Comparing 8 approaches for urothelial carcinoma
Official title: A Study of Disitamab Vedotin Alone or With Pembrolizumab in Urothelial Cancer That Expresses HER2
A Phase 2 Multi-Cohort, Open-Label, Multi-Center Clinical Study Evaluating the Efficacy and Safety of Disitamab Vedotin (RC48-ADC) Alone or in Combination With Pembrolizumab in Subjects With Locally-Advanced Unresectable or Metastatic Urothelial Carcinoma That Expresses HER2
- Phase 2
- 8 groups
- Sites in Calgary, Vancouver and 3 more cities
- Recruiting
Interventions
- Medication
disitamab vedotin
Given into the vein (IV; intravenous) every 2 weeks.
- Medication
pembrolizumab
Given by IV on Day 1 of each 6-week cycle.
Canadian Sites (6)
5 of 6 recruiting
- Recruiting
Arthur J.E. Child Comprehensive Cancer Centre
Calgary, Alberta
- Recruiting
BC Cancer - Vancouver Fairmont Medical Building
Vancouver, British Columbia
- Recruiting
BC Cancer - Vancouver
Vancouver, British Columbia
- Recruiting
CancerCare Manitoba
Winnipeg, Manitoba
- Recruiting
Jewish General Hospital
Montreal, Quebec
- Not currently recruiting
Centre integre universitaire de sante et de services sociaux de l'Estrie
Sherbrooke, Quebec
Eligibility Criteria
See who this study is looking for70 criteria
The trial’s own eligibility text, word for word from the registry. Only the trial site can say who takes part.
Inclusion
- +CohortsCohortA group of participants sharing a characteristic, followed together.Read more → A and B
- +Histopathologically-confirmed, locally-advanced, unresectable or metastatic urothelial cancer (LA/mUC), including UC originating from the renal pelvis, ureters, bladder, or urethra
- +At least one measurable lesion by investigatorPrincipal investigatorThe doctor or researcher responsible for running the study at a site.Read more → assessment based on RECIST version 1.1.
- +HER2-expression status determined by the central laboratory to be IHC 1+, 2+ or 3+, in the provided tumor sample
- +Eastern Cooperative Oncology Group (ECOG) performance status score of 0 or 1
- +Histopathologically-confirmed LA/mUC, including UC originating from the renal pelvis, ureters, bladder, or urethra
- +No prior systemic therapy for LA/mUC
- +Neoadjuvant or adjuvant therapy, including PD-(L)1 inhibitors, is acceptable, if disease recurrence/progression occurred more than 12 months after the last dose of systemic therapy
- +At least one measurable lesion by investigator assessment based on RECIST v1.1.
- +HER2-expression status determined by the central laboratory to be IHC 1+, 2+ or 3+, on the provided tumor tissue sample
- +Histopathologically-confirmed LA/mUC, including UC originating from the renal pelvis, ureters, bladder, or urethra
- +Based on a participant's eligibilityEligibility criteriaThe full list of requirements for taking part in a study.Read more → to receive treatment with standard of careStandard of careThe treatment normally given for a condition outside a study.Read more → therapies in Japan, participants must have received all of the following lines of therapy for LA/mUC:
- +b. Prior therapy with PD-(L)1 inhibitors as (neo)adjuvant therapy, first-line maintenance therapy or as second line treatment.
- +c. Prior enfortumab vedotin therapy.
- +At least one measurable lesion by investigator assessment based on RECIST v1.1.
- +Histopathologically-confirmed LA/mUC, including UC originating from the renal pelvis, ureters, bladder, or urethra
- +No prior systemic therapy for LA/mUC
- +Neoadjuvant or adjuvant therapy, including PD-(L)1 inhibitors, is acceptable, if disease recurrence/progression occurred more than 12 months after the last dose of systemic therapy.
- +At least one measurable lesion by investigator assessment based on RECIST v1.1.
- +HER2-expression status determined by the central laboratory to be IHC 1+, 2+ or 3+, in the provided tumor sample
- +Histopathologically-confirmed, locally-advanced, unresectable or metastatic urothelial cancer (LA/mUC), including UC originating from the renal pelvis, ureters, bladder, or urethra
- +Participants must have received only 1 or 2 lines of prior systemic treatment for LA/mUC, including 1 line of therapy containing enfortumab vedotin as monotherapy or in combination with pembrolizumab
- +The last administration of enfortumab vedotin must be 90 days from the start of study treatment. Intervening therapies are allowed between the final dose of enfortumab vedotin and the start of disitamab vedotin.
- +At least one measurable lesion by investigator assessment based on RECIST version 1.1.
- +HER2-expression status determined by the central laboratory to be IHC 1+, 2+ or 3+, in the provided tumor sample
- +Eastern Cooperative Oncology Group (ECOG) performance status score of 0 or 1
- +ECOG performance status of 0, 1, or 2
- +ECOG performance status of 0 or 1
- +ECOG performance status of 0 or 1
- +Participants must have received only 1 or 2 lines of prior systemic treatment for LA/mUC, including 1 line of platinum-containing chemotherapy
- +Participant is eligible to receive cisplatin- or carboplatin- containing chemotherapy per investigator evaluation
- +a. One prior line of platinum-containing chemotherapy.
- +Participant is eligible to receive cisplatin- or carboplatin- containing chemotherapy per investigator evaluation
Exclusion
- −Known hypersensitivity to disitamab vedotin or any of their components
- −Known hypersensitivity to disitamab vedotin, pembrolizumab, or any of their components
- −Known hypersensitivity to disitamab vedotin or any of their components
- −Known hypersensitivity to disitamab vedotin, pembrolizumab, or any of their components
- −Known hypersensitivity to disitamab vedotin or any of their components
- −CohortsCohortA group of participants sharing a characteristic, followed together.Read more → A and B
- −Toxicity from a previous treatment has not returned to Grades 0 or 1 (except for Grade 2 alopecia)
- −Prior MMAE-based ADCs (eg, enfortumab vedotin) or HER2-directed therapy
- −Peripheral sensory or motor neuropathy ≥ Grade 2 at baselineBaselineYour starting measurements, taken before treatment begins.Read more →
- −Toxicity from a previous treatment has not returned to Grades 0 or 1 (except for Grade 2 alopecia)
- −Prior MMAE-based ADCs (eg, enfortumab vedotin) or HER2-directed therapy
- −Peripheral sensory or motor neuropathy ≥ Grade 2 at baseline
- −Has a diagnosis of immunodeficiency or is receiving chronic systemic steroid therapy (in dosing exceeding 10 mg daily of prednisone equivalent) or any other form of immunosuppressive therapy within 7 days prior the first dose of study drug
- −Participants who have previously received any prior treatment with an agent directed to another stimulatory or co-inhibitory T cell receptor (including but not limited to CD137 agonists, CAR-T cell therapy, CTLA-4 inhibitors, or OX-40 agonists) are excluded.
- −Toxicity from a previous treatment has not returned to Grades 0 or 1 (except for Grade 2 alopecia)
- −Prior HER2-directed therapy
- −Any prior history of ≥ Grade 3 non-hematological AEs related to prior therapy
- −Peripheral sensory or motor neuropathy ≥ Grade 1 at baseline
- −Toxicity from a previous treatment has not returned to Grades 0 or 1 (except for Grade 2 alopecia)
- −Any prior history of ≥ Grade 3 non-hematological AEs related to prior therapy
- −Prior MMAE-based ADCs (eg, enfortumab vedotin) or HER2-directed therapy
- −Peripheral sensory or motor neuropathy ≥ Grade 1 at baseline
- −Has a diagnosis of immunodeficiency or is receiving chronic systemic steroid therapy (in dosing exceeding 10 mg daily of prednisone equivalent) or any other form of immunosuppressive therapy within 7 days prior the first dose of study drug
- −Toxicity from a previous treatment has not returned to Grades 0 or 1 (except for Grade 2 alopecia)
- −Prior HER2-directed therapy
- −Peripheral sensory or motor neuropathy ≥ Grade 2 at baseline
- −There are additional inclusionInclusion criteriaThe things you must have or be for a study to consider you.Read more → and exclusion criteriaExclusion criteriaThe things that would prevent someone from taking part.Read more →. The study center will determine if criteria for participation are met.
- −Prior antitumor treatment (including chemotherapy, radiotherapy, targeted therapy, immunotherapy etc.) within 2 weeks of start of study (defined as Cycle 1 Day 1 for Cohorts A and B)
- −Major surgery that has not fully recovered within 4 weeks prior to dose administration
- −Prior antitumor treatment (including chemotherapy, radiotherapy, targeted therapy, immunotherapy etc.) within 2 weeks of start of study defined as Cycle 1 Day 1 for the single-armArmOne of the groups in a study, each receiving something different.Read more → part of Cohort C and as randomizationRandomisedWhich group you go into is decided by chance, not by you or your doctor.Read more → date for the randomized part of Cohort C)
- −Major surgery that has not fully recovered within 4 weeks prior to dose administration
- −Prior antitumor treatment (including chemotherapy, radiotherapy, targeted therapy, immunotherapy etc.) within 2 weeks of start of study (defined as Cycle 1 Day 1 for Cohort D)
- −Major surgery that has not fully recovered within 4 weeks prior to dose administration
- −Prior antitumor treatment (including chemotherapy, radiotherapy, targeted therapy, immunotherapy etc.) within 2 weeks of start of study (defined as Cycle 1 Day 1 for Cohort E)
- −Major surgery that has not fully recovered within 4 weeks prior to dose administration
- −Prior antitumor treatment (including chemotherapy, radiotherapy, targeted therapy, immunotherapy etc.) within 2 weeks of start of study (defined as Cycle 1 Day 1 for Cohort G)
- −Major surgery that has not fully recovered within 4 weeks prior to dose administration
In plain language
Assembled directly from this trial’s registry record. Every sentence traces to a field below — nothing here is generated or interpreted.
What this study is
This study is testing a treatment for a condition.
Phase 2Phase 2A middle-stage study looking at what a treatment does and watching for side effects.Read more → — a middle-stage study in a few hundred people at most, looking at what the treatment does and watching for side effectsSide effectAn unwanted effect thought to be caused by the treatment itself.Read more →.
From the trial registry
Built from these fields:
- designModule.designInfo.primaryPurpose
- designModule.phases
Who receives what
There are 8 groups in this study.
Groups A, B, E, F and H receive disitamab vedotin.
Registry label: A: Cohort A - DV monotherapy for HER2-positive tumor types · B: Cohort B - DV monotherapy for HER2-low tumor types · E: Cohort C - Randomized monotherapy · F: Cohort D - DV monotherapy (Japan only) · H: Cohort G - DV monotherapy
Groups C, D and G receive one or more of: disitamab vedotin and pembrolizumab.
Registry label: C: Cohort C - Non-randomized combination therapy · D: Cohort C - Randomized combination therapy · G: Cohort E - DV combination therapy (Japan only)
From the trial registry
Built from these fields:
- armsInterventionsModule.armGroups[].label
- armsInterventionsModule.armGroups[].type
- armsInterventionsModule.armGroups[].interventionNames
How the study is run
Which group you would be placed in is decided by chance, like a coin flip — not by you and not by your doctor.
This study is open-labelOpen-labelEveryone knows which treatment is being given — nothing is hidden.Read more →: everyone knows which treatment is being given, including you and the study team.
From the trial registry
Built from these fields:
- designModule.designInfo.allocation
- designModule.designInfo.maskingInfo.masking
Is there a placebo?
This study does not list a placeboPlaceboA dummy treatment with no active medicine, used for comparison.Read more → group.
From the trial registry
Built from these fields:
- armsInterventionsModule.armGroups[].type
- armsInterventionsModule.armGroups[].interventionNames
Who the study is looking for
The study lists a minimum age of 18 years, with no upper limit given.
The study is open to people of any sex.
The study does not accept healthy volunteersHealthy volunteerSomeone without the condition being studied who takes part anyway.Read more →.
These are the criteria the study lists. Only the trial siteTrial siteA hospital or clinic where a study is actually run.Read more → can decide whether someone can take part.
From the trial registry
Built from these fields:
- eligibilityModule.minimumAge
- eligibilityModule.sex
- eligibilityModule.healthyVolunteers
How big and how long
The study aims to enrol about 372 people.
The study is currently expected to finish around April 2029.
The main measurement is taken over: Duration of treatment; approximately 2 years.
From the trial registry
Built from these fields:
- designModule.enrollmentInfo.count
- statusModule.completionDateStruct.date
- outcomesModule.primaryOutcomes[].timeFrame
What the study measures
Confirmed Objective Response Rate (cORR) per Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1 (v1.1) by blinded independent central review (BICR) (CohortsCohortA group of participants sharing a characteristic, followed together.Read more → A, B, C, and G) — measured over Duration of treatment; approximately 2 years.
Incidence of adverse eventsAdverse eventAny medical problem that happens during a study, whether or not the treatment caused it.Read more → (AEs) (Cohorts D and E) — measured over Approximately 2 years.
Incidence of dose alterations (Cohorts D and E) — measured over Approximately 2 years.
Incidence of laboratory abnormalities (Cohorts D and E) — measured over Approximately 2 years.
The study lists 6 further main measurements.
From the trial registry
Built from these fields:
- outcomesModule.primaryOutcomes[].measure
- outcomesModule.primaryOutcomes[].timeFrame
Source: NCT04879329 on ClinicalTrials.gov. The full registry text is further down this page — this summary never replaces it.
Not medical advice. What do these terms mean?
What is being tested — in plain terms
About disitamab vedotinDrug
Given into the vein (IV; intravenous) every 2 weeks.
From the trial registry — its own words, unedited.
What a drug is here: A medicine — a chemical or small-molecule treatment — given as the thing being studied.
Read the full explanation → · in clinical review
About pembrolizumabDrug
Given by IV on Day 1 of each 6-week cycle.
From the trial registry — its own words, unedited.
What a drug is here: A medicine — a chemical or small-molecule treatment — given as the thing being studied.
Read the full explanation → · in clinical review
Common questions
Answered from this trial’s registry record. Where the record doesn’t say, these answers say so rather than filling the gap.
Am I eligible for this trial?
Only the trial siteTrial siteA hospital or clinic where a study is actually run.Read more → can decide whether someone can take part. Concord cannot make that determination, and neither can any tool that has not examined you.
What the study lists: a minimum age of 18 years.
The full inclusionInclusion criteriaThe things you must have or be for a study to consider you.Read more → and exclusion criteriaExclusion criteriaThe things that would prevent someone from taking part.Read more → are published on this page, exactly as the study team wrote them.
The useful next step is to bring this trial to your doctor. Answering a few questions first gives them something concrete to review.
From the trial registry
- eligibilityModule.minimumAge
- eligibilityModule.eligibilityCriteria
Is there a placebo?
This study does not list a placeboPlaceboA dummy treatment with no active medicine, used for comparison.Read more → group.
From the trial registry
- armsInterventionsModule.armGroups[].type
Would I know which treatment I am getting?
This study is open-labelOpen-labelEveryone knows which treatment is being given — nothing is hidden.Read more →: everyone knows which treatment is being given, including you and the study team.
Which group you would be placed in is decided by chance, like a coin flip — not by you and not by your doctor.
From the trial registry
- designModule.designInfo.maskingInfo.masking
- designModule.designInfo.allocation
Who can join?
The study lists a minimum age of 18 years, with no upper limit given.
It is open to people of any sex.
It does not accept healthy volunteersHealthy volunteerSomeone without the condition being studied who takes part anyway.Read more →.
Only the trial siteTrial siteA hospital or clinic where a study is actually run.Read more → can confirm whether a particular person can take part.
From the trial registry
- eligibilityModule.minimumAge
- eligibilityModule.sex
- eligibilityModule.healthyVolunteers
How long would this take?
The study's main measurement is taken over: Duration of treatment; approximately 2 years.
The study as a whole is currently expected to finish around 2029-04-14.
How long any one person takes part can differ from the study length. The study team can tell you what the schedule looks like in practice.
From the trial registry
- outcomesModule.primaryOutcomes[].timeFrame
- statusModule.completionDateStruct.date
How many people are taking part?
The study aims to enrol about 372 people.
From the trial registry
- designModule.enrollmentInfo.count
Where is this happening?
This study lists 20 locations, including: Calgary, Alberta, Canada; Vancouver, British Columbia, Canada; Winnipeg, Manitoba, Canada; Montreal, Quebec, Canada; Sherbrooke, Quebec, Canada; Big Rapids, Michigan, United States, and 14 more.
Sites can open and close during a study, so confirm with the team before travelling.
From the trial registry
- trial_locations
About This Trial
This study is being done to see if a drug called disitamab vedotin, alone or with pembrolizumab, works to treat HER2 expressing urothelial cancer. It will also test how safe the drug is for participants. Participants will have cancer that has spread in the body near where it started (locally advanced) and cannot be removed (unresectable) or has spread through the body (metastatic). It will also study what side effects happen when participants get the drug. A side effect is anything a drug does to your body besides treating the disease.
Other Sites (24)
The Cancer & Hematology Centers
Big Rapids, Michigan, United States
Karmanos Cancer Institute
Detroit, Michigan, United States
Henry Ford Cancer - Detroit (Brigitte Harris Cancer Pavilion)
Detroit, Michigan, United States
Karmanos Cancer Institute Weisberg Cancer Treatment Center
Farmington Hills, Michigan, United States
The Cancer & Hematology Centers
Grand Rapids, Michigan, United States
Cancer & Hematology Centers of Western Michigan, PC- Kit Storage
Grand Rapids, Michigan, United States
The Cancer & Hematology Centers
Grand Rapids, Michigan, United States
The Cancer & Hematology Centers
Holland, Michigan, United States
Karmanos Cancer Institute at McLaren Greater Lansing
Lansing, Michigan, United States
The Cancer & Hematology Centers
Norton Shores, Michigan, United States
MSK Commack
Commack, New York, United States
MSK Wesrchester
Harrison, New York, United States
Northwell Health
Lake Success, New York, United States
Memorial Sloan Kattering Cancer Centre- Investigational Drug Service Pharmacy
Long Island City, New York, United States
Memorial Sloan Kettering Cancer Center - David H. Koch Center for Cancer Care (74th Street).
New York, New York, United States
Icahn School of Medicine at Mount Sinai
New York, New York, United States
Evelyn H. Lauder Breast and Imaging Centre (BAIC)
New York, New York, United States
Memorial Sloan Kettering Cancer Center - Main Campus
New York, New York, United States
Sidney Kimmel Center for Prostate and Urological Cancers - Memorial Sloan Kettering Cancer Center
New York, New York, United States
SUNY Upstate Medical University
Syracuse, New York, United States
And 4 more sites worldwide.
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See if this trial could fit youThis page is for informational purposes only and does not constitute medical advice. Clinical trial eligibility can only be determined by the trial site after proper screening. Trial information is sourced from ClinicalTrials.gov and may not reflect the most current status. Always consult your healthcare provider before making decisions about clinical trial participation.