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A Study of Enfortumab Vedotin Alone or With Other Therapies for Treatment of Urothelial Cancer — EV-103  

Urinary Bladder Neoplasms Clinical Trial

Official title:
A Study of Enfortumab Vedotin (ASG-22CE) as Monotherapy or in Combination With Other Anticancer Therapies for the Treatment of Urothelial Cancer

Clinical Trial Summary

This study will test an experimental drug (enfortumab vedotin) alone and with different combinations of anticancer therapies. Pembrolizumab is an immune checkpoint inhibitor (CPI) that is used to treat patients with cancer of the urinary system (urothelial cancer). This type of cancer includes cancer of the bladder, renal pelvis, ureter or urethra. Some parts of the study will look at locally advanced or metastatic urothelial cancer (la/mUC), which means the cancer has spread to nearby tissues or to other areas of the body. Other parts of the study will look at muscle-invasive bladder cancer (MIBC), which is cancer at an earlier stage that has spread into the muscle wall of the bladder. This study will look at the side effects of enfortumab vedotin alone and with other anticancer therapies. A side effect is a response to a drug that is not part of the treatment effect. This study will also test if the cancer shrinks with the different treatment combinations.

Clinical Trial Description

This study will examine the safety and anticancer activity of enfortumab vedotin (EV) given intravenously as monotherapy and in combination with other anticancer therapies as first line (1L) and second line (2L) treatment for patients with urothelial cancer. The primary goal of the study is to determine the safety, tolerability, and efficacy of enfortumab vedotin alone and in combination with pembrolizumab and/or chemotherapy. The study will be conducted in multiple parts: Locally advanced or metastatic urothelial cancer: - Dose escalation - Expansion - Part 1: Cohorts A and Optional B - Part 2: Cohorts D, E, and Optional F - Part 3: Cohort G. - Randomized Cohort K - EV Monotherapy Arm - EV Combination Arm Muscle invasive bladder cancer: - Cohort H - Optional Cohort J - Cohort L ;

Study Design

Related Conditions & MeSH terms

Clinical Trial Details
NCT number NCT03288545
Study type Interventional
Source Astellas Pharma Inc
Contact
Status Active, not recruiting
Phase Phase 1/Phase 2
Start date October 11, 2017
Completion date December 31, 2026
View Details
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