NCT04223856

Brief Summary

This study is being done to see how well two drugs (enfortumab vedotin and pembrolizumab) work together to treat patients with urothelial cancer. The study will compare these drugs to other drugs that are usually used to treat this cancer (standard of care). The patients in this study will have cancer that has spread from their urinary system to other parts of their body.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Strong global presence with extensive site network
Enrollment
886

participants targeted

Target at P75+ for phase_3

Timeline
20mo left

Started Mar 2020

Longer than P75 for phase_3

Geographic Reach
25 countries

260 active sites

Status
active not recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Progress78%
Mar 2020Mar 2028

First Submitted

Initial submission to the registry

January 6, 2020

Completed
4 days until next milestone

First Posted

Study publicly available on registry

January 10, 2020

Completed
3 months until next milestone

Study Start

First participant enrolled

March 30, 2020

Completed
3.4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 8, 2023

Completed
1.1 years until next milestone

Results Posted

Study results publicly available

September 27, 2024

Completed
3.4 years until next milestone

Study Completion

Last participant's last visit for all outcomes

March 1, 2028

Expected
Last Updated

May 29, 2026

Status Verified

May 1, 2026

Enrollment Period

3.4 years

First QC Date

January 6, 2020

Results QC Date

July 30, 2024

Last Update Submit

May 27, 2026

Conditions

Keywords

Urothelial CancerEnfortumab vedotinmetastatic urothelial cancerpembrolizumablocally advanced urothelial cancer

Outcome Measures

Primary Outcomes (2)

  • Progression-Free Survival (PFS) Per Response Evaluation Criteria in Solid Tumors (RECIST) Version (v) 1.1 by Blinded Independent Central Review (BICR)

    PFS was defined as the time from date of randomization to first documentation of disease progression (PD), or to death due to any cause, whichever occurred first. PD: at least a 20 percent (%) increase in the sum of diameters of target lesions, taking as reference the smallest sum on study. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 millimeter (mm). PD could also be unequivocal progression of non-target lesions or the presence of unequivocal new lesions. Kaplan-Meier method was used for analysis.

    From the date of randomization to first documentation of PD or death due to any cause, whichever occurred first (maximum exposure to treatment was up to 39.2 months)

  • Overall Survival (OS)

    OS was defined as the time from the date of randomization to the date of death from any cause. In the absence of death, OS was censored at the date the participant was last known to be alive. Kaplan-Meier method was used for analysis.

    From randomization to date of death due to any cause or censoring date, whichever occurred first (maximum exposure to treatment was up to 39.2 months)

Secondary Outcomes (19)

  • Percentage of Participants With Objective Response Rate (ORR) Per RECIST v1.1 by BICR

    From first dose till CR/PR or PD or death, whichever occurred first (maximum up to approximately 7.4 years)

  • Time to Pain Progression (TTPP)

    From the date of randomization to date of pain progression (maximum up to approximately 7.4 years)

  • Change From Baseline in Worst Pain Using BPI-SF at Week 26

    Baseline, Week 26

  • PFS Per RECIST v1.1 by Investigator Assessment

    From the date of randomization to first documentation of PD or death due to any cause, whichever occurred first (maximum up to approximately 7.4 years)

  • ORR Per RECIST v1.1 by Investigator Assessment

    From first dose till CR/PR or PD or death, whichever occurred first (maximum up to approximately 7.4 years)

  • +14 more secondary outcomes

Study Arms (2)

Arm A

EXPERIMENTAL

Enfortumab vedotin + pembrolizumab

Drug: Enfortumab vedotinDrug: Pembrolizumab

Arm B

ACTIVE COMPARATOR

Gemcitabine + cisplatin or carboplatin

Drug: CisplatinDrug: CarboplatinDrug: Gemcitabine

Interventions

Enfortumab vedotin administered as an IV infusion on Days 1 and 8 of every 3-week cycle

Also known as: ASG-22CE, ASG-22ME, PADCEV
Arm A

IV infusion on Day 1 of every 3-week cycle

Also known as: Keytruda
Arm A

IV infusion on Days 1 and 8 of every 3 week cycle

Arm B

administered as IV infusion on Day 1 of each 3-week cycle

Arm B

Dosed according to local guidelines and will be administered as IV infusion on Day 1 of each 3-week cycle

Arm B

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Histologically documented, unresectable locally advanced or metastatic urothelial carcinoma
  • Measurable disease by investigator assessment according to RECIST v1.1
  • Participants with prior definitive radiation therapy must have measurable disease per RECIST v1.1 that is outside the radiation field or has demonstrated unequivocal progression since completion of radiation therapy
  • Participants must not have received prior systemic therapy for locally advanced or metastatic urothelial carcinoma with the following exceptions:
  • Participants that received neoadjuvant chemotherapy with recurrence \>12 months from completion of therapy are permitted
  • Participants that received adjuvant chemotherapy following cystectomy with recurrence \>12 months from completion of therapy are permitted
  • Must be considered eligible to receive cisplatin- or carboplatin-containing chemotherapy, in the investigator's judgment
  • Archival tumor tissue comprising muscle-invasive urothelial carcinoma or a biopsy of metastatic urothelial carcinoma must be provided for PD-L1 testing prior to randomization
  • Eastern Cooperative Oncology Group (ECOG) Performance Status score of 0, 1, or 2
  • Adequate hematologic and organ function

You may not qualify if:

  • Previously received enfortumab vedotin or other monomethyl auristatin E (MMAE)-based antibody-drug conjugate (ADCs)
  • Received prior treatment with a programmed cell death ligand-1 (PD-(L)-1) inhibitor for any malignancy, including earlier stage urothelial cancer (UC), defined as a PD-1 inhibitor or PD-L1 inhibitor
  • Received prior treatment with an agent directed to another stimulatory or co inhibitory T-cell receptor
  • Uncontrolled diabetes
  • Estimated life expectancy of less than 12 weeks
  • Active central nervous system (CNS) metastases
  • Ongoing clinically significant toxicity associated with prior treatment that has not resolved to ≤ Grade 1 or returned to baseline
  • Currently receiving systemic antimicrobial treatment for active infection (viral, bacterial, or fungal) at the time of randomization. Routine antimicrobial prophylaxis is permitted.
  • Known active hepatitis B, active hepatitis C, or human immunodeficiency virus (HIV) infection.
  • History of another invasive malignancy within 3 years before the first dose of study drug, or any evidence of residual disease from a previously diagnosed malignancy
  • Documented history of a cerebral vascular event (stroke or transient ischemic attack), unstable angina, myocardial infarction, or cardiac symptoms consistent with New York Heart Association (NYHA) Class IV within 6 months prior to randomization
  • Receipt of radiotherapy within 2 weeks prior to randomization
  • Received major surgery (defined as requiring general anesthesia and \>24 hour inpatient hospitalization) within 4 weeks prior to randomization
  • Known severe (≥ Grade 3) hypersensitivity to any enfortumab vedotin excipient contained in the drug formulation of enfortumab vedotin
  • Active keratitis or corneal ulcerations
  • +4 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (260)

Ironwood Cancer & Research Centers - Chandler

Chandler, Arizona, 85224, United States

Location

Arizona Oncology Associates PD - HOPE

Tucson, Arizona, 85710, United States

Location

Providence St Joseph Medical Center

Burbank, California, 91505, United States

Location

City of Hope National Medical Center

Duarte, California, 91010, United States

Location

University of California Los Angeles Medical Center

Los Angeles, California, 90095, United States

Location

University of California Irvine - Newport

Orange, California, 92868, United States

Location

Rocky Mountain Cancer Centers - Aurora

Aurora, Colorado, 80012, United States

Location

University of Colorado Hospital / University of Colorado

Aurora, Colorado, 80045, United States

Location

Cancer Centers of Colorado - Denver

Denver, Colorado, 80218, United States

Location

Yale Cancer Center

New Haven, Connecticut, 06520, United States

Location

Eastern CT Hematology and Oncology Associates

Norwich, Connecticut, 06360, United States

Location

Lombardi Cancer Center / Georgetown University Medical Center

Washington D.C., District of Columbia, 20007, United States

Location

H. Lee Moffitt Cancer Center and Research Institute

Tampa, Florida, 33612, United States

Location

Winship Cancer Institute / Emory University School of Medicine

Atlanta, Georgia, 30322, United States

Location

Georgia Cancer Specialists / Northside Hospital Cancer Institute

Marietta, Georgia, 30060, United States

Location

Louisiana State University/ East Jefferson General Hospital

Metairie, Louisiana, 70006, United States

Location

Maine Health Cancer Care

Biddeford, Maine, 04046, United States

Location

Johns Hopkins Medical Center

Baltimore, Maryland, 21231, United States

Location

Comprehensive Cancer Centers of Nevada

Las Vegas, Nevada, 89169, United States

Location

New Mexico Cancer Center

Albuquerque, New Mexico, 87109, United States

Location

New York University (NYU) Cancer Institute

New York, New York, 10016, United States

Location

Mount Sinai Medical Center

New York, New York, 10029, United States

Location

Memorial Sloan Kettering Cancer Center

New York, New York, 10065, United States

Location

Vidant Medical Center

Greenville, North Carolina, 27834, United States

Location

The Cleveland Clinic

Cleveland, Ohio, 44195, United States

Location

Toledo Clinic Cancer Center

Toledo, Ohio, 43623, United States

Location

Hillman Cancer Center / University of Pittsburgh Medical Center

Pittsburgh, Pennsylvania, 15232, United States

Location

Saint Francis Hospital / Bon Secours - South Carolina

Greenville, South Carolina, 29607, United States

Location

West Cancer Center & Research Institute

Germantown, Tennessee, 38138, United States

Location

University of Texas Southwestern Medical Center

Dallas, Texas, 75390, United States

Location

UT Health East Texas Hope Cancer Center

Tyler, Texas, 75701, United States

Location

Huntsman Cancer Institute

Salt Lake City, Utah, 84112, United States

Location

University of Virginia

Charlottesville, Virginia, 22908, United States

Location

Seattle Cancer Care Alliance / University of Washington

Seattle, Washington, 98109, United States

Location

Site AR54008

Buenos Aire, C1019ABS, Argentina

Location

Site AR54011

CABA, C1426ANZ, Argentina

Location

Site AR54005

Córdoba, X5004FHP, Argentina

Location

Site AR54006

La Rioja, 5300, Argentina

Location

Site AR54004

Mendoza, M5500AYB, Argentina

Location

Site AR54001

Rosario, 2000, Argentina

Location

Site AR54002

San Miguel, T400GTB, Argentina

Location

Site AR54012

San Miguel de Tucumán, T4000IAK, Argentina

Location

Site AR54003

Viedma, 8500, Argentina

Location

Site AU61003

Box Hill, 3128, Australia

Location

Site AUS61001

Douglas, 4814, Australia

Location

Site AUS61004

Heidelberg, 3084, Australia

Location

Site AUS61002

Macquarie Park, 2109, Australia

Location

Site AUS61006

South Australia, 5112, Australia

Location

Site AU61005

South Brisbane, 4101, Australia

Location

Site BE32003

Brussels, 1200, Belgium

Location

Site BE32002

Ghent, 9000, Belgium

Location

Site BE32001

Liège, 4000, Belgium

Location

Site BE32007

Lueven, 3000, Belgium

Location

Site BE32006

Roeselare, 8800, Belgium

Location

Site CA11004

Calgary, Alberta, T2N 4N2, Canada

Location

Site CA11003

Edmonton, Alberta, T6G 1Z2, Canada

Location

Site CA11006

Vancouver, British Columbia, V5Z 4E6, Canada

Location

Site CA11002

Hamilton, Ontario, L8V 1C3, Canada

Location

Site CA11009

London, Ontario, N6A 5A5, Canada

Location

Site CA11011

Oshawa, Ontario, L1G 2B9, Canada

Location

Site CA11012

Toronto, Ontario, M4N 3M5, Canada

Location

Site CA11005

Toronto, Ontario, M5G 2M9, Canada

Location

Site CA11010

Montreal, Quebec, H2X 0A9, Canada

Location

Site CA11001

Montreal, Quebec, H3T 1E2, Canada

Location

Site CA11008

Québec, G1R 2J6, Canada

Location

Site CN86009

Beijing, 100021, China

Location

Site CN86001

Beijing, 100036, China

Location

Site CN86004

Beijing, 100050, China

Location

Site CN86005

Beijing, 100191, China

Location

Site CN86015

Bengbu, 233000, China

Location

Site CN86003

Changchun, 130021, China

Location

Site CN86006

Changsha, 410013, China

Location

Site CN86016

Changsha, 410013, China

Location

Site CN86010

Chengdu, 610041, China

Location

Site CN86024

Chongqing, 400030, China

Location

Site CN86007

Chongqing, 400038, China

Location

Site CN86028

Fuzhou, 350005, China

Location

Site CN86002

Guangzhou, 510120, China

Location

Site CN86020

Gunagzhou, 510280, China

Location

Site CN86018

Hangzhou, 0571, China

Location

Site CN86013

Hangzhou, 310014, China

Location

Site CN86022

Hangzhou, 310016, China

Location

Site CN86025

Hefei, 400030, China

Location

Site CN86027

Jinan, 250021, China

Location

Site CN86017

Nanjing, 210008, China

Location

Site CN86012

Nanjing, 210029, China

Location

Site CN86021

Ningbo, 315016, China

Location

Site CN86014

Shanghai, 200040, China

Location

Site CN86011

Shenyang, 110022, China

Location

Site CN86023

Tianjin, 300052, China

Location

Site CN86019

Tianjin, 453000, China

Location

Site CN86029

Wenzhou, 325000, China

Location

Site CN86008

Wuhan, 430030, China

Location

Site CN86030

Xicheng District, 100034, China

Location

Site CN86026

Xuzhou, 221009, China

Location

Site CZ42006

Brno, 656 91, Czechia

Location

Site CZ42001

Hradec Králové, 500 05, Czechia

Location

Site CZ42004

Olomouc, 779 00, Czechia

Location

Site CZ42005

Praha 4-Krc, 140 59, Czechia

Location

Site DK45001

Aalborg, 9100, Denmark

Location

Site DK45003

Aarhus N, 8200, Denmark

Location

Site FR33014

Bordeaux, 33000, France

Location

Site FR33016

Lyon, 69373, France

Location

Site FR33003

Nice, 06189, France

Location

Site FR33020

Pierre-Bénite, 69495, France

Location

Site FR33013

Strasbourg, 67200, France

Location

Site FR33017

Tours, 37044, France

Location

Site FR33011

Villejuif-Cedex-France, 94805, France

Location

Site DE49003

Berlin, 10117, Germany

Location

Site DE49013

Bielefeld, 33611, Germany

Location

Site DE49016

Düsseldorf, 40225, Germany

Location

Site DE49014

Erlangen, 91054, Germany

Location

Site DE49011

Essen, 45147, Germany

Location

Site DE49007

Frankfurt am Main, 60488, Germany

Location

Site DE49015

Göttingen, 37099, Germany

Location

Site DE49005

Heidelberg, 69120, Germany

Location

Site DE49009

Herne, 44649, Germany

Location

Site DE49006

Jena, 07747, Germany

Location

Site DE49001

Lübeck, 23538, Germany

Location

Site DE49008

Magdeburg, 39120, Germany

Location

Site DE49012

Mannheim, 68167, Germany

Location

Site DE49002

München, 81675, Germany

Location

Site DE49004

Tübingen, 72076, Germany

Location

Site DE49010

Ulm, 89081, Germany

Location

Site HU36003

Budapest, 1083, Hungary

Location

Site HU36002

Budapest, 1122, Hungary

Location

Site HU36006

Debrecen, 4032, Hungary

Location

Site HU36001

Nyíregyháza, 4400, Hungary

Location

Site HU36005

Szolnok, 5004, Hungary

Location

Site IL97203

Beersheba, 84101, Israel

Location

Site IL97201

Haifa, 31096, Israel

Location

Site IL97209

Holon, 58100, Israel

Location

Site IL97206

Jerusalem, 91120, Israel

Location

Site IL97202

Kfar Saba, 44281, Israel

Location

Site IL97208

Petah Tikva, 49414, Israel

Location

Site IL97211

Rehovot, 76100, Israel

Location

Site IL97210

Tel Aviv, 64239, Israel

Location

Site IL97204

Tel Litwinsky, 52621, Israel

Location

Site IL97205

Ẕerifin, 70300, Israel

Location

Site IT39005

Areezo, 52100, Italy

Location

Site IT39008

Candiolo, 10060, Italy

Location

Site IT39009

Cremona, 26100, Italy

Location

Site IT39006

Genova, 16132, Italy

Location

Site IT39003

Meldola, 47014, Italy

Location

Site IT39014

Milan, 20132, Italy

Location

Site IT39007

Milan, 20141, Italy

Location

Site IT39004

Pisa, 56126, Italy

Location

Site IT39002

Terni, 05100, Italy

Location

Site IT39011

Torrette, 60126, Italy

Location

Site IT39001

Verona, 37134, Italy

Location

Site JP81002

Bunkyō City, Japan

Location

Site JP81009

Chiba, Japan

Location

Site JP81018

Chiba, Japan

Location

Site JP81013

Fukuoka, Japan

Location

Site JP81020

Fukuoka, Japan

Location

Site JP81011

Hirosaki, Japan

Location

Site JP81006

Kawasaki-shi, Japan

Location

Site JP81001

Kōtoku, Japan

Location

Site JP81017

Kyoto, Japan

Location

Site JP81015

Niigata, Japan

Location

Site JP81005

Okayama, Japan

Location

Site JP81008

Osaka, Japan

Location

Site JP81016

Osakasayama-Shi, Japan

Location

Site JP81007

Sapporo, Japan

Location

Site JP81012

Sendai, Japan

Location

Site JP81014

Tokushima, Japan

Location

Site JP81019

Tokyo, Japan

Location

Site JP81003

Toyama, Japan

Location

Site JP81004

Tsukuba, Japan

Location

Site JP81010

Ube, Japan

Location

Site NL31002

Amsterdam, 1066 CX, Netherlands

Location

Site NL31001

Amsterdam, 1081 HV, Netherlands

Location

Site NL31005

Amsterdam, Noord-Holland, 1066 CX, Netherlands

Location

Site NL31007

Leeuwarden, 8934 AD, Netherlands

Location

Site NL31004

Nieuwegein, 3435 CM, Netherlands

Location

Site NL31003

Rotterdam, 3075 EA, Netherlands

Location

Site NL31006

Utrecht, 3584 CX, Netherlands

Location

Site PL48002

Warsaw, 01-748, Poland

Location

Site RU70016

Arkhangelsk, 163045, Russia

Location

Site RU70013

Barnaul, 656049, Russia

Location

Site RU70020

Ivanovo, 153040, Russia

Location

Site RU70014

Krasnoyarsk, 660133, Russia

Location

Site RU70006

Leningradskaya Oblast', 188663, Russia

Location

Site RU70004

Moscow, 105077, Russia

Location

Site RU70011

Moscow, 123056, Russia

Location

Site RU70003

Moscow, 125284, Russia

Location

Site RU70017

Nizhny Novgorod, 603074, Russia

Location

Site RU70002

Omsk, 644013, Russia

Location

Site RU70019

Pyatigorsk, 357502, Russia

Location

Site RU70010

Saint Petersburg, 195271, Russia

Location

Site RU70007

Saint Petersburg, 197082, Russia

Location

Site RU70008

Saint Petersburg, 197758, Russia

Location

Site RU70012

Saint Petersburg, 197758, Russia

Location

Site RU70009

Saransk, 430032, Russia

Location

Site RU70015

Tyumen, 625041, Russia

Location

Site RU70005

Ufa, 450000, Russia

Location

Site SG65001

Singapore, 119074, Singapore

Location

Site SG65002

Singapore, 169610, Singapore

Location

Site SG65003

Singapore, 308433, Singapore

Location

Site KR82001

Daejeon, 301-721, South Korea

Location

Site KR82002

Goyang-si, 10408, South Korea

Location

Site KR82008

Hwasun, 519-763, South Korea

Location

Site KR82004

Seongnam-si, 13605, South Korea

Location

Site KR82003

Seoul, 03722, South Korea

Location

Site KR82005

Seoul, 05505, South Korea

Location

Site KR82007

Seoul, 135-710, South Korea

Location

Site KR82006

Seoul, 137-701, South Korea

Location

Site ES34017

Barcelona, 08003, Spain

Location

Site ES34010

Barcelona, 08035, Spain

Location

Site ES34006

Barcelona, 08036, Spain

Location

Site ES34001

Barcelona, 08041, Spain

Location

Site ES34008

Barcelona, 08907, Spain

Location

Site ES34013

Córdoba, 14004, Spain

Location

Site ES34021

Lugo, 27003, Spain

Location

Site ES34018

Madrid, 28007, Spain

Location

Site ES34002

Madrid, 28034, Spain

Location

Site ES34003

Madrid, 28040, Spain

Location

Site ES34015

Madrid, 28041, Spain

Location

Site ES34004

Manresa, 08243, Spain

Location

Site ES34020

Pamplona, 31008, Spain

Location

Site ES34016

Sabadell, 08208, Spain

Location

Site ES34012

Santander, 39008, Spain

Location

Site ES34007

Seville, 41013, Spain

Location

Site ES34019

Valencia, 46009, Spain

Location

Site ES34009

Valencia, 46014, Spain

Location

Site CH41004

Basel, 4031, Switzerland

Location

Site CH41002

Bern, 3010, Switzerland

Location

Site CH41001

Chur, 7000, Switzerland

Location

Site CH41003

Winterthur, 8401, Switzerland

Location

Site TW88603

Kaohsiung City, 83301, Taiwan

Location

Site TW88602

Kweishan, 333, Taiwan

Location

Site TW88607

Taichung, 40447, Taiwan

Location

Site TW88606

Taichung, 40705, Taiwan

Location

Site TW88604

Tainan, 70403, Taiwan

Location

Site TW88605

Taipei, 10002, Taiwan

Location

Site TW88601

Taipei, 11217, Taiwan

Location

Site TH66004

Bangkok, 10330, Thailand

Location

Site TH66003

Bangkok, 10400, Thailand

Location

Site TH66006

Bangkok, 10700, Thailand

Location

Site TH66005

Chiang Mai, 50200, Thailand

Location

Site TH66002

Hat Yai, 90110, Thailand

Location

Site TH66007

Muang, 40002, Thailand

Location

Site TH66001

Ratchathewi, 10400, Thailand

Location

Site TR90007

Ankara, 6100, Turkey (Türkiye)

Location

Site TR90009

Ankara, 6230, Turkey (Türkiye)

Location

Site TR90005

Antalya, 07059, Turkey (Türkiye)

Location

Site TR90004

Edirne, 22030, Turkey (Türkiye)

Location

Site TR90008

Istanbul, 34093, Turkey (Türkiye)

Location

Site TR90003

Istanbul, 34214, Turkey (Türkiye)

Location

Site TR90002

Istanbul, 81450, Turkey (Türkiye)

Location

Site TR90001

Konya, 42080, Turkey (Türkiye)

Location

Site TR90006

Malatya, 44280, Turkey (Türkiye)

Location

Site UK44005

Glasgow, G12 0YN, United Kingdom

Location

Site UK44001

London, EC1M 6BQ, United Kingdom

Location

Site UK44009

London, W6 8RF, United Kingdom

Location

Site UK44006

Oxford, OX3 7LE, United Kingdom

Location

Site UK44010

Plymouth, PL6 8DH, United Kingdom

Location

Site UK44002

Preston, PR2 9HT, United Kingdom

Location

Site UK44003

Sheffield, S10 2RX, United Kingdom

Location

Site UK44008

Southampton, SO16 6YD, United Kingdom

Location

Related Publications (7)

  • Gupta S, Loriot Y, Van der Heijden MS, Bedke J, Valderrama BP, Kikuchi E, Flechon A, Petrylak D, De Santis M, Galsky MD, Lee JL, Swami U, Sridhar SS, De Giorgi U, Wright P, Shih V, Lu YT, Guan X, Dillon R, Shetty A, Homet Moreno B, Beaumont JL, Purnajo I, McManus S, Powles T. How enfortumab vedotin plus pembrolizumab affects the quality of life of people with advanced urothelial cancer compared with platinum-based chemotherapy: a plain language summary of patient-reported outcomes from the EV-302 study. Future Oncol. 2026 Apr;22(9):1015-1029. doi: 10.1080/14796694.2026.2645984. Epub 2026 Apr 2.

  • Kikuchi E, Van der Heijden MS, Valderrama BP, Gupta S, Bedke J, Shin SJ, Li JR, Guo J, Danchaivijitr P, Kanesvaran R, Park SH, Su WP, Kandori S, Bae WK, Wong A, Gorla S, Bavle A, Yu X, Lu YT, Powles T. Pan-Asian subgroup analysis of EV-302/KEYNOTE-A39: a phase 3 study to evaluate enfortumab vedotin and pembrolizumab in patients with untreated advanced urothelial carcinoma. Int J Clin Oncol. 2026 Mar;31(3):436-446. doi: 10.1007/s10147-025-02950-8. Epub 2026 Jan 21.

  • Meng Y, Zhang S, Aout M, Babcock A, Li H, Lai Y, Brand-Wiita S, Notinger S, Bavle A, Mamtani R. Cost-effectiveness of enfortumab vedotin plus pembrolizumab as a first-line treatment of locally advanced or metastatic urothelial carcinoma in the United States. J Med Econ. 2025 Dec;28(1):1779-1797. doi: 10.1080/13696998.2025.2567190. Epub 2025 Oct 14.

  • Gupta S, Loriot Y, Van der Heijden MS, Bedke J, Valderrama BP, Kikuchi E, Flechon A, Petrylak D, De Santis M, Galsky MD, Lee JL, Swami U, Sridhar SS, De Giorgi U, Wright P, Shih V, Lu YT, Guan X, Dillon R, Shetty A, Moreno BH, Beaumont JL, Purnajo I, McManus S, Powles T. Enfortumab vedotin plus pembrolizumab versus chemotherapy in patients with previously untreated locally advanced or metastatic urothelial cancer (EV-302): patient-reported outcomes from an open-label, randomised, controlled, phase 3 study. Lancet Oncol. 2025 Jun;26(6):795-805. doi: 10.1016/S1470-2045(25)00158-5.

  • Niegisch G. Enfortumab Vedotin and Pembrolizumab - A New Perspective on Urothelial Cancer. N Engl J Med. 2024 Mar 7;390(10):944-946. doi: 10.1056/NEJMe2400311. No abstract available.

  • Powles T, Valderrama BP, Gupta S, Bedke J, Kikuchi E, Hoffman-Censits J, Iyer G, Vulsteke C, Park SH, Shin SJ, Castellano D, Fornarini G, Li JR, Gumus M, Mar N, Loriot Y, Flechon A, Duran I, Drakaki A, Narayanan S, Yu X, Gorla S, Homet Moreno B, van der Heijden MS; EV-302 Trial Investigators. Enfortumab Vedotin and Pembrolizumab in Untreated Advanced Urothelial Cancer. N Engl J Med. 2024 Mar 7;390(10):875-888. doi: 10.1056/NEJMoa2312117.

  • Hoimes CJ, Flaig TW, Milowsky MI, Friedlander TW, Bilen MA, Gupta S, Srinivas S, Merchan JR, McKay RR, Petrylak DP, Sasse C, Moreno BH, Yu Y, Carret AS, Rosenberg JE. Enfortumab Vedotin Plus Pembrolizumab in Previously Untreated Advanced Urothelial Cancer. J Clin Oncol. 2023 Jan 1;41(1):22-31. doi: 10.1200/JCO.22.01643. Epub 2022 Aug 30.

MeSH Terms

Interventions

enfortumab vedotinpembrolizumabCisplatinCarboplatinGemcitabine

Intervention Hierarchy (Ancestors)

Chlorine CompoundsInorganic ChemicalsNitrogen CompoundsPlatinum CompoundsCoordination ComplexesOrganic ChemicalsHeterocyclic CompoundsDeoxycytidineCytidinePyrimidine NucleosidesPyrimidinesHeterocyclic Compounds, 1-Ring

Results Point of Contact

Title
Chief Medical Officer
Organization
Seagen Inc.

Study Officials

  • Zejing Wang, MD, PhD

    Seagen Inc.

    STUDY DIRECTOR
  • John Lu, MD

    Seagen Inc.

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR
Expanded Access
Yes

Study Record Dates

First Submitted

January 6, 2020

First Posted

January 10, 2020

Study Start

March 30, 2020

Primary Completion

August 8, 2023

Study Completion (Estimated)

March 1, 2028

Last Updated

May 29, 2026

Results First Posted

September 27, 2024

Record last verified: 2026-05

Data Sharing

IPD Sharing
Will not share

Locations