NCT04700124

Brief Summary

The purpose of this study is to assess the antitumor efficacy and safety of perioperative enfortumab vedotin (EV) plus pembrolizumab and radical cystectomy (RC) + pelvic lymph node dissection (PLND) compared with the current standard of care (neoadjuvant chemotherapy \[gemcitabine plus cisplatin\] and RC + PLND) for participants with MIBC who are cisplatin-eligible. The primary hypothesis is perioperative EV and pembrolizumab and RC + PLND (Arm A) will achieve superior event free survival (EFS) compared with neoadjuvant gemcitabine + cisplatin and RC + PLND (Arm B).

Trial Health

98
On Track

Trial Health Score

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

Strong global presence with extensive site network
Enrollment
808

participants targeted

Target at P75+ for phase_3

Timeline
Completed

Started Apr 2021

Longer than P75 for phase_3

Geographic Reach
29 countries

188 active sites

Status
completed

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

First Submitted

Initial submission to the registry

January 5, 2021

Completed
2 days until next milestone

First Posted

Study publicly available on registry

January 7, 2021

Completed
3 months until next milestone

Study Start

First participant enrolled

April 21, 2021

Completed
4.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

October 27, 2025

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

October 27, 2025

Completed
Last Updated

February 5, 2026

Status Verified

February 1, 2026

Enrollment Period

4.5 years

First QC Date

January 5, 2021

Last Update Submit

February 4, 2026

Conditions

Keywords

Programmed cell death 1 (PD-1)Programmed Death-Ligand 1 (PD-L1)Programmed Death-Ligand 2 (PD-L2)Pelvic Lymph Node Dissection (PLND)Radical Cystectomy (RC)

Outcome Measures

Primary Outcomes (1)

  • Event-Free Survival (EFS)

    EFS is defined as the time from randomization to the first occurrence of following events: radiographic disease progression precluding RC + PLND, failure to undergo surgery in participants with residual disease, gross residual disease left behind at time of surgery, local or distant recurrence based on blinded independent central review (BICR) or death due to any cause.

    Up to ~68 months

Secondary Outcomes (12)

  • Pathologic Complete Response (pCR) Rate

    Up to ~47 months

  • Overall Survival (OS)

    Up to ~68 months

  • Disease Free Survival (DFS)

    From ~12 months to up to ~68 months

  • Pathologic Downstaging (pDS) Rate

    Up to ~47 months

  • Number of Participants Who Experienced An Adverse Event (AE) (Arm A only)

    Up to ~68 months

  • +7 more secondary outcomes

Study Arms (2)

Arm A: Perioperative EV+ Pembrolizumab and RC + PLND

EXPERIMENTAL

Participants receive 4 cycles (each cycle length = 21 days) of EV intravenous (IV) infusion plus pembrolizumab IV infusion preoperatively, followed by RC + PLND, followed by 5 cycles of adjuvant EV IV infusion plus 13 cycles of adjuvant pembrolizumab IV infusion postoperatively. The total treatment duration is up to approximately 1 year.

Biological: PembrolizumabBiological: Enfortumab vedotin (EV)Procedure: RC + PLND

Arm B: Standard of Care (SOC)-Neoadjuvant chemotherapy (gemcitabine + cisplatin) and RC + PLND

ACTIVE COMPARATOR

Participants receive 4 cycles (each cycle length = 21 days) of standard of care (SOC) chemotherapy (gemcitabine IV infusion plus cisplatin IV infusion) preoperatively, followed by RC + PLND. The total treatment duration is up to approximately 3 months.

Procedure: RC + PLNDDrug: GemcitabineDrug: Cisplatin

Interventions

PembrolizumabBIOLOGICAL

200 mg of Pembrolizumab IV infusion, on Day 1 Q3W for 4 cycles (each cycle length = 21 days) in preoperative phase (up to approximately 3 months) and on Day 1 Q3W for 13 cycles in postoperative phase (up to approximately 9 months). The total duration of treatment is up to approximately 1 year.

Also known as: KEYTRUDA®, MK-3475
Arm A: Perioperative EV+ Pembrolizumab and RC + PLND

1.25 mg/kg of EV IV infusion, on Day 1 and Day 8 Q3W for 4 cycles (each cycle length = 21 days) in preoperative phase (up to approximately 3 months) and on Day 1 and Day 8 Q3W for 5 cycles (each cycle length = 21 days) in postoperative phase (up to approximately 4 months). The total duration of treatment is up to approximately 7 months.

Also known as: Padcev
Arm A: Perioperative EV+ Pembrolizumab and RC + PLND
RC + PLNDPROCEDURE

Curative intent RC + PLND surgery will be administered to all participants randomized to Arm A and B after completion of preoperative systemic treatment (RC + PLND to be done approximately at 15 weeks from randomization).

Also known as: Surgery
Arm A: Perioperative EV+ Pembrolizumab and RC + PLNDArm B: Standard of Care (SOC)-Neoadjuvant chemotherapy (gemcitabine + cisplatin) and RC + PLND

1000 mg/m\^2 of Gemcitabine IV infusion, Day 1 and Day 8 Q3W for 4 cycles in preoperative phase (up to approximately 3 months)

Also known as: Gemzar
Arm B: Standard of Care (SOC)-Neoadjuvant chemotherapy (gemcitabine + cisplatin) and RC + PLND

70 mg/m\^2 of Cisplatin IV infusion, Day 1, Q3W for 4 cycles in preoperative phase (up to approximately 3 months)

Also known as: Platinol®, Platinol®-AQ
Arm B: Standard of Care (SOC)-Neoadjuvant chemotherapy (gemcitabine + cisplatin) and RC + PLND

Eligibility Criteria

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

You may qualify if:

  • Have a histologically confirmed diagnosis of urothelial carcinoma (UC) / muscle invasive bladder cancer (MIBC) (T2-T4aN0M0 or T1-T4aN1M0) with predominant (≥50%) urothelial histology.
  • Have clinically non-metastatic bladder cancer (N≤1 M0) determined by imaging (computed tomography (CT) or magnetic resonance imaging (MRI) of the chest/abdomen/pelvis
  • Be deemed eligible for Radical Cystectomy (RC) + Pelvic Lymph Node Dissection (PLND)
  • Have Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
  • Have adequate organ function.

You may not qualify if:

  • Has a known additional malignancy that is progressing or has required active anti-cancer treatment ≤3 years of study randomization with certain exceptions
  • Has received any prior systemic treatment for MIBC or non-invasive muscle bladder cancer (NMIBC - prior treatment for NMIBC with intravesical BCG/chemotherapy is permitted) or prior therapy with an anti- programmed cell death 1 (PD-1), anti-programmed cell death ligand 1/ ligand 2 (PD-L1/L2), or anti-cytotoxic T-lymphocyte-associated protein 4 (CTLA-4)
  • Has ≥N2 disease or metastatic disease (M1) as identified by imaging
  • Is cisplatin-ineligible, as defined by meeting any one of the cisplatin ineligibility criteria as per protocol
  • Has received prior systemic anticancer therapy including investigational agents within 3 years of randomization or any radiotherapy to the bladder
  • Has undergone partial cystectomy of the bladder to remove any NMIBC or MIBC
  • Has received a live or live attenuated vaccine within 30 days before the first dose of study intervention
  • Has a diagnosis of immunodeficiency or has a known history of human immunodeficiency virus (HIV) infection. Hepatitis B infection or known active Hepatitis C infection
  • Has a known psychiatric or substance abuse disorder
  • Has had an allogenic tissue/solid organ transplant
  • Has ongoing sensory or motor neuropathy Grade 2 or higher
  • Has active keratitis (superficial punctate keratitis) or corneal ulcerations
  • Has a history of uncontrolled diabetes defined as hemoglobin A1c (HbA1c) ≥8% or HbA1c 7% to \<8% with associated diabetes symptoms

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (188)

Mayo Clinic in Arizona - Phoenix ( Site 0043)

Phoenix, Arizona, 85054, United States

Location

St Joseph Heritage Healthcare-Oncology ( Site 0035)

Fullerton, California, 92835, United States

Location

UCLA Hematology/Oncology - Westwood (Building 200 Suite 140)-Department of Urology/Institute of Uro ( Site 0005)

Los Angeles, California, 90095, United States

Location

University of California San Francisco ( Site 0010)

San Francisco, California, 94158, United States

Location

Stanford University ( Site 0023)

Stanford, California, 94305, United States

Location

University of Colorado, Anschutz Cancer Pavilion ( Site 0009)

Aurora, Colorado, 80045, United States

Location

UF Health ( Site 0031)

Gainesville, Florida, 32608, United States

Location

Indiana University Melvin and Bren Simon Cancer Center ( Site 0050)

Indianapolis, Indiana, 46202, United States

Location

University of Iowa Hospital and Clinics ( Site 0029)

Iowa City, Iowa, 52242, United States

Location

University of Louisville, James Graham Brown Cancer Center ( Site 0022)

Louisville, Kentucky, 40202, United States

Location

Icahn School of Medicine at Mount Sinai ( Site 0011)

New York, New York, 10029, United States

Location

White Plains Hospital ( Site 0039)

White Plains, New York, 10601, United States

Location

Duke University Medical Center ( Site 0017)

Durham, North Carolina, 27710, United States

Location

Wake Forest Baptist Health ( Site 0014)

Winston-Salem, North Carolina, 27157, United States

Location

Oregon Health and Science University ( Site 0028)

Portland, Oregon, 97239-3011, United States

Location

MidLantic Urology ( Site 0002)

Bala-Cynwyd, Pennsylvania, 19004, United States

Location

Saint Francis Cancer Center ( Site 0008)

Greenville, South Carolina, 29607, United States

Location

The University of Tennessee Medical Center ( Site 0034)

Knoxville, Tennessee, 37920, United States

Location

UT Southwestern Medical Center ( Site 0003)

Dallas, Texas, 75390, United States

Location

Houston Methodist Urology Associates ( Site 0033)

Houston, Texas, 77030, United States

Location

Urology of San Antonio ( Site 0020)

San Antonio, Texas, 78229, United States

Location

University of Wisconsin Hospital and Clinics ( Site 0037)

Madison, Wisconsin, 53792, United States

Location

Hospital Británico de Buenos Aires-Oncology ( Site 1551)

Ciudad Autónoma de Buenos Aires, Buenos Aires, C1280AEB, Argentina

Location

Hospital Italiano de Buenos Aires ( Site 1554)

ABB, Buenos Aires F.D., C1199ABB, Argentina

Location

Asociación de Beneficencia Hospital Sirio Libanés ( Site 1553)

Buenos Aires, Buenos Aires F.D., C1419AHN, Argentina

Location

Centro de Educación Médica e Investigaciones Clínicas (CEMIC) ( Site 1558)

Buenos Aires, Buenos Aires F.D., C1431FWO, Argentina

Location

Fundacion Estudios Clinicos-Oncology ( Site 1557)

Rosario, Santa Fe Province, S2000DEJ, Argentina

Location

Centro de Urología (CDU) ( Site 1552)

Buenos Aires, 1120, Argentina

Location

Macquarie University-MQ Health Clinical Trials Unit ( Site 1259)

Macquarie University, New South Wales, 2109, Australia

Location

Mater Hospital Brisbane ( Site 1257)

South Brisbane, Queensland, 4101, Australia

Location

Lyell McEwin Hospital ( Site 1252)

Elizabeth Vale, South Australia, 5112, Australia

Location

Frankston Hospital-Oncology and Haematology ( Site 1258)

Frankston, Victoria, 3199, Australia

Location

MHAT "Uni Hospital" OOD ( Site 1154)

Panagyurishte, Pazardzhik, 4500, Bulgaria

Location

Complex Oncology Center Plovdiv ( Site 1151)

Plovdiv, 4000, Bulgaria

Location

MHAT Central Onco Hospital OOD ( Site 1158)

Plovdiv, 4000, Bulgaria

Location

MHAT Serdika ( Site 1152)

Sofia, 1632, Bulgaria

Location

BC Cancer - Vancouver Center ( Site 0110)

Vancouver, British Columbia, V5Z 4E6, Canada

Location

CancerCare Manitoba ( Site 0108)

Winnipeg, Manitoba, R3E 0V9, Canada

Location

Moncton Hospital ( Site 0107)

Moncton, New Brunswick, E1C 6Z8, Canada

Location

Ottawa Hospital Research Institute ( Site 0109)

Ottawa, Ontario, K1H 8L6, Canada

Location

Jewish General Hospital ( Site 0106)

Montreal, Quebec, H3T 1E2, Canada

Location

SUN YAT-SEN UNIVERSITY CANCER CENTRE ( Site 1406)

Guangzhou, Guangdong, 510060, China

Location

Sun Yat-sen Memorial Hospital, Sun Yat-sen University ( Site 1413)

Guangzhou, Guangdong, 510220, China

Location

Hunan Cancer Hospital ( Site 1403)

Changsha, Hunan, 410013, China

Location

Nanjing Drum Tower Hospital The Affiliated Hospital of Nanjing University Medical School-Urology ( Site 1404)

Nanjing, Jiangsu, 210008, China

Location

Nantong Tumor Hospital-Urology ( Site 1405)

Nantong, Jiangsu, 226361, China

Location

Fudan University Shanghai Cancer Center-Urology department ( Site 1401)

Shanghai, Shanghai Municipality, 200032, China

Location

Renji Hospital Shanghai Jiao Tong University School of Medicine ( Site 1402)

Shanghai, Shanghai Municipality, 200127, China

Location

Fundacion Colombiana de Cancerología Clinica Vida ( Site 1653)

Medellín, Antioquia, 050030, Colombia

Location

Clinica Colsanitas S.A, Sede Clínica Universitaria Colombia-Center Investigator ( Site 1654)

Bogotá, Bogota D.C., 111321, Colombia

Location

IMAT S.A.S ( Site 1652)

Montería, Departamento de Córdoba, 230002, Colombia

Location

Fundación Cardiovascular de Colombia-Santander ( Site 1657)

Piedecuesta, Santander Department, 681017, Colombia

Location

Fundación Valle del Lili ( Site 1656)

Cali, Valle del Cauca Department, 760032, Colombia

Location

Klinički bolnički centar Sestre milosrdnice ( Site 1703)

Zagreb, City of Zagreb, 10000, Croatia

Location

Klinički bolnički centar Zagreb-Klinika za onkologiju ( Site 1701)

Zagreb, City of Zagreb, 10000, Croatia

Location

Klinički bolnički centar Osijek ( Site 1705)

Osijek, County of Osijek-Baranja, 31000, Croatia

Location

Klinički Bolnički Centar Split-Oncology and Radiotherapy ( Site 1702)

Split, Split-Dalmatia County, 21000, Croatia

Location

Fakultni nemocnice u sv. Anny v Brne ( Site 0253)

Brno, South Moravian, 656 91, Czechia

Location

Fakultni nemocnice Hradec Kralove-Klinika onkologie a radioterapie ( Site 0254)

Hradec Králové, 500 05, Czechia

Location

Fakultni Nemocnice Olomouc ( Site 0251)

Olomouc, 77900, Czechia

Location

Fakultni Thomayerova nemocnice ( Site 0252)

Prague, 140 59, Czechia

Location

CHU La Timone ( Site 0456)

Marseille, Bouches-du-Rhone, 13005, France

Location

CHU Jean Minjoz ( Site 0453)

Besançon, Doubs, 25000, France

Location

C.H. regional Unv. de Brest - Hopital La Cavale Blanche - Institut de Cancerologie et d Imagerie ( Site 0461)

Brest, Finistere, 29200, France

Location

Institut Universitaire du Cancer Toulouse - Oncopole ( Site 0455)

Toulouse, Haute-Garonne, 31059, France

Location

CHU Limoges Hopital Dupuytren ( Site 0459)

Limoges, Haute-Vienne, 87042, France

Location

CHU GRENOBLE ALPES ( Site 0468)

La Tronche, Isere, 38700, France

Location

Centre Hospitalier Regional du Orleans ( Site 0463)

Orléans, Loiret, 45067, France

Location

Polyclinique du Bois ( Site 0458)

Lille, Nord, 59000, France

Location

Hopital Diaconesses Croix Saint Simon ( Site 0465)

Paris, 75960, France

Location

Gustave Roussy ( Site 0467)

Villejuif, Île-de-France Region, 94805, France

Location

Universitaetsklinikum Freiburg ( Site 0512)

Freiburg im Breisgau, Baden-Wurttemberg, 79106, Germany

Location

Universitaetsklinik fuer Urologie ( Site 0501)

Tübingen, Baden-Wurttemberg, 72076, Germany

Location

Caritas Krankenhaus St. Josef ( Site 0502)

Regensburg, Bavaria, 93053, Germany

Location

Universitaetsklinikum Wuerzburg ( Site 0520)

Würzburg, Bavaria, 97080, Germany

Location

Kath. Krankenhaus Marienhospital. Universitaetsklinik ( Site 0511)

Herne, North Rhine-Westphalia, 44625, Germany

Location

Universitaetsklinikum Muenster ( Site 0516)

Münster, North Rhine-Westphalia, 48149, Germany

Location

Universitaetsklinikum Carl Gustav Carus ( Site 0509)

Dresden, Saxony, 01307, Germany

Location

Krankenhaus Martha Maria Halle-Doelau ( Site 0507)

Halle, Saxony-Anhalt, 06120, Germany

Location

Vivantes Klinikum Am Urban ( Site 0519)

Berlin, 10967, Germany

Location

UNIVERSITY HOSPITAL OF PATRAS-DIVISION OF ONCOLOGY ( Site 0305)

Pátrai, Achaia, 26504, Greece

Location

General Hospital of Athens "Alexandra" ( Site 0303)

Athens, Attica, 115 28, Greece

Location

Athens Medical Center ( Site 0304)

Athens, Attica, 151 25, Greece

Location

ATTIKON GENERAL UNIVERSITY HOSPITAL ( Site 0301)

Chaïdári, Attica, 124 62, Greece

Location

University General Hospital of Larissa ( Site 0302)

Larissa, Thessaly, 411 10, Greece

Location

Szegedi Tudományegyetem Szent-Györgyi Albert Klinikai Központ ( Site 1010)

Szeged, Csongrád megye, 6720, Hungary

Location

Jász-Nagykun-Szolnok Vármegyei Hetényi Géza Kórház ( Site 1002)

Szolnok, Jász-Nagykun-Szolnok, 5004, Hungary

Location

Debreceni Egyetem Klinikai Kozpont ( Site 1006)

Debrecen, 4032, Hungary

Location

Rambam Health Care Campus-Oncology ( Site 0751)

Haifa, 3109601, Israel

Location

Hadassah Medical Center-Oncology ( Site 0757)

Jerusalem, 9112001, Israel

Location

Meir Medical Center-oncology ( Site 0754)

Kfar Saba, 4428164, Israel

Location

Rabin Medical Center-Oncology ( Site 0752)

Petah Tikva, 4941492, Israel

Location

Sheba Medical Center-ONCOLOGY ( Site 0753)

Ramat Gan, 5265601, Israel

Location

Sourasky Medical Center-Oncology ( Site 0755)

Tel Aviv, 6423906, Israel

Location

Yitzhak Shamir Medical Center-Oncology ( Site 0756)

Ẕerifin, 70300, Israel

Location

Fondazione IRCCS Istituto Nazionale dei Tumori-Struttura Complessa Oncologia Medica 1 ( Site 0588)

Milan, Lombardy, 20133, Italy

Location

Presidio Ospedaliero Santa Maria delle Grazie ( Site 0599)

Pozzuoli, Napoli, 80078, Italy

Location

AOU San Luigi Gonzaga di Orbassano ( Site 0595)

Orbassano, Torino, 10043, Italy

Location

Azienda Ospedaliera Universitaria Integrata Verona - Ospedale Borgo Trento ( Site 0598)

Verona, Veneto, 37126, Italy

Location

Azienda Ospedaliero Universitaria delle Marche-Clinica Oncologica ( Site 0593)

Ancona, 60126, Italy

Location

Ospedale Cannizzaro ( Site 0590)

Catania, 95126, Italy

Location

IRCCS Ospedale San Raffaele ( Site 0596)

Milan, 20132, Italy

Location

Istituto Oncologico Veneto IRCCS-Oncologia Medica 1 ( Site 0600)

Padua, 35128, Italy

Location

Nagoya University Hospital ( Site 1512)

Nagoya, Aichi-ken, 466-8560, Japan

Location

Hirosaki University Hospital ( Site 1501)

Hirosaki, Aomori, 036-8563, Japan

Location

University of Tsukuba Hospital ( Site 1502)

Tsukuba, Ibaraki, 305-8576, Japan

Location

Kanazawa University Hospital ( Site 1509)

Kanazawa, Ishikawa-ken, 920-8641, Japan

Location

Kitasato University Hospital ( Site 1506)

Sagamihara, Kanagawa, 252-0375, Japan

Location

Yokohama City University Medical Center ( Site 1508)

Yokohama, Kanagawa, 232-0024, Japan

Location

Kanagawa Cancer Center ( Site 1507)

Yokohama, Kanagawa, 241-8515, Japan

Location

Tohoku University Hospital ( Site 1503)

Sendai, Miyagi, 980-8574, Japan

Location

Hamamatsu University Hospital ( Site 1511)

Hamamatsu, Shizuoka, 431-3192, Japan

Location

Gifu University Hospital ( Site 1513)

Gifu, 501-1194, Japan

Location

Nagasaki University Hospital ( Site 1517)

Nagasaki, 852-8510, Japan

Location

Okayama University Hospital ( Site 1516)

Okayama, 700-8558, Japan

Location

Osaka International Cancer Institute ( Site 1514)

Osaka, 541-8567, Japan

Location

Osaka Metropolitan University Hospital ( Site 1515)

Osaka, 545-8586, Japan

Location

Institute of Science Tokyo Hospital ( Site 1505)

Tokyo, 113-8519, Japan

Location

Keio University Hospital ( Site 1504)

Tokyo, 160-8582, Japan

Location

Toyama University Hospital ( Site 1510)

Toyama, 930-0194, Japan

Location

University Malaya Medical Centre ( Site 0352)

Lembah Pantai, Kuala Lumpur, 59100, Malaysia

Location

Hospital Pulau Pinang ( Site 0355)

George Town, Pulau Pinang, 10450, Malaysia

Location

Sarawak General Hospital ( Site 0351)

Kuching, Sarawak, 93586, Malaysia

Location

Sunway Medical Centre ( Site 0353)

Petaling Jaya, Selangor, 47500, Malaysia

Location

THE MEDICAL CITY ILOILO-The Medical City Iloilo - Clinical and Translational Research Institute-Ilo ( Site 0801)

Iloilo City, Iloilo, 5000, Philippines

Location

Clinical Research Center Medic-R ( Site 1061)

Poznan, Greater Poland Voivodeship, 61-731, Poland

Location

Mazowiecki Szpital Wojewódzki w Siedlcach-Siedleckie Centrum Onkologii ( Site 1057)

Siedlce, Masovian Voivodeship, 08-110, Poland

Location

Narodowy Instytut Onkologii ( Site 1051)

Warsaw, Masovian Voivodeship, 02-781, Poland

Location

Wojewodzki Szpital im. Sw. Ojca Pio w Przemyslu ( Site 1053)

Przemyśl, Podkarpackie Voivodeship, 37-700, Poland

Location

Uniwersytecki Szpital Kliniczny im. Jana Mikulicza-Radeckiego we Wrocławiu ( Site 1058)

Wrocław, Silesian Voivodeship, 50556, Poland

Location

Szpital Wojewodzki im. Mikolaja Kopernika ( Site 1055)

Koszalin, West Pomeranian Voivodeship, 75-581, Poland

Location

Unidade Local de Saude de Coimbra - Hospitais da Universidade de Coimbra ( Site 0406)

Coimbra, 3000-075, Portugal

Location

Inst. Portugues de Oncologia de Lisboa Francisco Gentil EPE ( Site 0409)

Lisbon, 1099-023, Portugal

Location

Unidade Local de Saude Lisboa Ocidental - Hospital de São Francisco Xavier ( Site 0401)

Lisbon, 1449-005, Portugal

Location

Unidade Local de Saude de Santo António - Hospital Santo António ( Site 0408)

Porto, 4099-001, Portugal

Location

MEMORIAL HEALTHCARE INTERNATIONAL S.R.L. ( Site 1104)

Bucharest, București, 013823, Romania

Location

Cardiomed SRL Cluj-Napoca ( Site 1101)

Cluj-Napoca, Cluj, 400015, Romania

Location

Institutul Oncologic Prof.Dr. Ion Chiricuta Cluj-Napoca ( Site 1102)

Cluj-Napoca, Cluj, 400015, Romania

Location

Institutul Oncologic Prof.Dr. Ion Chiricuta Cluj-Napoca ( Site 1103)

Cluj-Napoca, Cluj, 400015, Romania

Location

SC Radiotherapy Center Cluj SRL ( Site 1108)

Comuna Floresti, Cluj, 407280, Romania

Location

S.C. Centrul de Oncologie Sf. Nectarie SRL ( Site 1107)

Craiova, Dolj, 200542, Romania

Location

Policlinica Oncomed SRL ( Site 1106)

Timișoara, Timiș County, 300239, Romania

Location

Institutul Oncologic Cluj-Oncologie Medicala ( Site 1109)

Cluj-Napoca, 400015, Romania

Location

Altay Regional Oncology Dispensary ( Site 0851)

Barnaul, Altayskiy Kray, 656045, Russia

Location

National Medical Research Radiology Centre ( Site 0869)

Obninsk, Kaluzskaja Oblast, 249036, Russia

Location

National Medical Research Centre of Oncology named after N.N. Blokhin ( Site 0865)

Moscow, Moscow, 115230, Russia

Location

First Moscow State Medical University n.a. I.M.Sechenov ( Site 0871)

Moscow, Moscow, 119991, Russia

Location

Volga District Medical Center ( Site 0876)

Nizhny Novgorod, Nizhny Novgorod Oblast, 603074, Russia

Location

St.Petersburg Clinical Hospital RAS ( Site 0864)

Saint Petersburg, Sankt-Peterburg, 194017, Russia

Location

St.Petersburg State Medical Univ. n.a. acad. I.P.Pavlov ( Site 0856)

Saint Petersburg, Sankt-Peterburg, 197101, Russia

Location

Scientific Research Oncology Institute n.a. N.N.Petrov ( Site 0852)

Saint Petersburg, Sankt-Peterburg, 197758, Russia

Location

Sverdlovsk Regional Oncology Hospital ( Site 0867)

Yekaterinburg, Sverdlovsk Oblast, 620036, Russia

Location

Sverdlovsky Regional Clinical hospital #1 ( Site 0868)

Yekaterinburg, Sverdlovsk Oblast, 620102, Russia

Location

Volgograd Regional Uronephrological Center ( Site 0870)

Volzhsky, Volgograd Oblast, 404120, Russia

Location

Tan Tock Seng Hospital ( Site 0704)

Singapore, Central Singapore, 308442, Singapore

Location

Wits Clinical Research ( Site 0603)

Johannesburg, Gauteng, 2193, South Africa

Location

Steve Biko Academic Hospital ( Site 0601)

Pretoria, Gauteng, 0002, South Africa

Location

Groote Schuur Hospital ( Site 0602)

Cape Town, Western Cape, 7925, South Africa

Location

Chonnam National University Hwasun Hospital ( Site 1353)

Jeollanam-do, Jeonranamdo, 58128, South Korea

Location

Seoul National University Bundang Hospital ( Site 1355)

Gyeonggi-do, Kyonggi-do, 13620, South Korea

Location

Kyungpook National University Chilgok Hospital ( Site 1354)

Daegu, Kyongsangbuk-do, 41404, South Korea

Location

Asan Medical Center ( Site 1352)

Songpagu, Seoul, 05505, South Korea

Location

Gachon University Gil Medical Center ( Site 1356)

Incheon, 21565, South Korea

Location

Korea University Anam Hospital ( Site 1357)

Seoul, 02841, South Korea

Location

Seoul National University Hospital ( Site 1351)

Seoul, 03080, South Korea

Location

Hospital Germans Trias i Pujol. ICO de Badalona ( Site 0658)

Badalona, Barcelona, 08916, Spain

Location

Xarxa Assistencial Universitaria Manresa ( Site 0655)

Manresa, Barcelona, 08243, Spain

Location

Institut Català d'Oncologia (ICO) - Girona ( Site 0653)

Girona, Gerona, 17007, Spain

Location

CHUS - Hospital Clinico Universitario-Servicio de Oncologia ( Site 0660)

Santiago de Compostela, La Coruna, 15706, Spain

Location

Hospital Universitario Insular de Gran Canaria ( Site 0657)

Las Palmas de Gran Canaria, Las Palmas, 35016, Spain

Location

Hospital Universitario Central de Asturias ( Site 0654)

Oviedo, Principality of Asturias, 33011, Spain

Location

Fundación Instituto Valenciano de Oncología-Oncologico ( Site 0662)

Valencia, Valenciana, Comunitat, 46009, Spain

Location

Hospital Universitari Vall d'Hebron-Departamento de Oncologia- VHIO ( Site 0661)

Barcelona, 08035, Spain

Location

Hospital Clinico Universitario San Carlos de Madrid ( Site 0651)

Madrid, 28040, Spain

Location

Hospital Virgen del Rocio ( Site 0659)

Seville, 41013, Spain

Location

Chang Gung Memorial Hospital at Kaohsiung ( Site 1203)

Kaohsiung City, 83301, Taiwan

Location

China Medical University Hospital ( Site 1202)

Taichung, 404332, Taiwan

Location

Taipei Veterans General Hospital ( Site 1201)

Taipei, 112, Taiwan

Location

I.I. Mechnykov Dnipropetrovsk Regional Clinical Hospital ( Site 0959)

Dnipro, Dnipropetrovsk Oblast, 49005, Ukraine

Location

MI Clinical oncology dispensary of Dnipropetrovsk regional council ( Site 0954)

Dnipro, Dnipropetrovsk Oblast, 49055, Ukraine

Location

Regional Clinical Center of Urology and Nephrology n.a. V.I. Shapoval ( Site 0952)

Kharkiv, Kharkivs’ka Oblast’, 61037, Ukraine

Location

MNPE Regional Center of Oncology ( Site 0955)

Kharkiv, Kharkivs’ka Oblast’, 61070, Ukraine

Location

Municipal Non-profit Enterprise of Kharkiv Regional Council RCSDRPP ( Site 0965)

Kharkiv, Kharkivs’ka Oblast’, 61166, Ukraine

Location

Lviv Oncology Regional Treatment and Diagnostic Center ( Site 0960)

Lviv, Lviv Oblast, 79031, Ukraine

Location

Zhytomyr Regional Oncology Center ( Site 0961)

Zhytomyr, Zhytomyr Oblast, 10002, Ukraine

Location

Torbay Hospital ( Site 1804)

Torquay, Devon, TQ2 7AA, United Kingdom

Location

Charing Cross Hospital-Oncology Research ( Site 1802)

London, Hammersmith and Fulham, W6 8RF, United Kingdom

Location

St Bartholomew's Hospital-Centre for Experimental Cancer Medicine ( Site 1801)

London, London, City of, EC1A 7BE, United Kingdom

Location

Related Links

MeSH Terms

Conditions

Urinary Bladder NeoplasmsParkinson Disease 4, Autosomal Dominant Lewy Body

Interventions

pembrolizumabenfortumab vedotinSurgical Procedures, OperativeGemcitabineCisplatin

Condition Hierarchy (Ancestors)

Urologic NeoplasmsUrogenital NeoplasmsNeoplasms by SiteNeoplasmsFemale Urogenital DiseasesFemale Urogenital Diseases and Pregnancy ComplicationsUrogenital DiseasesUrinary Bladder DiseasesUrologic DiseasesMale Urogenital Diseases

Intervention Hierarchy (Ancestors)

Heterocyclic CompoundsDeoxycytidineCytidinePyrimidine NucleosidesPyrimidinesHeterocyclic Compounds, 1-RingChlorine CompoundsInorganic ChemicalsNitrogen CompoundsPlatinum Compounds

Study Officials

  • Medical Director

    Merck Sharp & Dohme LLC

    STUDY DIRECTOR

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
NONE
Masking Details
Open label
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

January 5, 2021

First Posted

January 7, 2021

Study Start

April 21, 2021

Primary Completion

October 27, 2025

Study Completion

October 27, 2025

Last Updated

February 5, 2026

Record last verified: 2026-02

Data Sharing

IPD Sharing
Will share

https://trialstransparency.msdclinicaltrials.com/pdf/ProcedureAccessClinicalTrialData.pdf

More information

Locations