therapy with or without Mitomycin), before radical surgery which is being considered as a therapeutic option.
  • Clinical evidence of NMIBC based on cystoscopy and proven histologically of papillary tumours.
  • Histologically confirmed bladder cancer patients relapsing without muscle invasion.
  • Negative serum/urine pregnancy test prior to ATO-101™ administration for female patient of childbearing potential.
  • Consent to use a contraception method for at least 3 months after administration of ATO-101™.
  • Adequate organ function confirmed by laboratory tests results allowing for safe administration of ATO-101™.

Exclusion criteria

  • Patient with urinary incontinence.
  • Patient treated with anticoagulant or platelet antiaggregant therapies.
  • Symptoms of urine infection.
  • Patient with urethral stenosis.
  • Patient with valvular heart disease.
  • No history of congestive heart failure.
  • Known hypersensitivity to Girentuximab.
  • Exposure to any experimental diagnostic or therapeutic drug within 30 days prior the date of planned administration of ATO-101™.
  • Serious non-malignant disease that may interfere with the objectives of the study or with the safety or compliance of the patient as judged by the investigator.
  • Concomitant cancer in the past 5 years except cutaneous cancers (except melanoma) and in situ carcinoma in past 3 years.
  • Prior chemotherapy, radiotherapy (other than short cycle of palliative radiotherapy), immunotherapy within 21 days of ATO-101™ administration.
  • Pregnant or likely to be pregnant or nursing patient.

Treatment and study plan

ATO-101™

Drug

The study drug: [211At]At-Girentuximab (ATO-101™) is administered via intravesical instillation

Other names: [211At]At-Girentuximab

Primary outcomes

  1. To determine the Maximum Tolerated Dose (MTD) of ATO-101™.

    Time frame: 15 days

    The primary endpoint is the occurrence of dose-limiting toxicities (DLTs) during the DLT observation period.

  2. To determine the Recommended Dose for Expansion (RDE) of ATO-101™.

    Time frame: 15 days

    The primary endpoint is the occurrence of dose-limiting toxicities (DLTs) during the DLT observation period.

Study contacts

Contact information is provided by the study sponsor or research team.

Caroline ROUSSEAU, MD, PhD

CONTACT

[email protected]

+33 2 40 67 99 00

Nadia ALLAM, PhD

CONTACT

[email protected]

+33 2 40 67 99 00

Sponsors and collaborators

Lead sponsor

Institut Cancerologie de l'Ouest

Other

Registry information

Official study title

A First In Human Phase I Trial Evaluating Safety, Tolerability and Response of [211At]At-Girentuximab (ATO-101™) in Patients With Non-Muscle-Invasive Bladder Cancer Refractory to Standard Treatment

Acronym: PERSEVERANCE

Important dates

Study start
2027
Primary completion
2029
Study completion
2030
First posted
Dec 3, 2025
Registry last updated
Jun 8, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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