BL-M07D1 (Trastuzumab Brengitecan T-bren) vs Standard of Care Platinum-based Chemotherapy (PBC) for HER2-expressing Metastatic Urothelial Cancer After Progression on Anti-PD-(L)1-based Therapy
A Phase 3 Open-Label, Randomized Controlled Trial of T-bren (BL M07D1) vs. Platinum-based Chemotherapy in Patients With HER2 Expressing Metastatic Urothelial Cancer With Disease Progression on or After Anti-PD-(L)1-based Therapy
This estimate has passed. The registry has not confirmed an actual date for this milestone.
Primary Completion
December 2028
Estimated
Planned date reported by the registry; this milestone is not confirmed as achieved.
Study Completion
December 2029
Estimated
Planned date reported by the registry; this milestone is not confirmed as achieved.
Brief Summary
The objective of the study is to evaluate the efficacy and safety of T-bren in participants with HER2 expressing metastatic UC with progression on or after anti-PD-(L)1-based therapy.
Registry Overview
Registry-reported information. Elapsed time and enrollment totals alone do not measure study progress or recruitment pace.
Recruitment status
recruiting
Estimated enrollment
520 participants
Study completion date
December 2029
Estimated
Planned date reported by the registry; this milestone is not confirmed as achieved.
Listed locations
1 countries · 2 sites
Trial Relationships
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Related Scientific Literature
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Study Timeline
Dates and qualifiers reported by the registry. Estimated dates do not confirm that a milestone has occurred.
Study Start
September 2026
Estimated (date passed)
This estimate has passed. The registry has not confirmed an actual date for this milestone.
First Submitted
October 6, 2026
Actual (reported)
First Posted
October 13, 2026
Actual (reported)
Primary Completion
December 2028
Estimated
Planned date reported by the registry; this milestone is not confirmed as achieved.
Study Completion
December 2029
Estimated
Planned date reported by the registry; this milestone is not confirmed as achieved.
Histologically or cytologically documented metastatic or surgically unresectable transitional cell carcinoma (TCC) of the urothelium involving the renal pelvis, ureter, bladder, or urethra. Minor histologic variants (ie, \<50% overall) are acceptable, provided that TCC is the dominant histology.
Disease progression or recurrence during or following anti-PD-(L)1-based therapy.
Progression-Free Survival (PFS) by Investigator Assessment
Approximately 5 years
Objective Response Rate (ORR) per RECIST v1.1
Approximately 5 years
+4 more secondary outcomes
T-Bren, BL-M07D1, Trastuzumab Brengitecan
Arm B, T-bren Dose Level 2
Gemcitabine + Platinum Based Chemotherapy (Cisplatin or Carboplatin)Drug
Gemcitabine administered intravenously on Day 1 and Day 8 of each 21-day cycle and Cisplatin or Carboplatin administered intravenously on Day 1 of each 21-day cycle
Arm C, Control Arm, Platinum-based Chemotherapy (PBC)
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Fresh biopsy or archival tumor samples.
Documented HER2 expression by central laboratory testing.
Eligible to receive carboplatin or cisplatin in combination with gemcitabine.
At least 1 measurable lesion based on RECIST v1.1.
An Eastern Cooperative Oncology Group performance status (ECOG PS) of 0 to 1.
Adequate organ function.
Adequate coagulation parameters.
You may not qualify if:
Prior topoisomerase inhibitor-based ADC therapy.
Primary tumors in the central nervous system (CNS), active or untreated CNS metastases, or carcinomatous meningitis.
Bladder cancers with small cell histology.
Other prior or concurrent malignancies except for certain localized cancers or low-grade prostate cancer (if approved by sponsor), or other malignancy treated with curative intent with a disease-free interval of at least 3 years.
Prior history of clinically significant bleeding, or perforation of the gastrointestinal tract within 6 months of randomization.
Active autoimmune diseases and inflammatory diseases.
History of noninfectious interstitial lung disease (ILD)/pneumonitis that required treatment with steroids, have current ILD/pneumonitis, or where suspected ILD/pneumonitis cannot be ruled out by imaging at Screening.
Advanced/clinically significant lung disease (eg, poorly controlled chronic obstructive pulmonary disease or asthma, restrictive lung disease, or pulmonary hypertension) within 6 months prior to randomization.
Planned date reported by the registry; this milestone is not confirmed as achieved.
Study Completion
December 2029
Estimated
Planned date reported by the registry; this milestone is not confirmed as achieved.
Last Updated
October 13, 2026
Record last verified: 2026-10
Source record
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Source: ClinicalTrials.gov.
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