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The safety and efficacy of this agent(s), or use in this setting, has not been established or is subject to confirmation. For an agent(s) whose safety and efficacy has not been established or confirmed, future regulatory approval or commercial availability is not guaranteed.

Clinical Trial Details

Geo Regions

Category

Genitourinary Cancer

Enfortumab vedotin

A Study of Intravesical Enfortumab Vedotin For Treatment of Patients With Non-muscle Invasive Bladder Cancer (NMIBC)

Phase 1

NCT05014139

Active enrolling

Globe

Locations

United States, Canada, France, Germany, Spain, United Kingdom

QR Code

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for more information at clinicaltrials.gov

Study design
Participant Group/Arm

EXPERIMENTAL: Enfortumab vedotin: Dose escalation cohort

During the induction phase, participants will receive enfortumab vedotin once a week for 6 weeks. During the maintenance phase, participants will receive enfortumab vedotin once a month for 9 doses.

Intervention/Treatment

DRUG: Enfortumab vedotin

Given into the bladder (intravesically)
Participant Group/Arm

EXPERIMENTAL: Enfortumab vedotin: Dose expansion cohort

During the induction phase, participants will receive enfortumab vedotin once a week for 6 weeks. During the maintenance phase, participants will receive enfortumab vedotin once a month for 9 doses.

Intervention/Treatment

DRUG: Enfortumab vedotin

Given into the bladder (intravesically)
Study design table for Clinical Trial
Key eligibility criteria
Inclusion criteria
  • Histologically confirmed, non-muscle invasive urothelial carcinoma with carcinoma in situ (CIS) (with or without papillary disease)
  • Predominant histologic component (\>50 percent) must be urothelial (transitional cell) carcinoma
  • Participants must have high-risk Bacillus Calmette-Guerin (BCG) - unresponsive disease, defined as (where adequate BCG therapy is defined as one of the following: 5 of 6 doses of an initial induction course + at least 2 of 3 doses maintenance therapy or 5 of 6 doses of an initial induction course + at least 2 of 6 doses of a second induction course):
    • Persistent or recurrent CIS alone or with recurrent Ta/T1 (noninvasive papillary disease/tumor invades the subepithelial connective tissue) disease within 12 months of completion of adequate BCG therapy.
    • Recurrent high-grade Ta/T1 disease within 6 months of completion of adequate BCG therapy, or
    • T1 high-grade disease at the first evaluation following an induction BCG course (at least 5 or 6 dose
  • Participant must be ineligible for or refusing a radical cystectomy
  • All visible papillary Ta/T1 tumors must be completely resected within 60 days prior to enrollment.
  • Eastern Cooperative Oncology Group Performance Status score of 0, 1, or 2.
Exclusion criteria
  • Current or prior history of muscle-invasive urothelial carcinoma or metastatic disease.
  • Nodal or metastatic disease as noted on computed tomography (CT) or magnetic resonance imaging (MRI) within 3 months prior to study treatment
  • Concomitant upper tract urothelial carcinoma as noted on CT or MRI urogram performed within 3 months prior to study treatment
  • Prior or concomitant urothelial carcinoma of the prostatic urethra within 6 months prior to study treatment
  • Participants with tumor-related hydronephrosis
  • Participant has received other systemic anticancer therapy including chemotherapy, biologic therapy, immunotherapy, targeted therapy, endocrine therapy, and/or investigational agent within 4 weeks or intravesical therapy within 6 weeks of first dose of study treatment
  • Participant has had any prior radiation to the bladder for urothelial cancer
  • Key dates
    Study start date
    • December 2021
    Estimated Study Completion Date
    • May 2028
    Key endpoints
    Primary Outcome Measures
    Outcome Measure

    Incidence of adverse events (AEs)

    Measure Description

    An AE is any untoward medical occurrence in a subject or clinical investigational subject administered a medicinal product and which does not necessarily have a causal relationship with this treatment.

    Time Frame

    Approximately 1 year

    Outcome Measure

    Incidence of laboratory abnormalities

    Measure Description

    To be summarized using descriptive statistics.

    Time Frame

    Approximately 1 year

    Outcome Measure

    Incidence of dose limiting toxicities (DLTs)

    Measure Description

    To be summarized using descriptive statistics.

    Time Frame

    Approximately 7 weeks

    Primary Outcome Measures table for Clinical Trial
    Secondary Outcome Measures:
    Outcome Measure

    Pharmacokinetics (PK) of enfortumab vedotin: Area under the concentration-time curve (AUC)

    Measure Description

    AUC will be recorded from the PK blood samples collected.

    Time Frame

    Approximately 1 year

    Outcome Measure

    PK of enfortumab vedotin: Maximum concentration (Cmax)

    Measure Description

    Cmax will be recorded from the PK blood samples collected.

    Time Frame

    Approximately 1 year

    Outcome Measure

    PK of enfortumab vedotin: Time to maximum concentration concentration (tmax)

    Measure Description

    Tmax will be recorded from the PK blood samples collected.

    Time Frame

    Approximately 1 year

    Outcome Measure

    PK of enfortumab vedotin: Apparent terminal half-life (t1/2)

    Measure Description

    T1/2 will be recorded from the PK blood samples collected.

    Time Frame

    Approximately 1 year

    Outcome Measure

    PK of enfortumab vedotin: Trough concentration (Ctrough)

    Measure Description

    Ctrough will be recorded from the PK blood samples collected.

    Time Frame

    Approximately 1 year

    Outcome Measure

    Incidence of antitherapeutic antibodies (ATAs) to enfortumab vedotin

    Measure Description

    Blood samples for ATA analysis will be collected.

    Time Frame

    Approximately 1 year

    Outcome Measure

    Complete response (CR) rate

    Measure Description

    CR rate is defined as the proportion of subjects achieving CR.

    Time Frame

    Up to 24 months

    Outcome Measure

    Duration of CR

    Measure Description

    The time from first documented CR to the first evidence of recurrence, progression, or death due to any cause.

    Time Frame

    Up to 5 years

    Outcome Measure

    Rate of cystectomy

    Measure Description

    The proportion of subjects who subsequently undergo cystectomy.

    Time Frame

    Up to 5 years

    Outcome Measure

    Progression-free survival

    Measure Description

    The time from start of study treatment to the first evidence of progression or death due to any cause.

    Time Frame

    Up to 5 years

    Outcome Measure

    Cystectomy-free survival

    Measure Description

    The time from start of study treatment to cystectomy or death due to any cause.

    Time Frame

    Up to 5 years

    Secondary Outcome Measures table for Clinical Trial
    Number of participants

    58

    Collaborators and investigators

    Sponsor: Astellas Pharma Global Development, Inc.

    Collaborator: Seagen, a wholly owned subsidiary of Pfizer

    This information is current as of March 26th 2025.

    Contact Us
    Close

    For more information, call or email the Pfizer Clinical Trial Contact Center:

    1-800-887-7002 Email us

    When calling, please reference this study number:

    More Information Close NCT# stands for National Clinical Trial number. This is a unique identification code given to each clinical trial registered on ClinicalTrials.gov. The format is "NCT" followed by an 8-digit number (for example, NCT00000419). Also called the ClinicalTrials.gov identifier. NCT05014139