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RecruitingLast updated: 9 January 2026

RAG-01-01: This study is evaluating a drug called RAG-01 in people with non-muscle-invasive Bladder Cancer who have failed Bacillus Calmette Guérin (BCG) TherapyA Phase I, Open Label, Multi-center Study to Evaluate the Safety, Tolerability, Pharmacokinetics, Pharmacodynamics and Preliminary Efficacy of RAG-01 in Patients With Non-muscle-invasive Bladder Cancer (NMIBC) Who Have Failed Bacillus Calmette Guérin (BCG) Therapy

Trial purpose

Medical clipboardCancer treatment

Tumor type

Urinary System Cancers Genitourinary

Age

People18 - 75

Trial acronym

RAG-01-01

Clinical summary

Summary

Eligible participants will receive RAG-01, which is a therapeutic small activating RNA (saRNA).

The starting dose of RAG-01 is 30mg, and there are 4 dose cohorts, including 30mg, 100mg, 300mg and 600mg, respectively. Each eligible participant will be distributed into one dose cohort.

Conditions

This trial is treating people with non-muscle invasive bladder cancer

Eligibility

Inclusion

  1. Ability to understand the study and have signed the informed consent form;
  2. ≥ 18, ≤ 75 years old, male or female;
  3. Pathologically confirmed high grade NMIBC defined as grade 2 or grade 3 disease;
  4. Expected survival ≥ 6 months;
  5. ECOG PS ≤2;
  6. Sufficient organ functions, as defined below:

    Investigations Hematology Absolute Neutrophil Count (ANC): ≥ 1.5 x 109/L Hemoglobin: ≥ 90 g/L Platelet: ≥ 100 x 109/L Liver Function Serum bilirubin: ≤ 1.25×ULN or 2.5×ULN(with Gilbert syndrome) AST & ALT: ≤ 2.5×ULN Renal Function Creatinine Clearance (Cockcroft-Gault equation): ≥ 30 mL/min

  7. Subject must be able to tolerate catheterization;
  8. Female subject of childbearing potential and her spouse must use adopt effective contraception (non-pharmacological contraception required) from signing informed consent to within 6 months after the last instillation.

Exclusion

  1. Subject who is allergy to RAG-01 or similar products;
  2. Except for TURBT, the subject received other anti-tumor treatments, and the last administration date is within ≤ 21 days or 5 half-lifes whichever is shorter from the date of signing ICF;
  3. Subject with imaging examination diagnosed extravesical metastasis, including ureter and urethra;
  4. Subject has other malignancies within the past 3 years, except for adequately treated carcinoma of the cervix, basal or squamous cell carcinomas of the skin, or adenocarcinoma of the prostate that has been surgically treated with a post-treatment PSA that is non-detectable;
  5. The following illnesses have not been relieved to CTCAE 0-1:

    1. Uncontrolled acute and chronic infections, such as pneumonia, biliary tract infection, hepatitis B virus infection and hepatitis C virus infection;
    2. Dyspnea;
    3. Acute and chronic kidney injury, and inflammation;
    4. Urinary incontinence;
    5. Urinary frequency;
    6. Urinary tract obstruction (except benign prostatic hypertrophy);
  6. Subject could not hold the urine for at least 90 mins due to any reason;
  7. New York Heart Association (NYHA) 3 or 4 grade;
  8. Coronary heart disease related symptoms have not been relieved to CTCAE 0-1, including: myocardial infarction, unstable angina pectoris, congestive heart failure and arrhythmia;
  9. Subject with QTc >470 msec.
  10. Cerebrovascular accidents have not been relieved to CTCAE 0-1;
  11. HIV positive; Active hepatitis B or C. For active HBV, it's defined as HBsAg positive with HBV DNA ≥ ULN, for active HCV, it's defined as HCV antibody positive with HCV RNA ≥ ULN, respectively.
  12. Subject is pregnant or lactating during the treatment period;
  13. History of central nervous system or psychiatric disorders, e.g., epilepsy or dementia;
  14. Other severe systemic diseases which might compromise the subject's compliance to the study, e.g., uncontrolled diabetes, gastrointestinal disorders, and renal diseases;
  15. Any other situations which are judged by the investigator, would exposure the subject to unnecessary risk, therefore he/she is not eligible

Inclusion

  • Your cancer has not spread to other parts of the body (localised).

Exclusion

  • You have been diagnosed with a prior or secondary type of cancer.
  • You have certain types of non-cancer medical conditions.
Message

Clinical trials have complex eligibility criteria, and other criteria may apply for this trial. Ask your doctor about whether this trial could be right for you.

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More information

Trial Identifiers

Information on this page is partially produced from ClinicalTrials.gov *. View further details about this trial on the registry via the links below:

Trial sponsor

Ractigen Therapeutics.

Scientific Title

A Phase I, Open Label, Multi-center Study to Evaluate the Safety, Tolerability, Pharmacokinetics, Pharmacodynamics and Preliminary Efficacy of RAG-01 in Patients With Non-muscle-invasive Bladder Cancer (NMIBC) Who Have Failed Bacillus Calmette Guérin (BCG) Therapy

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